The contents of the NPI Profile website are for informational purposes only. NPI records are maintained by the National Plan & Provider Enumeration System. The NPI information is provided "as-is" per the NPPES Data Dissemination Notice covering disclosable health care provider data under the Freedom of Information Act (FOIA) and in accordance with the e-FOIA amendments.Īll contents of this website are provided on an "as is" and "as available" basis without warranty of any kind. NPI Profile is designed to quickly and easily find the most current NPI records in the National Provider Identifier registry. NPI Profile is the most comprehensive reference website about the NPI registry and NPI related information. NPI Profile 2023 | The complete repository of NPI information The pricing information above IS NOT the amount charged by this provider.ĭurable Medical Equipment & Medical Supplies * The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area.
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Most Utilized Procedure Code for established patients office visits: 99214 Most Utilized Procedure Code for new patients office visits: 99203Įstablished Patients Office Visits Costs *
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The prices below reflect the costs for new and established patients in the 24540 ZIP code area. Medicare pricing is usually a reference point for private insurance covered patients. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. The provider accepts as payment the Medicare approved amount. You may have to pay this amount, or it may be covered by another insurer.Įligible order / refer Part B Clinical Laboratory and ImagingĮligible order / refer Durable Medical EquipmentĮligible order / refer Home Health Agency (HHA)Įligible order / refer Power Mobility Devices Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.Ī provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Yes "What does it mean "accepts medicare assignment"? Providers must enroll in PECOS to avoid denied claims. A NPI number is necessary to register in PECOS. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS Enrollment and Medicare Participation Status The typical physician office visit costs for Medicare beneficiaries in this area are: $22.59 for a new patient copayment and $26.08 for an established patient copayment. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services.
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Patty Chapell is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. 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. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Patty Chapell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. A nurse practitioner (NP) like Patty Chapell is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training.
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