JON S LAPLANTE MD
NPI 1629077656
Radiology - Diagnostic Radiology in Fairmont, WV
NPI Status: Active since July 20, 2005
- Individual
- Male
- Radiology
- Diagnostic Radiology
- PECOS Enrolled
- Medicare Quality Reporting
About JON LAPLANTE
This page provides the complete NPI Profile along with additional information for Jon Laplante, a provider established in Fairmont, West Virginia with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1629077656 assigned on July 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 17788 (WV). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1629077656
- Provider Name
- JON S LAPLANTE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 700 VILLAGE DR FAIRMONT, WV 26554
- Location Phone
- (304) 366-2600
- Mailing Address
- PO BOX 890707 CHARLOTTE, NC 28289
- Mailing Phone
- (866) 338-6463
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-20-2005
- Last Update Date
- 07-19-2007
- 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.
- 17788
- License State
- WV
- 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 |
|---|---|---|---|
| 0121173000 | MEDICAID (05) | WV | |
| G11024 | MEDICARE UPIN (02) | ||
| LA0776679 | MEDICARE PIN (08) | WV |
Medicare Participation & PECOS Enrollment Status
Jon Laplante 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
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 26554 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.49
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $20.87
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.84
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $16.71
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* 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.
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 |
|---|---|---|
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
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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 | 6 | 2 | 9 | 0 | 7 | 7 | 6 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 7 | 14 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 7 + 1 + 4 + 6 + 1 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1629077656 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881693935 | CHARLES D BURTNER MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1730188780 | TIMOTHY B HETZER MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1376542324 | CLAUDIA A GOODWIN MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1982603932 | THOMAS C KOAY MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1558360511 | JOSEPH R MIGAIOLO MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1871592832 | WALTER P THRUSH MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1043219009 | DEBORAH A WILLARD MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1811996960 | RADIOLOGICAL PHYSICIAN ASSOCIATES INC Organization | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1710986773 | DAVID C ROSIELLO MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1255330213 | JAMES A ROSS MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1629077672 | WILLIAM L HIRSCH MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1750380804 | FREDERICK J GABRIELE MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1538168562 | JOHN A LEON MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1174522106 | GERARDO M LOPEZ MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1275581076 | DR. MARK A HACKNEY MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1801846399 | JOSEPH J DORCHAK MD Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
| 1235579905 | DR. CORY ANDREW SMITH D.O. Individual | Radiology (Diagnostic Radiology) | 700 VILLAGE DR FAIRMONT, WV 26554 (304) 366-2600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629077656, enumerated in the NPI registry as an "individual" on July 20, 2005
The provider is located at 700 Village Dr Fairmont, Wv 26554 and the phone number is (304) 366-2600
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
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: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.49 with an average copayment of $20.87 for new patient appointments. Established patients should expect a typical charge of $66.84 and an average copayment of 16.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 20, 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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