DR. HAROLD JAMES LOCHNER III MD
NPI 1013229087
Pediatrics in Ruskin, FL
NPI Status: Active since July 07, 2010
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About HAROLD LOCHNER
This page provides the complete NPI Profile along with additional information for Harold Lochner, a pediatrician established in Ruskin, Florida with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1013229087 assigned on July 2010. The practitioner's primary taxonomy code is 208000000X with license number 0101251933 (VA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1013229087
- Provider Name
- DR. HAROLD JAMES LOCHNER III MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2814 14TH AVE SE RUSKIN, FL 33570
- Location Phone
- (181) 365-3610
- Mailing Address
- 6522 GREENLAND CHASE BLVD JACKSONVILLE, FL 32258
- Mailing Phone
- (417) 830-5968
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2010
- Last Update Date
- 07-15-2020
- Code Navigator
A pediatrician like Harold Lochner is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101251933
- License State
- VA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Harold Lochner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33570 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.62
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $21.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 2 | 2 | 9 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 4 | 2 | 18 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 4 + 2 + 1 + 8 + 0 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1013229087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356346340 | DR. AURA MARIA CISNEROS D.M.D Individual | Dentist (General Practice) | 2814 14TH AVE SE RUSKIN HEALTH CENTER RUSKIN, FL 33570 (813) 349-7834 |
| 1083645485 | JEFFREY G. HUNT Individual | Pharmacist | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7859 |
| 1801804224 | MARIA ANTONIA RIVERA ARNP CNM Individual | Nurse Practitioner (Obstetrics & Gynecology) | 2814 14TH AVE SE RUSKIN HEALTH CENTER RUSKIN, FL 33570 (813) 349-7800 |
| 1285734582 | ELAINE PRENKOWITZ-FREY N.P. Individual | Nurse Practitioner (Obstetrics & Gynecology) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1780994897 | SUNCOAST COMMUNITY HEALTH CENTERS, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1649575564 | JOSHUA STEPHEN KLASINSKI PA-C Individual | Physician Assistant | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1427339175 | SUNCOAST COMMUNITY HEALTH CENTERS INC Organization | Clinic/Center (Primary Care) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1922115930 | JAMES HARDIMAN MD Individual | Internal Medicine | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 681-2111 |
| 1245256361 | DR. ANTHONY ALAN ABOUHANNA DO Individual | Family Medicine | 2814 14TH AVE SE RUSKIN HEALTH CENTER RUSKIN, FL 33570 (813) 349-7800 |
| 1992951578 | TERESA IVEY LANGLEY ARNP Individual | Nurse Practitioner (Pediatrics) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1285644799 | SUNCOAST COMMUNITY HEALTH CENTERS INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1154516029 | NADIA MARIE SAUER CHOE D.O. Individual | Internal Medicine | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1134462104 | MARICAR C CAL ARNP Individual | Nurse Practitioner (Family) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 361-1658 |
| 1770596058 | SUNCOAST COMMUNITY HEALTH CENTERS INC Organization | Pharmacy (Clinic Pharmacy) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7849 |
| 1447480504 | DR. EDUARDO VALDES D.D.S Individual | Dentist | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1568769008 | DR. LAN DINH DMD Individual | Dentist (General Practice) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1235547258 | MRS. HELEN POTESTAS CORONICA ARNP Individual | Nurse Practitioner (Family) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1093006066 | MICHELE TRANG THI HO M.D. Individual | Internal Medicine | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
| 1871099051 | MELISSA EMMANUEL Individual | Nurse Practitioner (Family) | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 653-6100 |
| 1255566238 | DR. INDRANI DATTA M.D., M.P.H. Individual | Internal Medicine | 2814 14TH AVE SE RUSKIN, FL 33570 (813) 349-7800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013229087, enumerated in the NPI registry as an "individual" on July 07, 2010
The provider is located at 2814 14th Ave Se Ruskin, Fl 33570 and the phone number is (181) 365-3610
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Superior. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $87.62 with an average copayment of $21.9 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 07, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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