BEACH CONGER MD
NPI 1023006921
Internal Medicine in Burlington, VT

NPI Status: Active since October 13, 2005

Contact Information

617 RIVERSIDE AVE
BURLINGTON, VT
ZIP 05401
Phone: (802) 864-6309
Fax: (802) 860-4313

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  • Individual
  • Male
  • Years of Experience 59
  • Internal Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BEACH CONGER

This page provides the complete NPI Profile along with additional information for Beach Conger, an internist established in Burlington, Vermont with a medical specialization in Internal Medicine and more than 59 years of experience. He graduated from Harvard Medical School in 1967. The healthcare provider is registered in the NPI registry with number 1023006921 assigned on October 2005. The practitioner's primary taxonomy code is 207R00000X with license number 5993 (VT). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1023006921
Provider Name
BEACH CONGER MD
Gender
Male
Entity Type
Individual
Location Address
617 RIVERSIDE AVE BURLINGTON, VT 05401
Location Phone
(802) 864-6309
Location Fax
(802) 860-4313
Mailing Address
617 RIVERSIDE AVE BURLINGTON, VT 05401
Mailing Phone
(802) 864-6309
Mailing Fax
(802) 860-4313
Medical School Name
HARVARD MEDICAL SCHOOL
Graduation Year
1967
Is Sole Proprietor?
No
Enumeration Date
10-13-2005
Last Update Date
01-02-2019
Code Navigator

An internist like Beach Conger is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
5993
License State
VT
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Beach Conger is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Beach Conger 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

  • PECOS PAC ID: 6305810789

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060727000236

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.92 for a new patient copayment and $24.6 for an established patient copayment.

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 05401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.71
  • Minimum New Patient Price $55.8
  • Maximum New Patient Price $168.48
  • Average New Patient Copayment $31.92
  • Minimum New Patient Copayment $13.95
  • Maximum New Patient Copayment $42.12

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.4
  • Minimum Established Patient Price $18.08
  • Maximum Established Patient Price $137.84
  • Average Established Patient Copayment $24.6
  • Minimum Established Patient Copayment $4.52
  • Maximum Established Patient Copayment $34.46

* 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.
1023006921
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043001294
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 0 + 0 + 1 + 2 + 9 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1023006921 is valid because the calculated check digit 1 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
1023008935 SARAH L. GERDEMAN LCSW-R, LICSW
Individual
Social Worker (Clinical)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1053397570DR. PATRICIA L FISHER M.D.
Individual
Family Medicine617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1326024878DR. WAYNE L WARNKEN M.D.
Individual
Family Medicine617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1558347096DR. RACHEL H INKER M.D.
Individual
Family Medicine617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1033174107 KATHLEEN BROWNE LICSW
Individual
Social Worker (Clinical)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1649227877 KERRY N FANTELLI P.A.
Individual
Family Medicine617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1487691614 KERRY A GOULETTE P.A.
Individual
Family Medicine617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1487676466 LISA A ANDERSON LICSW
Individual
Social Worker (Clinical)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1902900483 ERIC L LEFF LICSW
Individual
Social Worker (Clinical)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1437257508 SARA ANN CHASE LICSW
Individual
Social Worker (Clinical)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1942308028 DOUGLAS C BUGBEE LICSW
Individual
Social Worker (Clinical)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1164523080 COLLEEN DWYER LICSW
Individual
Social Worker (Clinical)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1003901109 WENDY HESS R.D.
Individual
Dietitian, Registered617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1538255864 BRENNAN M THORNTON
Individual
Dentist617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1245379353 SUZANNE ELIZABETH TANNER
Individual
Social Worker (Clinical)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1851433171 LINDA FORRER APRN
Individual
Nurse Practitioner (Family)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1437378056DR. DEEPAK DEVARAJAN D.M.D
Individual
Dentist617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1265640619MISS ZOEY RABINOVITZ DMD
Individual
Student in an Organized Health Care Education/Training Program617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 652-1050
1366640351 AUDREY CHI-AN WEN MD
Individual
Family Medicine617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309
1235312869 SUZANNE MARIE POTENTE LICSW
Individual
Social Worker (Clinical)617 RIVERSIDE AVE
BURLINGTON, VT 05401
(802) 864-6309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023006921, enumerated in the NPI registry as an "individual" on October 13, 2005

The provider is located at 617 Riverside Ave Burlington, Vt 05401 and the phone number is (802) 864-6309

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 59 years of experience. He graduated from Harvard Medical School in 1967.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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 $127.71 with an average copayment of $31.92 for new patient appointments. Established patients should expect a typical charge of $98.4 and an average copayment of 24.6. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on October 13, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.