DR. JAMES ANTHONY SCHIRO M.D.
NPI 1437132008
Dermatology in Hagerstown, MD
Quality Rating: 95.95 out of 100 score
NPI Status: Active since November 28, 2005
Contact Information
11110 MEDICAL CAMPUS RD
SUITE 123
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 739-4900
Fax: (301) 797-5324
- Individual
- Male
- Years of Experience 40
- Dermatology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JAMES SCHIRO
This page provides the complete NPI Profile along with additional information for James Schiro, a provider established in Hagerstown, Maryland with a medical specialization in Dermatology and more than 40 years of experience. He graduated from Washington University School Of Medicine in 1986. The healthcare provider is registered in the NPI registry with number 1437132008 assigned on November 2005. The practitioner's primary taxonomy code is 207N00000X with license number D42959 (MD). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1437132008
- Provider Name
- DR. JAMES ANTHONY SCHIRO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11110 MEDICAL CAMPUS RD SUITE 123 HAGERSTOWN, MD 21742
- Location Phone
- (301) 739-4900
- Location Fax
- (301) 797-5324
- Mailing Address
- 11110 MEDICAL CAMPUS RD SUITE 123 HAGERSTOWN, MD 21742
- Mailing Phone
- (301) 739-4900
- Mailing Fax
- (301) 797-5324
- Medical School Name
- WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1986
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-28-2005
- Last Update Date
- 09-01-2010
- Code Navigator
A dermatologist like James Schiro is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D42959
- License State
- MD
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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 |
|---|---|---|---|
| E41341 | MEDICARE UPIN (02) | MD | |
| K876 | MEDICARE ID-TYPE UNSPECIFIED (04) | MD |
Medicare Participation & PECOS Enrollment Status
James Schiro 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.
James Schiro 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: 9537343041
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: I20110407000549
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.
All potassium hydroxide (koh) preparations
Biopsy of ear
Biopsy of related skin growth, each additional growth
Biopsy of related skin growth, first growth
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
Destruction of precancer skin growth, 1 growth
Destruction of precancer skin growth, 2-14 growths
Destruction of skin growth, 1-14 growths
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 15-29 minutes
New patient office or other outpatient visit, 30-44 minutes
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
Potassium hydroxide (KOH) preparations are used in medical testing to identify fungal infections. In this procedure, a sample (like skin, hair, or nail) is collected and treated with KOH solution. This destroys non-fungal cells, making it easier to spot fungi under a microscope.
This service was performed 16 times for 15 patientsA biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.
This service was performed 22 times for 20 patientsA biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
This service was performed 135 times for 98 patientsA biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
This service was performed 301 times for 267 patientsThis procedure involves the removal of cancerous skin growths on the face, ears, eyelids, nose, lips, or mouth that are between 0.6-1.0 cm in size. The goal is to eliminate cancer cells, preventing further spread and promoting health.
This service was performed 18 times for 16 patientsThis procedure involves the removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that measures between 1.1 to 2.0 cm. It's done to prevent the spread of cancer and improve health.
This service was performed 14 times for 13 patientsThis procedure involves the removal of a small cancerous skin growth, between 0.6 to 1.0 cm, located on the scalp, neck, hands, or feet. The aim is to eliminate the cancerous cells and prevent their spread. The treatment is done in a safe, controlled environment.
This service was performed 14 times for 14 patientsThis procedure involves the removal of a cancerous skin growth measuring 1.1-2.0 cm, located on the scalp, neck, hands, or feet. The process may involve techniques like surgery, laser, or cryotherapy. The aim is to eliminate the cancer cells and prevent further spread.
This service was performed 23 times for 22 patientsThis procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.
This service was performed 49 times for 38 patientsThis procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.
This service was performed 94 times for 72 patients"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
This service was performed 177 times for 156 patientsThis procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
This service was performed 443 times for 110 patients"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
This service was performed 188 times for 180 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 224 times for 189 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 923 times for 787 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 181 times for 165 patientsThis procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
This service was performed 22 times for 22 patientsThis procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
This service was performed 22 times for 21 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 57 patientsThis service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 17 times for 17 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 45 times for 45 patientsThis procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
This service was performed 75 times for 65 patientsThis procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
This service was performed 25 times for 21 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.43 for a new patient copayment and $18.05 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 21742 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.75
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $22.43
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.23
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* 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 95.95, 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: 95.95 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: 100
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: 86.52
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: 86.52
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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Pneumococcal Vaccination Status for Older Adults | 80% | 436 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% | 700 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
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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 | 3 | 7 | 1 | 3 | 2 | 0 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 3 | 4 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 3 + 4 + 0 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1437132008 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 |
|---|---|---|---|
| 1801898002 | DR. JARL THOMAS WATHNE M. D. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD STE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1982606190 | DR. MICHAEL JOSEPH SAYLOR M. D. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD STE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1962404152 | DR. ANDREW ROBERT CUKIER M. D. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD STE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1376549774 | STEPHEN M. SACHS, MD PA Organization | Surgery | 11110 MEDICAL CAMPUS RD SUITE 225 HAGERSTOWN, MD 21742 (301) 714-4325 |
| 1245224401 | MARK JOSEPH YACYK D.O. Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
| 1679563746 | DR. NELSON L FERREIRA M.D. Individual | Internal Medicine (Gastroenterology) | 11110 MEDICAL CAMPUS RD SUITE 246 HAGERSTOWN, MD 21742 (301) 665-4585 |
| 1659361723 | DR. CHRISTINE P LEWIS M.D. Individual | Internal Medicine (Gastroenterology) | 11110 MEDICAL CAMPUS RD SUITE 246 HAGERSTOWN, MD 21742 (301) 665-4585 |
| 1356332480 | DR. ANTHONY CHRISTOPHER MANILLA D.O. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD SUTIE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1467435032 | DR. TARA ANN RUMBARGER M.D. Individual | Dermatology | 11110 MEDICAL CAMPUS RD SUITE 123 HAGERSTOWN, MD 21742 (301) 739-4900 |
| 1154300671 | PODIATRY ASSOCIATES OF HAGERSTOWN Organization | Podiatrist | 11110 MEDICAL CAMPUS RD SUITE 100 HAGERSTOWN, MD 21742 (301) 739-1575 |
| 1417917352 | DR. MICHAEL A WINSLOW M.D. Individual | Orthopaedic Surgery | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
| 1467415000 | MARGARET TROCHLIL EACKLES MS, CCC-A Individual | Audiologist | 11110 MEDICAL CAMPUS RD SUITE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1093778813 | JENNIFER LYNN CAMPBELL M.A., CCC-A Individual | Audiologist | 11110 MEDICAL CAMPUS RD SUITE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1205891033 | ANGELA C. STONEBRAKER MD Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD SUITE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1992760409 | JASON T MCELROY PT Individual | Physical Therapist | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
| 1922066273 | ELIZABETH NICHOLAS M.D. Individual | Anesthesiology | 11110 MEDICAL CAMPUS RD SUITE 200 HAGERSTOWN, MD 21742 (301) 714-4300 |
| 1558319137 | MICHAEL T MADSEN Individual | Pharmacist | 11110 MEDICAL CAMPUS RD SUITE 129 HAGERSTOWN, MD 21742 (301) 665-4630 |
| 1770535320 | JERRY LOYOLA CORRECES M.D. Individual | Internal Medicine | 11110 MEDICAL CAMPUS RD SUITE 150 HAGERSTOWN, MD 21742 (301) 665-4825 |
| 1205888443 | ROBINWOOD ORTHOPAEDIC SPECIALTY CENTER Organization | Orthopaedic Surgery | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
| 1881646362 | DR. DIANNA LYNNEE ROBINSON M.D. Individual | Anesthesiology | 11110 MEDICAL CAMPUS RD SUITE 200 HAGERSTOWN, MD 21742 (301) 714-4300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437132008, enumerated in the NPI registry as an "individual" on November 28, 2005
The provider is located at 11110 Medical Campus Rd Suite 123 Hagerstown, Md 21742 and the phone number is (301) 739-4900
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider has more than 40 years of experience. He graduated from Washington University School Of Medicine in 1986.
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 , coordinates care and seeks improvement of health outcomes.
Medicare beneficiaries should expect a typical cost of $89.75 with an average copayment of $22.43 for new patient appointments. Established patients should expect a typical charge of $72.23 and an average copayment of 18.05. 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: All potassium hydroxide (koh) preparations, Biopsy of ear, Biopsy of related skin growth, each additional growth, Biopsy of related skin growth, first growth, Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm, Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm, Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm, Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm, Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm, Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm, Destruction of precancer skin growth, 1 growth, Destruction of precancer skin growth, 2-14 growths, Destruction of skin growth, 1-14 growths, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm, Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm, Melanoma (skin cancer) excision, New patient office or other outpatient visit, 15-29 minutes, New patient office or other outpatient visit, 30-44 minutes, Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks and Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks.
This NPI record was last updated on November 28, 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].
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