DR. ZACHARY TIMOTHY YOUNG MD
NPI 1952503807
Internal Medicine - Critical Care Medicine in Belleville, IL
NPI Status: Active since June 04, 2007
Contact Information
4500 MEMORIAL DR
DEPT ANESTHESIOLOGY
BELLEVILLE, IL
ZIP 62226
Phone: (800) 862-9980
Fax: (314) 362-7785
- Individual
- Male
- Years of Experience 21
- Internal Medicine
- Critical Care Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About ZACHARY YOUNG
This page provides the complete NPI Profile along with additional information for Zachary Young, an internist established in Belleville, Illinois with a medical specialization in Internal Medicine, focusing in critical care medicine and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1952503807 assigned on June 2007. The practitioner's primary taxonomy code is 207RC0200X with license number 036118895 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1952503807
- Provider Name
- DR. ZACHARY TIMOTHY YOUNG MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4500 MEMORIAL DR DEPT ANESTHESIOLOGY BELLEVILLE, IL 62226
- Location Phone
- (800) 862-9980
- Location Fax
- (314) 362-7785
- Mailing Address
- 660 S EUCLID AVE CB 8054 SAINT LOUIS, MO 63110
- Mailing Phone
- (800) 862-9980
- Mailing Fax
- (314) 362-7785
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-04-2007
- Last Update Date
- 11-15-2021
- Code Navigator
An internist like Zachary Young is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Critical Care Medicine
- Taxonomy Code
- 207RC0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036118895
- License State
- IL
- Taxonomy Description
- An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
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 |
|---|---|---|---|
| 200036899 | MEDICAID (05) | MO |
Medicare Participation & PECOS Enrollment Status
Zachary Young 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.
Zachary Young 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: 9436324860
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: I20200331002020
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Face mask interface, replacement for full face mask, each (HCPCS:A7031)
5 DME suppliers used 19 Medicare Claims 33 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
7 DME suppliers used 27 Medicare Claims 108 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
3 DME suppliers used 13 Medicare Claims 13 Services Paid
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
3 DME suppliers used 21 Medicare Claims 21 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
4 DME suppliers used 26 Medicare Claims 26 Services Paid
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.
Critical care, each additional 30 minutes
Critical care, first 30-74 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 50 minutes
Initial hospital inpatient care per day, typically 70 minutes
Insertion of non-tunneled central venous tube for infusion (5 years or older)
Ultrasonic guidance for blood vessel access
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
This service was performed 19 times for 14 patientsCritical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 105 times for 49 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 184 times for 79 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 151 times for 71 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 50 times for 48 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 20 times for 20 patientsThis procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
This service was performed 17 times for 17 patientsUltrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.78 for a new patient copayment and $24.92 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 62226 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.14
- Minimum New Patient Price $56.28
- Maximum New Patient Price $173.35
- Average New Patient Copayment $32.78
- Minimum New Patient Copayment $14.07
- Maximum New Patient Copayment $43.33
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.71
- Minimum Established Patient Price $17.51
- Maximum Established Patient Price $139.99
- Average Established Patient Copayment $24.92
- Minimum Established Patient Copayment $4.37
- Maximum Established Patient Copayment $34.99
* 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 |
|---|---|---|
| Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation | 100% | 138 |
| Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented | ||
| Clinical Information Reconciliation | 99% | 225 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses. | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| e-Prescribing | 99% | 1128 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Patient-Specific Education | 79% | 889 |
| The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 90% | 173 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 96% | 236 |
| 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 | ||
| Provide Patient Access | 66% | 889 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Secure Messaging | 0% | 889 |
| 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 certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). | ||
| 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. | ||
| Send a Summary of Care | 96% | 25 |
| For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record. | ||
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. Zachary Young is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| FAITH REGIONAL HEALTH SERVICES | 2700 WEST NORFOLK AVE NORFOLK, NE 68701 | (402) 371-4880 | 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 | 9 | 5 | 2 | 5 | 0 | 3 | 8 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 10 | 2 | 10 | 0 | 6 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 0 + 2 + 1 + 0 + 0 + 6 + 8 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1952503807 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1689651184 | PREMIER INTERNAL MEDICINE LLC Organization | Internal Medicine | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 476-9399 |
| 1780638932 | BRIAN L MCELANEY MD Individual | Radiology (Diagnostic Radiology) | 4500 MEMORIAL DR DEPT RADIOLOGY BELLEVILLE, IL 62226 (618) 257-9567 |
| 1033153929 | DR. PAUL D SANDER MD Individual | Anesthesiology | 4500 MEMORIAL DR ANESTHESIA DEPT BELLEVILLE, IL 62226 (618) 257-4076 |
| 1093750812 | MRS. KRISTIN RENEE MABERRY CRNA Individual | Nurse Anesthetist, Certified Registered | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-4076 |
| 1235174764 | ADVANCED DIAGNOSTIC IMAGING LTD Organization | Radiology (Diagnostic Radiology) | 4500 MEMORIAL DR DEPT OF RADIOLOGY BELLEVILLE, IL 62226 (618) 257-9567 |
| 1720011554 | JAMES ALAN RENDER CRNA Individual | Nurse Anesthetist, Certified Registered | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 233-7750 |
| 1689691289 | PRISCILLA STITH P.A.-C, MS Individual | Physician Assistant | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-4088 |
| 1285793026 | CATHERINE ANN MITCHELL PT Individual | Physical Therapist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5053 |
| 1265594709 | MRS. BETH CHRISTINE YAGGE M.P.T. Individual | Physical Therapist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5250 |
| 1558410431 | MRS. KELLY SMITH MCCLINTON PT Individual | Physical Therapist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5265 |
| 1437203460 | MRS. BARBARA JEAN TUNCIL P.T. Individual | Physical Therapist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5296 |
| 1679613806 | MS. JOYCE ANN GOSCINSKI PT Individual | Physical Therapist | 4500 MEMORIAL DR MEMORIAL HOSPITAL BELLEVILLE, IL 62226 (618) 257-5257 |
| 1265574289 | MRS. CAROL ANN SAUERWEIN PHYSICAL THERAPIST Individual | Physical Therapist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5297 |
| 1285776203 | PATRICIA A. BIASBAS PT Individual | Physical Therapist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5250 |
| 1720121064 | MRS. MARIA ANNE ROSS PT Individual | Physical Therapist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5259 |
| 1275677668 | KIMBERLY MARIE HUELSMANN OT Individual | Occupational Therapist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5238 |
| 1366574352 | CYNTHIA LOUISE GLAENZER PT CHT Individual | Physical Therapist | 4500 MEMORIAL DR MEDICAL BUILDING 1 SUITE 470 BELLEVILLE, IL 62226 (618) 257-5249 |
| 1457471583 | MICHELLE LYNN WESSEL P.T. Individual | Specialist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5266 |
| 1548473853 | BRIAN TIMOTHY MCANULTY CRNA Individual | Nurse Anesthetist, Certified Registered | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 233-7750 |
| 1932315900 | MRS. LAUREN E BEACH MPT Individual | Physical Therapist | 4500 MEMORIAL DR BELLEVILLE, IL 62226 (618) 257-5267 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952503807, enumerated in the NPI registry as an "individual" on June 04, 2007
The provider is located at 4500 Memorial Dr Dept Anesthesiology Belleville, Il 62226 and the phone number is (800) 862-9980
The provider's speciality is Internal Medicine with taxonomy code 207RC0200X with a focus in Critical Care Medicine
The provider has more than 21 years of experience.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. 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 $131.14 with an average copayment of $32.78 for new patient appointments. Established patients should expect a typical charge of $99.71 and an average copayment of 24.92. 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: Critical care, each additional 30 minutes, Critical care, first 30-74 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes, Insertion of non-tunneled central venous tube for infusion (5 years or older) and Ultrasonic guidance for blood vessel access.
The practitioner is affiliated to the following hospital(s): FAITH REGIONAL HEALTH SERVICES. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 04, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.