DR. TERRY F HATCH MD
NPI 1427093129
Pediatrics - Pediatric Gastroenterology in Urbana, IL
NPI Status: Active since June 17, 2006
Contact Information
611 W. PARK ST.
PEDS SPECIALTIES
URBANA, IL
ZIP 61801
Phone: (217) 383-3100
Fax: (217) 383-4468
- Individual
- Male
- Pediatrics
- Pediatric Gastroenterology
- Accepts Insurance
- PECOS Enrolled
About TERRY HATCH
This page provides the complete NPI Profile along with additional information for Terry Hatch, a pediatrician established in Urbana, Illinois with a medical specialization in Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1427093129 assigned on June 2006. The practitioner's primary taxonomy code is 2080P0206X with license number 036-048390 (IL). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1427093129
- Provider Name
- DR. TERRY F HATCH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 611 W. PARK ST. PEDS SPECIALTIES URBANA, IL 61801
- Location Phone
- (217) 383-3100
- Location Fax
- (217) 383-4468
- Mailing Address
- 611 W. PARK ST. BWPC URBANA, IL 61801
- Mailing Phone
- (217) 383-6792
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-17-2006
- Last Update Date
- 02-15-2016
- Code Navigator
A pediatrician like Terry Hatch 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 Pediatric Gastroenterology
- Taxonomy Code
- 2080P0206X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-048390
- License State
- IL
- Taxonomy Description
- A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 036048390 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
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 |
|---|---|---|---|
| 256510122 | MEDICARE PIN (08) | IL | |
| 036048390 | MEDICAID (05) | IL | |
| 0533210001 | MEDICARE NSC (07) | IL | |
| IL3270570 | MEDICARE PIN (08) | IL | |
| P10218 | MEDICARE PIN (08) | IL | |
| C45526 | MEDICARE UPIN (02) | IL |
Medicare Participation & PECOS Enrollment Status
Terry Hatch 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
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.
Unknown
Other-Enteral and Parenteral (OB006N)
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)
2 DME suppliers used 19 Medicare Claims 570 Services Paid
Other-Enteral and Parenteral (OB006N)
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4150)
2 DME suppliers used 12 Medicare Claims 4125 Services Paid
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 61801 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.46
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $31.86
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* 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 | 4 | 2 | 7 | 0 | 9 | 3 | 1 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 9 | 6 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 9 + 6 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1427093129 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1043385859 | GREG DALEY CRNA Individual | Nurse Anesthetist, Certified Registered | 611 W. PARK ST. URBANA, IL 61801 (217) 383-3141 |
| 1992839146 | DAVID L FRAZIER C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 611 W. PARK ST. URBANA, IL 61801 (217) 383-3303 |
| 1265531156 | JOHN POLLARD MD Individual | Internal Medicine (Cardiovascular Disease) | 611 W. PARK ST. HVI URBANA, IL 61801 (217) 904-7000 |
| 1134439177 | JAMIE R PRUITT NP Individual | Nurse Practitioner | 611 W. PARK ST. OB/GYN URBANA, IL 61801 (217) 383-3140 |
| 1326022278 | MICHAEL C SCHNEIDER MD Individual | Medical Genetics (Clinical Genetics (M.D.)) | 611 W. PARK ST. URBANA, IL 61801 (217) 383-3100 |
| 1194799684 | MU WANG MD Individual | Pediatrics | 611 W. PARK ST. PEDIATRICS URBANA, IL 61801 (217) 383-3100 |
| 1841252723 | ELIZABETH RAE SNOWDEN CRNA Individual | Nurse Anesthetist, Certified Registered | 611 W. PARK ST. ANESTHESIOLOGY URBANA, IL 61801 (217) 383-3311 |
| 1427097104 | MITCHELL SUSSMAN MD Individual | Radiology (Diagnostic Radiology) | 611 W. PARK ST. RADIOLOGY URBANA, IL 61801 (217) 383-3270 |
| 1013957935 | BENJAMIN J RHEE MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 611 W. PARK ST. CARDIOLOGY URBANA, IL 61801 (217) 904-7000 |
| 1760408868 | DR. THOMAS DESCHLER MD Individual | Radiology (Diagnostic Ultrasound) | 611 W. PARK ST. URBANA, IL 61801 (217) 383-3311 |
| 1467478040 | DENISE A ZANDER AUD Individual | Audiologist | 611 W. PARK ST. SC2 URBANA, IL 61801 (217) 383-3130 |
| 1457379810 | JENNIFER M BLACK M.A., CCC-A Individual | Audiologist | 611 W. PARK ST. URBANA, IL 61801 (217) 383-3130 |
| 1134143555 | DOUGLAS W MORTON M.D. Individual | Radiology (Diagnostic Radiology) | 611 W. PARK ST. RADIOLOGY URBANA, IL 61801 (217) 383-3270 |
| 1871609669 | WILLIAM OLIVERO M.D. Individual | Neurological Surgery | 611 W. PARK ST. URBANA, IL 61801 (217) 383-3507 |
| 1881701308 | PAMELA M MOORE NP Individual | Nurse Practitioner (Adult Health) | 611 W. PARK ST. CARDIOLOGY URBANA, IL 61801 (217) 904-7000 |
| 1083721435 | KENDALL C NEWSOME MD Individual | Radiology (Diagnostic Ultrasound) | 611 W. PARK ST. RADIOLOGY URBANA, IL 61801 (217) 383-3270 |
| 1417068131 | LYN TANGEN M.D. Individual | Colon & Rectal Surgery | 611 W. PARK ST. COLON & RECTAL SURGERY URBANA, IL 61801 (217) 383-3080 |
| 1265534333 | DR. PAMELA A WARREN PHD Individual | Psychologist | 611 W. PARK ST. PSYCHIATRY/PSYCHOLOGY URBANA, IL 61801 (217) 383-3431 |
| 1023110186 | REBECCA A WAGNER MD Individual | Obstetrics & Gynecology | 611 W. PARK ST. OB/GYN URBANA, IL 61801 (217) 383-3140 |
| 1538262845 | JON S WEISBAUM DO Individual | Obstetrics & Gynecology | 611 W. PARK ST. OB/GYN URBANA, IL 61801 (217) 383-3140 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427093129, enumerated in the NPI registry as an "individual" on June 17, 2006
The provider is located at 611 W. Park St. Peds Specialties Urbana, Il 61801 and the phone number is (217) 383-3100
The provider's speciality is Pediatrics with taxonomy code 2080P0206X with a focus in Pediatric Gastroenterology
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. 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 $127.46 with an average copayment of $31.86 for new patient appointments. Established patients should expect a typical charge of $97.25 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 17, 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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