PECOS Enrollment and Medicare Participation Status
Michaela Ginn 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-11-2020
Opt-Out End Date: 05-11-2024
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77079 ZIP code area.
- Average New Patient Price $139.27
- Minimum New Patient Price $60.64
- Maximum New Patient Price $183.87
- Average New Patient Copayment $34.81
- Minimum New Patient Copayment $15.16
- Maximum New Patient Copayment $45.96
- Average Established Patient Price $107.65
- Minimum Established Patient Price $18.93
- Maximum Established Patient Price $150.28
- Average Established Patient Copayment $26.91
- Minimum Established Patient Copayment $4.73
- Maximum Established Patient Copayment $37.57
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 2 + 1 + 6 + 24 = 43|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|50 - 43 = 7||7|
The NPI number 1003007287 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
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Frequently Asked Questions
What is Dr. Michaela Ginn MD NPI number?
The NPI number assigned to this healthcare provider is 1003007287, enumerated in the NPI registry as an "individual" on August 05, 2007
Where is the provider located?
The provider is located at 13214 Indian Creek Road Houston, Tx 77079 and the phone number is (713) 591-3555
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
What insurance does Dr. Michaela Ginn MD 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 Dr. Michaela Ginn MD registered in PECOS?
Yes, as of December 01, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.
How much is a visit to Dr. Michaela Ginn MD?
Medicare beneficiaries should expect a typical cost of $139.27 with an average copayment of $34.81 for new patient appointments. Established patients should expect a typical charge of $107.65 and an average copayment of 26.91. Please review your insurance plan or contact the provider directly to determine your specific costs.
Does Dr. Michaela Ginn MD accepts Medicare?
No, the provider signed an affidavit on May 11, 2020 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 11, 2024.
How do I update my NPI information?
This NPI record was last updated on August 05, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.