DR. DOUGLAS L JICHA MD
NPI 1306879325
Surgery - Vascular Surgery in Scarborough, ME
NPI Status: Active since July 10, 2006
Contact Information
306 US ROUTE 1
BLDG C
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 885-5742
Fax: (207) 885-1494
- Individual
- Male
- Surgery
- Vascular Surgery
- PECOS Enrolled
About DOUGLAS JICHA
This page provides the complete NPI Profile along with additional information for Douglas Jicha, a provider established in Scarborough, Maine with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1306879325 assigned on July 2006. The practitioner's primary taxonomy code is 2086S0129X with license number 006810 (ME). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1306879325
- Provider Name
- DR. DOUGLAS L JICHA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 306 US ROUTE 1 BLDG C SCARBOROUGH, ME 04074
- Location Phone
- (207) 885-5742
- Location Fax
- (207) 885-1494
- Mailing Address
- 306 US ROUTE 1 BLDG C SCARBOROUGH, ME 04074
- Mailing Phone
- (207) 885-5742
- Mailing Fax
- (207) 885-1494
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-10-2006
- Last Update Date
- 11-03-2021
- Code Navigator
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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 006810
- License State
- ME
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
132540000 | MEDICAID (05) | ME |
Medicare Participation & PECOS Enrollment Status
Douglas Jicha 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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
Complete ultrasound study of arm and leg arteries
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Follow-up hospital inpatient care per day, typically 15 minutes
Initial hospital inpatient care per day, typically 70 minutes
Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch
Insertion of tube into aorta
Leg revascularization (restoring blood flow)
New patient office or other outpatient visit, 45-59 minutes
Review by radiologist of abdominal aorta image
Review by radiologist of arm or leg artery image
Ultrasonic guidance for blood vessel access
Ultrasound of both sides of head and neck blood flow
Ultrasound of leg arteries or artery grafts
Ultrasound of one leg arteries or artery grafts
Ultrasound study of arm and leg arteries
Ultrasound study of arm or leg veins with compression and maneuvers
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
This service was performed 92 times for 78 patientsThis procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
This service was performed 52 times for 46 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 182 times for 135 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 386 times for 285 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 91 times for 37 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 44 times for 39 patientsThis procedure involves the placement of a tube into an artery in your abdomen, pelvis, or leg. The tube is inserted into a secondary branch of the main artery. This helps doctors access the artery to diagnose or treat certain conditions.
This service was performed 32 times for 25 patientsThe insertion of a tube into your aorta is a medical procedure aimed at diagnosing or treating conditions related to your heart and blood vessels. A small, flexible tube is inserted through a blood vessel and gently guided to your aorta. It's generally safe and helps your doctor get valuable information for your treatment.
This service was performed 11 times for 11 patientsLeg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
This service was performed for 40 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 172 times for 172 patientsThis is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.
This service was performed 35 times for 32 patientsThis procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.
This service was performed 44 times for 36 patientsUltrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
This service was performed 11 times for 11 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 84 times for 78 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
This service was performed 40 times for 38 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.
This service was performed 31 times for 27 patientsAn ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
This service was performed 34 times for 30 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 19 times for 19 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 51 times for 42 patientsPhysician 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 04074 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.72
- Minimum New Patient Price $56.28
- Maximum New Patient Price $169.96
- Average New Patient Copayment $21.68
- Minimum New Patient Copayment $14.07
- Maximum New Patient Copayment $42.49
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.13
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $138.92
- Average Established Patient Copayment $17.53
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $34.73
* 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 | 3 | 0 | 6 | 8 | 7 | 9 | 3 | 2 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 0 | 6 | 16 | 7 | 18 | 3 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 0 + 6 + 1 + 6 + 7 + 1 + 8 + 3 + 4 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1306879325 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1740283746 | DR. LISA PETER HOWARD DDS, MS Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 306 US ROUTE 1 STE D1 SCARBOROUGH, ME 04074 (207) 885-1005 |
1740281666 | DR. ROBERT JAMES MITCHELL D.D.S. Individual | Dentist | 306 US ROUTE 1 BLDG. C-1 SCARBOROUGH, ME 04074 (207) 510-0033 |
1245231976 | MR. VINCENT PAUL HERZOG D.O. Individual | Physical Medicine & Rehabilitation | 306 US ROUTE 1 SCARBOROUGH, ME 04074 (207) 883-3434 |
1285703025 | MAINE REHABILITATIVE HEALTHCARE, LLC Organization | Physical Medicine & Rehabilitation | 306 US ROUTE 1 BUILDING B SOUTH SCARBOROUGH, ME 04074 (207) 883-3434 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306879325, enumerated in the NPI registry as an "individual" on July 10, 2006
The provider is located at 306 Us Route 1 Bldg C Scarborough, Me 04074 and the phone number is (207) 885-5742
The provider's speciality is Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
The provider might be accepting Accepts: Medicare and Medicaid. 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 $86.72 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $70.13 and an average copayment of 17.53. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts, Complete ultrasound study of arm and leg arteries, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, Initial hospital inpatient care per day, typically 70 minutes, Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch, Insertion of tube into aorta, Leg revascularization (restoring blood flow), New patient office or other outpatient visit, 45-59 minutes, Review by radiologist of abdominal aorta image, Review by radiologist of arm or leg artery image, Ultrasonic guidance for blood vessel access, Ultrasound of both sides of head and neck blood flow, Ultrasound of leg arteries or artery grafts, Ultrasound of one leg arteries or artery grafts, Ultrasound study of arm and leg arteries, Ultrasound study of arm or leg veins with compression and maneuvers and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.
This NPI record was last updated on July 10, 2006. 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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