JENNIFER A CARAGOL MD NPI 1003001256

Family Medicine in Evans, CO

NPI 1003001256 Individual Female Years of Experience 19 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

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 Address2930 11TH AVE EVANS, CO 80620
Provider Mailing Address2930 11TH AVE EVANS, CO 80620
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-11-2007
Last Update Date09-11-2014


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.44132
License StateCO
Taxonomy DescriptionFamily 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

Get Directions


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 ID2365538022
PECOS Enrollment IDI20091203000755
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 AUTHORITY12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000Acute Care Hospitals60024

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
19535279MEDICAID (05)CO
CO306525MEDICARE 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.
1003001256
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003002210
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 = 66

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 Assistant2930 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
1962499681MRS. VANESSA ANN WILKINS RN
Individual
Registered Nurse2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1497793061 GLEE FRANCES GILE PA-C
Individual
Physician Assistant2930 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 Analyst2930 11TH AVE
EVANS, CO 80620
(970) 347-2120
1821332248 ELSA ATCHERLEY MA
Individual
Behavior Analyst2930 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 Assistant2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1891031043 DALLAS MARK DANIELS RDH
Individual
Dental Hygienist2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1720092737DR. KENNETH HARRIS KAPLAN M.D.
Individual
Pediatrics2930 11TH AVE
EVANS, CO 80620
(970) 395-1130
1922204973 ISAAC MOSES HOTZ M.D.
Individual
Family Medicine2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1275840670 NIKKI MONTOYA SIDES MD
Individual
Pediatrics2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1609210426 CASSANDRA L HERRERA PHARM D
Individual
Pharmacist2930 11TH AVE
EVANS, CO 80620
(970) 395-7183
1518301316 JANELL WATKINS
Individual
Pharmacist2930 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
1225471758MRS. MARGARET LEE MCMAHON PHARM.D.
Individual
Pharmacist2930 11TH AVE
EVANS, CO 80620
(970) 395-7183
1477990331 GARY RUEDIN RPH
Individual
Pharmacist2930 11TH AVE
EVANS, CO 80620
(970) 395-9011
1760442800 JOHN W VOLK M.D.
Individual
Family Medicine2930 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.