BENNIE ALAN SKINNER MD
NPI 1316958648
Radiology - Diagnostic Radiology in Hampton, VA
Quality Rating: 93.76 out of 100 score
NPI Status: Active since August 11, 2006
Contact Information
3000 COLISEUM DR
SENTARA CAREPLEX HOSPITAL
HAMPTON, VA
ZIP 23666
Phone: (757) 736-1621
Fax: (757) 827-6748
- Individual
- Male
- Years of Experience 31
- Radiology
- Diagnostic Radiology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BENNIE SKINNER
This page provides the complete NPI Profile along with additional information for Bennie Skinner, a provider established in Hampton, Virginia with a medical specialization in Radiology, focusing in diagnostic radiology and more than 31 years of experience. He graduated from Virginia Commonwealth University, School Of Medicine in 1995. The healthcare provider is registered in the NPI registry with number 1316958648 assigned on August 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 0101054669 (VA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1316958648
- Provider Name
- BENNIE ALAN SKINNER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3000 COLISEUM DR SENTARA CAREPLEX HOSPITAL HAMPTON, VA 23666
- Location Phone
- (757) 736-1621
- Location Fax
- (757) 827-6748
- Mailing Address
- PO BOX 12127 NEWPORT NEWS, VA 23612
- Mailing Phone
- (757) 867-6101
- Mailing Fax
- (757) 827-6748
- Medical School Name
- VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
- Graduation Year
- 1995
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-11-2006
- Last Update Date
- 07-08-2007
- 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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101054669
- License State
- VA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 |
---|---|---|---|
000378C46 | MEDICARE ID-TYPE UNSPECIFIED (04) | VA | |
7203543 | MEDICAID (05) | VA | |
G93216 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Bennie Skinner 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.
Bennie Skinner 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: 5597849943
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: I20110128000090
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
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.
Biopsy of breast and placement of locating device using ultrasound, first growth
Biopsy of breast and placement of locating device using x-ray with needle, first growth
Complete ultrasound scan behind abdominal cavity
Ct scan head or brain without contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of blood vessels of chest with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of soft tissue of neck with contrast
Ct scan of upper spine without contrast
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
Diagnostic mammography of 1 breast
Diagnostic mammography of both breasts
Dxa bone density measurement of hip, pelvis, spine
Limited ultrasound scan of 1 breast
Limited ultrasound scan of abdomen
Limited ultrasound scan of joint or other extremity structure lacking blood vessels
Mri scan of both breasts
Mri scan of brain without contrast
Mri scan of lower spinal canal without contrast
Mri scan of upper spinal canal without contrast
Nuclear medicine study of bone and/or joint whole body
Placement of locating device in breast using ultrasound guidance, first growth
Screening 3d breast mammography
Screening mammography
Ultrasound scan of head and neck soft tissue
X-ray of abdomen, 1 view
X-ray of abdomen, 2 views
X-ray of ankle, minimum of 3 views
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of chest, 2 views
X-ray of elbow, minimum of 3 views
X-ray of foot, minimum of 3 views
X-ray of hand, minimum of 3 views
X-ray of hip, 2-3 views
X-ray of knee, 4 or more views
X-ray of lower and sacral spine, 2-3 views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of shoulder, minimum of 2 views
X-ray series of abdomen with single x-ray of chest
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
This service was performed 37 times for 37 patientsA biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.
This service was performed 41 times for 41 patientsA complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
This service was performed 16 times for 15 patientsA CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
This service was performed 106 times for 98 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 62 times for 61 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 49 times for 49 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 14 times for 14 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 19 times for 19 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 16 times for 16 patientsA CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.
This service was performed 14 times for 14 patientsA CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
This service was performed 19 times for 19 patientsDiagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
This service was performed 250 times for 244 patientsDiagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
This service was performed 277 times for 246 patientsDiagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
This service was performed 126 times for 123 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 989 times for 989 patientsA limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
This service was performed 177 times for 158 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 20 times for 20 patientsA limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
This service was performed 11 times for 11 patientsAn MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.
This service was performed 40 times for 40 patientsAn MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
This service was performed 26 times for 26 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 58 times for 58 patientsAn MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
This service was performed 47 times for 47 patientsA nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
This service was performed 26 times for 26 patientsThis procedure involves inserting a small locating device into the breast tissue using ultrasound. The device helps accurately mark the position of the first growth. This aids in precise treatment planning. It's a non-invasive process with minimal discomfort.
This service was performed 25 times for 25 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 2,120 times for 2,119 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 2,125 times for 2,125 patientsAn ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
This service was performed 15 times for 15 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 59 times for 52 patientsAn X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.
This service was performed 28 times for 27 patientsAn ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
This service was performed 12 times for 11 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 444 times for 381 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 101 times for 101 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 31 times for 31 patientsAn elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.
This service was performed 11 times for 11 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 13 times for 13 patientsAn X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
This service was performed 14 times for 13 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 24 times for 23 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 12 times for 12 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 13 times for 13 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 11 times for 11 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 26 times for 26 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 28 times for 26 patientsAn X-ray series of the abdomen and a single X-ray of the chest are imaging tests. They help doctors view the structures within your abdomen and chest. These tests can detect issues like blockages, infections, or tumors. You'll be positioned carefully, and the machine captures images.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.72 for a new patient copayment and $17.52 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 23666 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.88
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $21.72
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.08
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $17.52
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* 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.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.76, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 93.76 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 92.65
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Bennie Skinner is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SENTARA NORFOLK GENERAL HOSPITAL | 600 GRESHAM DR NORFOLK, VA 23507 | (757) 388-3000 | Acute Care Hospitals | |
SENTARA LEIGH HOSPITAL | 830 KEMPSVILLE ROAD NORFOLK, VA 23502 | (757) 261-6700 | Acute Care Hospitals | |
SENTARA VIRGINIA BEACH GENERAL HOSPITAL | 1060 FIRST COLONIAL ROAD VIRGINIA BEACH, VA 23454 | (757) 395-8000 | Acute Care Hospitals | |
SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER | 100 SENTARA CIRCLE WILLIAMSBURG, VA 23188 | (757) 984-6000 | Acute Care Hospitals | |
SENTARA CAREPLEX HOSPITAL | 3000 COLISEUM DRIVE HAMPTON, VA 23666 | (757) 736-1000 | Acute Care Hospitals |
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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 | 1 | 6 | 9 | 5 | 8 | 6 | 4 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 2 | 6 | 18 | 5 | 16 | 6 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 2 + 6 + 1 + 8 + 5 + 1 + 6 + 6 + 8 + 24 = 72 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 72 = 8 | 8 |
The NPI number 1316958648 is valid because the calculated check digit 8 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 |
---|---|---|---|
1720084957 | DAVID M POWELL MD Individual | Specialist | 3000 COLISEUM DR SUITE 104 HAMPTON, VA 23666 (757) 827-9400 |
1457357444 | KIMBERLY A HEATH NP Individual | Nurse Practitioner | 3000 COLISEUM DR SUITE 104 HAMPTON, VA 23666 (757) 827-9400 |
1912906264 | DR. SUKHDEV C SONI MD Individual | Specialist | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 827-9400 |
1972589927 | MICHAEL W SMITH JR. MD Individual | Radiology (Diagnostic Radiology) | 3000 COLISEUM DR SENTARA CAREPLEX HOSPITAL HAMPTON, VA 23666 (757) 736-1621 |
1578524591 | DR. ORVILLE RYLAND FOSTER M.D. Individual | Anesthesiology | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 363-6100 |
1922069988 | DR. RONALD CLYDE BAILIFF M.D. Individual | Anesthesiology | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-1000 |
1649231341 | DR. JAMES IRWIN ULLMAN M.D. Individual | Anesthesiology | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-1000 |
1124089958 | DR. INGRID IRENE VAUGHAN M.D. Individual | Anesthesiology | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-1000 |
1063473882 | DR. AMANOLLAH HOMAYOUN VAKIL M.D. Individual | Anesthesiology | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-1000 |
1629039268 | WILLIAM MICHAEL HARPER CRNA Individual | Nurse Anesthetist, Certified Registered | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-2257 |
1336101625 | JAMES MICHAEL ROBERTSON CRNA Individual | Nurse Anesthetist, Certified Registered | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-1000 |
1033171202 | DAVID CHESTER VONRUMP CRNA Individual | Nurse Anesthetist, Certified Registered | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-1000 |
1760444905 | REGINALD HERBERT SOULE CRNA Individual | Nurse Anesthetist, Certified Registered | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-1000 |
1699724583 | PAUL GIBNEY M.D. Individual | Emergency Medicine | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-2008 |
1184673543 | WILLIAM MILLS HUNTER M.D. Individual | Emergency Medicine | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-1000 |
1700836277 | DR. CHRISTOPHER L BAKER MD Individual | Emergency Medicine | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-2008 |
1841241999 | STEPHEN MICHAEL QUINN M.D. Individual | Emergency Medicine | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-2008 |
1407808710 | LUCY BLACKFORD GIBNEY MD Individual | Emergency Medicine | 3000 COLISEUM DR SENTARA CAREPLEX HOSPITAL HAMPTON, VA 23666 (737) 736-2008 |
1578515094 | DR. MICHAEL WILLIAM POTTER M.D. Individual | Emergency Medicine | 3000 COLISEUM DR HAMPTON, VA 23666 (757) 736-2008 |
1245279058 | DR. JEREMIAH K O'SHEA M.D. Individual | Emergency Medicine | 3000 COLISEUM DR EMERGENCY DEPARTMENT HAMPTON, VA 23666 (757) 599-4922 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316958648, enumerated in the NPI registry as an "individual" on August 11, 2006
The provider is located at 3000 Coliseum Dr Sentara Careplex Hospital Hampton, Va 23666 and the phone number is (757) 736-1621
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 31 years of experience. He graduated from Virginia Commonwealth University, School Of Medicine in 1995.
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.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $70.08 and an average copayment of 17.52. 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: Biopsy of breast and placement of locating device using ultrasound, first growth, Biopsy of breast and placement of locating device using x-ray with needle, first growth, Complete ultrasound scan behind abdominal cavity, Ct scan head or brain without contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of soft tissue of neck with contrast, Ct scan of upper spine without contrast, Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066), Diagnostic mammography of 1 breast, Diagnostic mammography of both breasts, Dxa bone density measurement of hip, pelvis, spine, Limited ultrasound scan of 1 breast, Limited ultrasound scan of abdomen, Limited ultrasound scan of joint or other extremity structure lacking blood vessels, Mri scan of both breasts, Mri scan of brain without contrast, Mri scan of lower spinal canal without contrast, Mri scan of upper spinal canal without contrast, Nuclear medicine study of bone and/or joint whole body, Placement of locating device in breast using ultrasound guidance, first growth, Screening 3d breast mammography, Screening mammography, Ultrasound scan of head and neck soft tissue, X-ray of abdomen, 1 view, X-ray of abdomen, 2 views, X-ray of ankle, minimum of 3 views, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of chest, 2 views, X-ray of elbow, minimum of 3 views, X-ray of foot, minimum of 3 views, X-ray of hand, minimum of 3 views, X-ray of hip, 2-3 views, X-ray of knee, 4 or more views, X-ray of lower and sacral spine, 2-3 views, X-ray of lower and sacral spine, minimum of 4 views, X-ray of lower and sacral spine, minimum of 4 views, X-ray of shoulder, minimum of 2 views and X-ray series of abdomen with single x-ray of chest.
The practitioner is affiliated to the following hospital(s): SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER and SENTARA CAREPLEX HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
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