PHILLIP JOSEPH ATHERTON DNP
NPI 1710633078
Nurse Anesthetist, Certified Registered in Manchester, NH
NPI Status: Active since February 25, 2022
- Individual
- Male
- Years of Experience 4
- Nurse Anesthetist, Certified Registered
- Accepts Medicare Approved Payment
About PHILLIP ATHERTON
This page provides the complete NPI Profile along with additional information for Phillip Atherton, a provider established in Manchester, New Hampshire with a medical specialization in Nurse Anesthetist, Certified Registered and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1710633078 assigned on February 2022. The practitioner's primary taxonomy code is 367500000X with license number 087625-23 (NH). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1710633078
- Provider Name
- PHILLIP JOSEPH ATHERTON DNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 ELLIOT WAY MANCHESTER, NH 03103
- Location Phone
- (603) 669-5300
- Mailing Address
- 30 IRVING DR CONCORD, NH 03301
- Mailing Phone
- (603) 978-1208
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-25-2022
- Last Update Date
- 08-01-2022
- 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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 087625-23
- License State
- NH
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Medicare Participation & PECOS Enrollment Status
Phillip Atherton 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.
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.
PECOS PAC ID: 7416331525
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: I20220908000805
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.
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.
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
This service was performed 13 times for 13 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.02 for a new patient copayment and $17.96 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 03103 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $132.09
- Minimum New Patient Price $57.75
- Maximum New Patient Price $174.26
- Average New Patient Copayment $33.02
- Minimum New Patient Copayment $14.43
- Maximum New Patient Copayment $43.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.85
- Minimum Established Patient Price $18.7
- Maximum Established Patient Price $142.15
- Average Established Patient Copayment $17.96
- Minimum Established Patient Copayment $4.67
- Maximum Established Patient Copayment $35.53
* 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Phillip Atherton is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ELLIOT HOSPITAL | 1 ELLIOT WAY MANCHESTER, NH 03103 | (603) 669-5300 | Acute Care Hospitals |
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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 | 7 | 1 | 0 | 6 | 3 | 3 | 0 | 7 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 2 | 0 | 12 | 3 | 6 | 0 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 2 + 0 + 1 + 2 + 3 + 6 + 0 + 1 + 4 + 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 1710633078 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 |
---|---|---|---|
1912905274 | DR. MARYLOU KOSMATKA PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1 ELLIOT WAY ELLIOT HOSPITAL PHARMACY MANCHESTER, NH 03103 (603) 663-2404 |
1407844137 | DR. MICHAEL RYAN THOMAS MD Individual | Emergency Medicine | 1 ELLIOT WAY ELLIOT HOSPITAL EMERGENCY MEDICINE SPECIALISTS MANCHESTER, NH 03103 (603) 663-2830 |
1255314951 | ELLIOT PROFESSIONAL SERVICES Organization | Dentist (Oral and Maxillofacial Surgery) | 1 ELLIOT WAY ELLIOT OMS CENTER MANCHESTER, NH 03103 (603) 625-8462 |
1427031137 | ROBERT F. PROVENCHER JR. DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 1 ELLIOT WAY 2ND FLOOR MANCHESTER, NH 03103 (603) 625-8462 |
1124004890 | MATTHEW MCCABE C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 1 ELLIOT WAY SUITE 200 MANCHESTER, NH 03103 (603) 663-2315 |
1689654469 | DR. LEE NICHOLAS STECKOWYCH M.D. Individual | Emergency Medicine | 1 ELLIOT WAY DEPARTMENT OF EMERGENCY MEDICINE MANCHESTER, NH 03103 (603) 663-2534 |
1225002249 | SUSAN OZKAN PA Individual | Physician Assistant (Medical) | 1 ELLIOT WAY EMERGENCY MEDICINE SPECIALISTS OF THE ELLIOT MANCHESTER, NH 03103 (603) 663-2830 |
1720056088 | DR. ROBERT M LAVERY MD Individual | Internal Medicine (Cardiovascular Disease) | 1 ELLIOT WAY MANCHESTER, NH 03103 (603) 627-1669 |
1346218609 | DR. PATRICK V HICKLE MD Individual | Internal Medicine (Cardiovascular Disease) | 1 ELLIOT WAY MANCHESTER, NH 03103 (603) 627-1669 |
1770552853 | DR. ALAN E GARSTKA MD Individual | Internal Medicine (Cardiovascular Disease) | 1 ELLIOT WAY MANCHESTER, NH 03103 (603) 627-1669 |
1477522753 | STEPHEN R. LOOSIGIAN DO Individual | Internal Medicine (Critical Care Medicine) | 1 ELLIOT WAY HOSPITALIST PROGRAM - ELLIOT HOSPITAL MANCHESTER, NH 03103 (603) 663-2271 |
1063481372 | SUSANNA S. WILKENS MD Individual | Internal Medicine | 1 ELLIOT WAY HOSPITALIST PROGRAM - ELLIOT HOSPITAL MANCHESTER, NH 03103 (603) 663-2271 |
1366411647 | CHRISTOPHER M. BRAUER MD Individual | Internal Medicine (Critical Care Medicine) | 1 ELLIOT WAY HOSPITALIST PROGRAM - ELLIOT HOSPITAL MANCHESTER, NH 03103 (603) 663-2271 |
1013976810 | ELLIOT PROFESSIONAL SERVICES Organization | Pediatrics (Neonatal-Perinatal Medicine) | 1 ELLIOT WAY NEONATOLOGY SERVICES MANCHESTER, NH 03103 (603) 663-2692 |
1851353049 | DEBORAH A. FRANZEK MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1 ELLIOT WAY NEONATOLOGY SERVICES - ELLIOT HOSPITAL MANCHESTER, NH 03103 (603) 663-2692 |
1184686388 | RONALD P. ZINNO MD Individual | Surgery (Plastic and Reconstructive Surgery) | 1 ELLIOT WAY WOUND MANAGEMENT - ELLIOT HOSPITAL MANCHESTER, NH 03103 (603) 663-3630 |
1487616413 | BONNIE L. HOPPER ARNP Individual | Nurse Practitioner (Neonatal) | 1 ELLIOT WAY NEONATOLOGY SERVICES - ELLIOT HOSPITAL MANCHESTER, NH 03103 (603) 663-2692 |
1184686131 | PAUL M. ARNSTEIN ARNP Individual | Nurse Practitioner | 1 ELLIOT WAY PAIN MANAGEMENT - ELLIOT HOSPITAL MANCHESTER, NH 03103 (603) 663-6730 |
1881656650 | ANDREA M. LAROSE ARNP Individual | Nurse Practitioner (Neonatal) | 1 ELLIOT WAY NEONATOLOGY SERVICES - ELLIOT HOSPITAL MANCHESTER, NH 03103 (603) 663-2692 |
1811951288 | TIMOTHY MARSHALL SIEVERS MD Individual | Anesthesiology | 1 ELLIOT WAY SUITE 200 MANCHESTER, NH 03103 (603) 663-2315 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710633078, enumerated in the NPI registry as an "individual" on February 25, 2022
The provider is located at 1 Elliot Way Manchester, Nh 03103 and the phone number is (603) 669-5300
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 4 years of experience.
Medicare beneficiaries should expect a typical cost of $132.09 with an average copayment of $33.02 for new patient appointments. Established patients should expect a typical charge of $71.85 and an average copayment of 17.96. 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: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope.
The practitioner is affiliated to the following hospital(s): ELLIOT HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on February 25, 2022. 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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