JENNIFER A CARAGOL MD NPI 1003001256
Family Medicine in Evans, CO
NPI Profile for JENNIFER A CARAGOL MD
Jennifer Caragol is a primary care provider established in Evans, Colorado and her medical specialization is family medicine with more than 19 years of experience. She graduated from University Of Colorado School Of Medicine, Denver in 2004. The NPI number of Jennifer Caragol is 1003001256 and was assigned on September 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 44132 (CO). The provider is registered as an individual and her NPI record was last updated 8 years ago.
A primary care provider (PCP) like Jennifer A Caragol Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Jennifer Caragol 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.
Jennifer Caragol 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. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with University Of Colorado Hospital Authority.
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.01 for a new patient copayment and $26.58 for an established patient copayment.
| NPI | 1003001256 |
| Provider Name | JENNIFER A CARAGOL MD |
| Provider Location Address | 2930 11TH AVE EVANS, CO 80620 |
| Provider Mailing Address | 2930 11TH AVE EVANS, CO 80620 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER |
| Graduation Year | 2004 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-11-2007 |
| Last Update Date | 09-11-2014 |
Primary Taxonomy
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 44132 |
| License State | CO |
| Taxonomy Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Business Address
JENNIFER A CARAGOL MD
2930 11TH AVE
EVANS, CO
ZIP 80620
Phone: (970) 353-9403
Fax: (970) 353-9906
Mailing Address
JENNIFER A CARAGOL MD
2930 11TH AVE
EVANS, CO
ZIP 80620
Phone: (970) 353-9403
Fax: (970) 353-9906
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 2365538022 |
| PECOS Enrollment ID | I20091203000755 |
| 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 order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 80620 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $60.06 | $181 | $92.04 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.01 | $45.25 | $23.01 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.98 | $148.2 | $106.32 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.74 | $37.05 | $26.58 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Jennifer Caragol is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 12605 E 16TH AVE AURORA, CO 80045 | (720) 848-0000 | Acute Care Hospitals | 60024 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 19535279 | MEDICAID (05) | CO |
| CO306525 | MEDICARE PIN (08) | CO |
NPI Validation Check Digit Calculation
The following table explains step by step the 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 | 0 | 0 | 3 | 0 | 0 | 1 | 2 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 2 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 2 + 2 + 1 + 0 + 24 = 34 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 34 = 6 | 6 | ||||||||
The NPI number 1003001256 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740287598 | THOMAS LEE DICKEY PA-C Individual | Physician Assistant | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1891793378 | KRISTIE L JAMES PNP Individual | Nurse Practitioner (Pediatrics) | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1962499681 | MRS. VANESSA ANN WILKINS RN Individual | Registered Nurse | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1497793061 | GLEE FRANCES GILE PA-C Individual | Physician Assistant | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1952540817 | LONNA DEE BLOOM PA-C Individual | Physician Assistant (Medical) | 2930 11TH AVE EVANS, CO 80620 (970) 395-1130 |
| 1669716486 | AMY K YBARRA BA Individual | Behavior Analyst | 2930 11TH AVE EVANS, CO 80620 (970) 347-2120 |
| 1821332248 | ELSA ATCHERLEY MA Individual | Behavior Analyst | 2930 11TH AVE EVANS, CO 80620 (970) 347-2120 |
| 1184936627 | JESSICA SUSANA NEDOM NP Individual | Nurse Practitioner (Family) | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1568779866 | JODI W. BOBBITT APN/FNP Individual | Nurse Practitioner (Pediatrics) | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1093099145 | HEATHER RENEE LEE PA Individual | Physician Assistant | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1891031043 | DALLAS MARK DANIELS RDH Individual | Dental Hygienist | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1720092737 | DR. KENNETH HARRIS KAPLAN M.D. Individual | Pediatrics | 2930 11TH AVE EVANS, CO 80620 (970) 395-1130 |
| 1922204973 | ISAAC MOSES HOTZ M.D. Individual | Family Medicine | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1275840670 | NIKKI MONTOYA SIDES MD Individual | Pediatrics | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1609210426 | CASSANDRA L HERRERA PHARM D Individual | Pharmacist | 2930 11TH AVE EVANS, CO 80620 (970) 395-7183 |
| 1518301316 | JANELL WATKINS Individual | Pharmacist | 2930 11TH AVE EVANS, CO 80620 (970) 395-7183 |
| 1154558302 | MYKA DAWN FISHER NP Individual | Nurse Practitioner (Family) | 2930 11TH AVE EVANS, CO 80620 (970) 353-9403 |
| 1225471758 | MRS. MARGARET LEE MCMAHON PHARM.D. Individual | Pharmacist | 2930 11TH AVE EVANS, CO 80620 (970) 395-7183 |
| 1477990331 | GARY RUEDIN RPH Individual | Pharmacist | 2930 11TH AVE EVANS, CO 80620 (970) 395-9011 |
| 1760442800 | JOHN W VOLK M.D. Individual | Family Medicine | 2930 11TH AVE EVANS, CO 80620 (970) 395-1130 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Jennifer A Caragol Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.