DR. CAROL J DARRAH M.D.
NPI 1609874619
Radiology - Diagnostic Radiology in Lynchburg, VA

NPI Status: Active since July 13, 2005

Contact Information

1330 OAK LN
LYNCHBURG, VA
ZIP 24503
Phone: (434) 200-4072

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  • Individual
  • Female
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • PECOS Enrolled

About CAROL DARRAH

This page provides the complete NPI Profile along with additional information for Carol Darrah, a provider established in Lynchburg, Virginia with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1609874619 assigned on July 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 0101222950 (VA). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1609874619
Provider Name
DR. CAROL J DARRAH M.D.
Gender
Female
Entity Type
Individual
Location Address
1330 OAK LN LYNCHBURG, VA 24503
Location Phone
(434) 200-4072
Mailing Address
1204 FENWICK DR LYNCHBURG, VA 24502
Is Sole Proprietor?
No
Enumeration Date
07-13-2005
Last Update Date
02-06-2009
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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.
0101222950
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:

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

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.

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.

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
280684OTHER (01)SOUTHERN HEALTH PROVIDER
0072-3083-4MEDICAID (05)VA 
339710OTHER (01)ANTHEM
339622OTHER (01)ANTHEM
54-2015252OTHER (01)TRICARE PROVIDER NUMBER
00V287B60MEDICARE PIN (08) 
P00463723MEDICARE PIN (08) 
258185OTHER (01)ANTHEM PAR/PPO PROVIDER N
300119991MEDICARE PIN (08) 
540715569026OTHER (01)TRICARE PROVIDER NUMBER
0072-1036-1MEDICAID (05)VA 
54-0715569OTHER (01)UNITED HEALTHCARE PROVIDE
3202948OTHER (01)CIGNA PROVIDER NUMBER
54-2015252OTHER (01)PCHP PROVIDER NUMBER
0072-3086-9MEDICAID (05)VA 
54-2015252OTHER (01)UNITED HEALTHCARE PROVIDE
54-0715569OTHER (01)PCHP PROVIDER NUMBER
C49921MEDICARE UPIN (02)VA 
300002339MEDICARE PIN (08) 
2130249OTHER (01)MAMSI HEALTH PLAN PROVIDE
0072-4185-2MEDICAID (05)VA 
015901C04MEDICARE PIN (08) 
300120992MEDICARE PIN (08) 

Medicare Participation & PECOS Enrollment Status

Carol Darrah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

Diagnostic 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 26 times for 26 patients

Diagnostic mammography of 1 breast

Diagnostic 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 18 times for 17 patients

Diagnostic mammography of both breasts

Diagnostic 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 16 times for 16 patients

Limited ultrasound scan of 1 breast

A 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 17 times for 17 patients

Screening 3d breast mammography

Screening 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 26 times for 26 patients

Screening mammography

Screening 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 26 times for 26 patients

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 24503 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.

Reviews for DR. CAROL J DARRAH M.D.

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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.
1609874619
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609167862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 7 + 8 + 6 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1609874619 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
1982601761DR. MARGARET C. ALEXANDER M.D.
Individual
Radiology (Diagnostic Radiology)1330 OAK LN
LYNCHBURG, VA 24503
(434) 200-4072
1285616441MS. DEBORAH A COX MS
Individual
Audiologist1330 OAK LN STE 204
LYNCHBURG, VA 24503
(434) 947-3125
1740234756DR. JANET G HICKMAN M.D.
Individual
Dermatology1330 OAK LN SUITE 101
LYNCHBURG, VA 24503
(434) 847-6132
1730133760ALEXANDER BREAST IMAGING, PC
Organization
Radiology (Diagnostic Radiology)1330 OAK LN
LYNCHBURG, VA 24503
(434) 947-4072
1144275074BREAST DIAGNOSTIC SERVICES, INC.
Organization
Radiology (Diagnostic Radiology)1330 OAK LN
LYNCHBURG, VA 24503
(434) 947-4072
1952356818DR. SONI S CARLTON M.D.
Individual
Dermatology1330 OAK LN SUITE 101
LYNCHBURG, VA 24503
(434) 847-6132
1215960331DR. SIMON HATIN M.D.
Individual
Plastic Surgery1330 OAK LN SUITE 100
LYNCHBURG, VA 24503
(434) 384-0610
1952328304CENTRAL VIRGINIA ENT ASSOCIATES, INC
Organization
Otolaryngology1330 OAK LN SUITE 201
LYNCHBURG, VA 24503
(434) 947-3993
1285651893DR. SAMUEL PRIOLEAU FULLER M.D.
Individual
Plastic Surgery1330 OAK LN SUITE 100
LYNCHBURG, VA 24503
(434) 384-0610
1619996741DR. CLYDE EARL GUTHROW, JR. M.D.
Individual
Specialist1330 OAK LN SUITE 203
LYNCHBURG, VA 24503
(434) 947-5959
1558466201 MARK DOUGLAS MACGREGOR PAC
Individual
Physician Assistant1330 OAK LN STE 101
LYNCHBURG, VA 24503
(434) 847-6132
1174614416PLASTIC SURGERY ASSOCIATES OF LYNCHBURG, INC.
Organization
Plastic Surgery1330 OAK LN SUITE 100
LYNCHBURG, VA 24503
(434) 384-0610
1831272103CENTRAL VIRGINIA AUDIOLOGY SERVICES INC
Organization
Audiologist1330 OAK LN SUITE 204
LYNCHBURG, VA 24503
(434) 947-3125
1942376579CENTRA HEALTH, INC.
Organization
Radiology (Diagnostic Radiology)1330 OAK LN
LYNCHBURG, VA 24503
(434) 947-4072
1265572945 JUDITH A. PERROTTO M.D.
Individual
Radiology (Diagnostic Radiology)1330 OAK LN
LYNCHBURG, VA 24503
(434) 200-4072
1538584800CENTRA MEDICAL GROUP, LLC
Organization
Plastic Surgery1330 OAK LN SUITE 100
LYNCHBURG, VA 24503
(434) 384-0610
1831357979CENTRA MEDICAL GROUP, LLC
Organization
Urology1330 OAK LN SUITE 203
LYNCHBURG, VA 24503
(434) 200-6620
1558315481DR. KAPPA M PEDDY M.D.
Individual
Dermatology1330 OAK LN SUITE 101
LYNCHBURG, VA 24503
(434) 847-6132
1649205774DERMATOLOGY CONSULTANTS, INC.
Organization
Dermatology1330 OAK LN SUITE 101
LYNCHBURG, VA 24503
(434) 847-6132
1033120852DR. SEBASTIAN J KSIONSKI MD
Individual
Pain Medicine (Pain Medicine)1330 OAK LN
LYNCHBURG, VA 24503
(434) 200-4175

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609874619, enumerated in the NPI registry as an "individual" on July 13, 2005

The provider is located at 1330 Oak Ln Lynchburg, Va 24503 and the phone number is (434) 200-4072

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $86.88 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: 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, Limited ultrasound scan of 1 breast, Screening 3d breast mammography and Screening mammography.

This NPI record was last updated on July 13, 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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