PRACHI AGARWAL MD
NPI 1386296341
Pediatrics in Scranton, PA
NPI Status: Active since July 10, 2019
Contact Information
501 S WASHINGTON AVE
SCRANTON, PA
ZIP 18505
Phone: (570) 591-5264
Fax: (570) 591-5209
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About PRACHI AGARWAL
This page provides the complete NPI Profile along with additional information for Prachi Agarwal, a pediatrician established in Scranton, Pennsylvania with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1386296341 assigned on July 2019. The practitioner's primary taxonomy code is 208000000X with license number MD477619 (PA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1386296341
- Provider Name
- PRACHI AGARWAL MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 501 S WASHINGTON AVE SCRANTON, PA 18505
- Location Phone
- (570) 591-5264
- Location Fax
- (570) 591-5209
- Mailing Address
- 21 BRIARWOOD WAY SOUTH ABINGTON TOWNSHIP, PA 18411
- Mailing Phone
- (408) 507-8005
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-10-2019
- Last Update Date
- 07-01-2022
- Code Navigator
A pediatrician like Prachi Agarwal 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
Secondary Locations
- 300 2nd Ave
Long Branch, NJ 07740
(732) 923-7251
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.
- MD477619
- License State
- PA
- 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:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Prachi Agarwal 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 18505 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* 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 | 8 | 6 | 2 | 9 | 6 | 3 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 4 | 9 | 12 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 4 + 9 + 1 + 2 + 3 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1386296341 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 |
|---|---|---|---|
| 1750906038 | WILLIAM MICHAEL HAAS DO Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1538789433 | AYLA BENGE DO Individual | Internal Medicine | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1619559390 | DUNAL RIVELAND DO Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1962082628 | DR. CHILSIA SHAFI Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 591-5153 |
| 1992385827 | RONAKKUMAR RAMESHBHAI PATEL Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 591-5153 |
| 1669056735 | AYUSHI JAIN Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 591-5153 |
| 1780256362 | PREYA PATEL MD. MSCR. Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 591-5153 |
| 1093388860 | DR. MEAGHAN PATRICIA RUDDY PHD Individual | Clinical Ethicist | 501 S WASHINGTON AVE STE 1000 SCRANTON, PA 18505 (570) 371-7176 |
| 1881261717 | AAYUSHI SOOD M.D. Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 591-5153 |
| 1326708389 | ALISHA RITA MARCHEGIANI Individual | Counselor (Professional) | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 941-0630 |
| 1477101806 | RADHA RANI SAHA Individual | Psychiatry & Neurology (Psychiatry) | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1104566397 | KEVIN NGUYEN DO Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1245980010 | VAISHNAVI GADICHARLA DO Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1992445639 | JUSTIN KIM DO Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1437891652 | KENT STANTON Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1497496483 | ALIY MIRZA AHMED DO Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1639810120 | DANIEL SHAH Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1639810534 | ALAN LAM Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1710629605 | SACHIT DESAI DO Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
| 1902549843 | TZU-EN LIN DO Individual | Student in an Organized Health Care Education/Training Program | 501 S WASHINGTON AVE SCRANTON, PA 18505 (570) 343-2383 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386296341, enumerated in the NPI registry as an "individual" on July 10, 2019
The provider is located at 501 S Washington Ave Scranton, Pa 18505 and the phone number is (570) 591-5264
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. 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 $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 10, 2019. 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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