MS. LINDSEY JOANN WISMER NP
NPI 1871898544
Nurse Practitioner - Women's Health in Portland, OR
NPI Status: Active since January 11, 2011
Contact Information
3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
ZIP 97212
Phone: (503) 775-4931
Fax: (503) 788-7285
- Individual
- Female
- Years of Experience 16
- Nurse Practitioner
- Women's Health
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About LINDSEY WISMER
This page provides the complete NPI Profile along with additional information for Lindsey Wismer, a provider established in Portland, Oregon with a medical specialization in Nurse Practitioner, focusing in women's health and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1871898544 assigned on January 2011. The practitioner's primary taxonomy code is 363LW0102X with license number 201050206NP (OR). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1871898544
- Provider Name
- MS. LINDSEY JOANN WISMER NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212
- Location Phone
- (503) 775-4931
- Location Fax
- (503) 788-7285
- Mailing Address
- 3727 NE MARTIN LUTHER KING JR BLVD ATTN: CREDENTIALING PORTLAND, OR 97212
- Mailing Phone
- (503) 775-4931
- Mailing Fax
- (503) 788-7285
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-11-2011
- Last Update Date
- 08-27-2015
- Code Navigator
A nurse practitioner (NP) like Lindsey Wismer is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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
Nurse Practitioner Women's Health
- Taxonomy Code
- 363LW0102X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 201050206NP
- License State
- OR
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 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 201050205NP (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - 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.
*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 |
---|---|---|---|
500631538 | MEDICAID (05) | OR | |
1871898544 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
Lindsey Wismer 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.
Lindsey Wismer 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: 2567769193
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: I20160328000766
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
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.62 for a new patient copayment and $25.87 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 97212 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.51
- Minimum New Patient Price $58.99
- Maximum New Patient Price $176.88
- Average New Patient Copayment $22.62
- Minimum New Patient Copayment $14.74
- Maximum New Patient Copayment $44.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.51
- Minimum Established Patient Price $19.32
- Maximum Established Patient Price $144.79
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.83
- Maximum Established Patient Copayment $36.19
* 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 |
---|---|---|
Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
Colorectal Cancer Screening | 1% | 103 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
Documentation of Current Medications in the Medical Record | 98% | 1491 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
e-Prescribing | 94% | 1597 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Health Information Exchange | 10% | 140 |
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
Immunization Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
Medication Reconciliation | 100% | 623 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Patient-Specific Education | 100% | 540 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 35% | 525 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 95% | 338 |
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
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. | ||
Provide Patient Access | 95% | 540 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Secure Messaging | 6% | 540 |
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Specialized Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Syndromic Surveillance Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_2_MULTI. | ||
Tobacco use | Yes | N/A |
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence. | ||
Use of QCDR data for ongoing practice assessment and improvements | Yes | N/A |
Use of QCDR data, for ongoing practice assessment and improvements in patient safety. |
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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 | 8 | 7 | 1 | 8 | 9 | 8 | 5 | 4 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 14 | 1 | 16 | 9 | 16 | 5 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 4 + 1 + 1 + 6 + 9 + 1 + 6 + 5 + 8 + 24 = 76 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 76 = 4 | 4 |
The NPI number 1871898544 is valid because the calculated check digit 4 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 |
---|---|---|---|
1104874262 | DANA WENDY MOZER FNP Individual | Nurse Practitioner (Family) | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1669491866 | NANCY MARIE GIBSON FNP Individual | Nurse Practitioner (Family) | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1447381165 | SARAH CAMP FNP Individual | Nurse Practitioner (Family) | 3727 NE MARTIN LUTHER KING JR BLVD ATTN: CREDENTIALING PORTLAND, OR 97212 (503) 775-4931 |
1619128386 | EILEEN F SCHMELLER NP Individual | Nurse Practitioner (Family) | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1396029930 | ANNIE E JOHNSON CNM Individual | Advanced Practice Midwife | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1629094792 | ELIZABETH PAULA BANKS FNP Individual | Nurse Practitioner (Family) | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1053723726 | KATHERINE BEAUMONT Individual | Registered Nurse | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1396841631 | DR. CYNTHIA K. PERRY PHD, FNP Individual | Nurse Practitioner (Family) | 3727 NE MARTIN LUTHER KING JR BLVD PLANNED PARENTHOOD OF THE COLUMBIA WILLAMETTE PORTLAND, OR 97212 (503) 775-4931 |
1063687895 | PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE, INC. Organization | Clinic/Center | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1316378110 | SKYE FROME FNP Individual | Nurse Practitioner (Family) | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1063882884 | PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE Organization | Non-Pharmacy Dispensing Site | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1194183038 | KATRINA PINKERTON N.P. Individual | Nurse Practitioner (Women's Health) | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 778-7273 |
1912272576 | RINA SHAPIRO RN, CNM Individual | Advanced Practice Midwife | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 788-7273 |
1255719258 | SHAALINI RAMANADHAN M.D. Individual | Obstetrics & Gynecology | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (888) 576-7526 |
1629551577 | MISRA COHEN-MACGILL RN Individual | Advanced Practice Midwife | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (720) 771-0636 |
1841775434 | LUCILLE ROSE GLICK MSN Individual | Advanced Practice Midwife | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 788-7273 |
1154088284 | JESSICA LEIGH ZAMAN CNM Individual | Advanced Practice Midwife | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 788-7273 |
1174284772 | KATHLEEN MARIE NAVE CNM Individual | Midwife | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 788-7273 |
1598996811 | SARA F BALDAUF-WILCOX CNM Individual | Advanced Practice Midwife | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
1679806574 | MS. VIVIAN S LIU CNM Individual | Advanced Practice Midwife | 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, OR 97212 (503) 775-4931 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871898544, enumerated in the NPI registry as an "individual" on January 11, 2011
The provider is located at 3727 Ne Martin Luther King Jr Blvd Portland, Or 97212 and the phone number is (503) 775-4931
The provider's speciality is Nurse Practitioner with taxonomy code 363LW0102X with a focus in Women's Health
The provider has more than 16 years of experience.
The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. 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 $90.51 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $103.51 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 11, 2011. 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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