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 Patricia Hopkins 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. |
| Provider Location Address | 500 CONGRESS ST STE 1B QUINCY, MA 02169 |
| Provider 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, Massachusetts General Hospital, Beth Israel Deaconess Hospital - Milton and Faulkner Hospital-brigham And Women's.
Primary Taxonomy
| 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. |
Business Address
PATRICIA T HOPKINS M.D.
500 CONGRESS ST STE 1B
QUINCY, MA
ZIP 02169
Phone: (617) 773-9198
Fax: (671) 769-9952
Mailing Address
PATRICIA T HOPKINS M.D.
500 CONGRESS ST STE 1B
QUINCY, MA
ZIP 02169
Phone: (617) 773-9198
Fax: (671) 769-9952
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 | 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)
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. Patricia Hopkins is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT STREET SPRINGFIELD, MA 1199 | (413) 794-0000 | Acute Care Hospitals | 220077 | |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD SOUTH WEYMOUTH, MA 2190 | (781) 340-8000 | Acute Care Hospitals | 220100 | |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT STREET BOSTON, MA 2114 | (617) 726-2000 | Acute Care Hospitals | 220071 | |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON | 199 REEDSDALE ROAD MILTON, MA 2186 | (617) 696-4600 | Acute Care Hospitals | 220108 | |
| FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S | 1153 CENTRE STREET BOSTON, MA 2130 | (617) 983-7000 | Acute Care Hospitals | 220119 |
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 |
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
Patricia T Hopkins M.d. 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.