PATRICIA T HOPKINS M.D. NPI 1003002312
Specialist in Quincy, MA
About PATRICIA T HOPKINS M.D.
Patricia Hopkins is a provider established in Quincy, Massachusetts and her medical specialization is Specialist with more than 43 years of experience. The NPI number of this provider is 1003002312 and was assigned on September 2007. The practitioner's primary taxonomy code is 174400000X with license number 49846 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
| NPI | 1003002312 |
| Provider Name | PATRICIA T HOPKINS M.D. |
| Location Address | 500 CONGRESS ST STE 1B QUINCY, MA 02169 |
| Location Phone | (617) 773-9198 |
| Mailing Address | 500 CONGRESS ST STE 1B QUINCY, MA 02169 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1980 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 09-20-2007 |
| Last Update Date | 10-01-2007 |
Patricia Hopkins 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.
Patricia Hopkins 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 Baystate Medical Center, South Shore Hospital and Beth Israel Deaconess Hospital - Milton.
Primary Taxonomy
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.
| Taxonomy Code | 174400000X |
| Classification | Specialist |
| Type | Other Service Providers |
| License No. | 49846 |
| License State | MA |
| Taxonomy Description | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
500 CONGRESS ST STE 1B
QUINCY, MA
ZIP 02169
Phone: (617) 773-9198
Fax: (671) 769-9952
Mailing Address
500 CONGRESS ST STE 1B
QUINCY, MA
ZIP 02169
Phone: (617) 773-9198
Fax: (671) 769-9952
Location Map
PECOS Enrollment and Medicare Participation Status
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 | 547203192 |
| PECOS Enrollment ID | I20051018001123 |
| 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 |
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 436Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
- 146Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
- 11Urinalysis, manual test (HCPCS:81002)
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 | Identifier Issuer |
|---|---|---|---|
| A68151 | MEDICARE UPIN (02) | MA | |
| 3007391 | MEDICAID (05) | MA | |
| R01119 | OTHER (01) | MA | MDICARE |
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 | 0 | 0 | 3 | 0 | 0 | 2 | 3 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 4 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 4 + 3 + 2 + 24 = 38 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 38 = 2 | 2 | ||||||||
The NPI number 1003002312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720201965 | SHARON GIORDANI N.P. Individual | Nurse Practitioner | 500 CONGRESS ST STE 1B QUINCY, MA 02169 (617) 773-9198 |
| 1760984017 | CROWN COLONY PHARMACY INC Organization | Pharmacy (Community/Retail Pharmacy) | 500 CONGRESS ST STE 1B QUINCY, MA 02169 (617) 472-9000 |
Frequently Asked Questions
What is Patricia Hopkins M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003002312, registered as an "individual" on September 20, 2007
Where is Patricia Hopkins M.D. located?
The provider is located at 500 Congress St Ste 1b Quincy, Ma 02169 and the phone number is (617) 773-9198
Which is Patricia Hopkins M.D. specialty?
The provider's speciality is Specialist
How many years of experience does Patricia Hopkins M.D. have?
The provider has more than 43 years of experience.
What insurance does Patricia Hopkins M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Patricia Hopkins M.D. registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are some of the services provided by Patricia Hopkins M.D.?
The most common procedures or services performed by this practitioner are: Infusion of chemotherapy into a vein up to 1 hour, Aspiration and/or injection of large joint or joint capsule and Urinalysis, manual test.
How do I update my NPI information?
The NPI record of Patricia Hopkins M.D. was last updated on September 20, 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]
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