DR. LORELANE PAGULAYAN TINDOC M.D. NPI 1003012410
Family Medicine in Pompton Plains, NJ
About DR. LORELANE PAGULAYAN TINDOC M.D.
Lorelane Tindoc is a primary care provider established in Pompton Plains, New Jersey and her medical specialization is Family Medicine with more than 21 years of experience. The NPI number of this provider is 1003012410 and was assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 25MA08833500 (NJ). The provider is registered as an individual and her NPI record was last updated one year ago.
NPI | 1003012410 |
Provider Name | DR. LORELANE PAGULAYAN TINDOC M.D. |
Location Address | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 |
Location Phone | (973) 831-3540 |
Mailing Address | 5730 EXECUTIVE DR STE 230 CATONSVILLE, MD 21228 |
Gender | Female |
NPI Entity Type | Individual |
Medical School Name | OTHER |
Graduation Year | 2003 |
Is Sole Proprietor? | Yes |
Enumeration Date | 06-22-2007 |
Last Update Date | 09-14-2022 |
A primary care provider (PCP) like Lorelane Tindoc 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 Lorelane Tindoc 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.
Lorelane Tindoc 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 Chilton Medical Center and St Joseph's Hospital And Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $25.35 for a new patient copayment and $29.21 for an established patient copayment.
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 | 207Q00000X |
Classification | Family Medicine |
Type | Allopathic & Osteopathic Physicians |
License No. | 25MA08833500 |
License State | NJ |
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
1 CEDAR CREST VILLAGE DR
POMPTON PLAINS, NJ
ZIP 07444
Phone: (973) 831-3540
Fax: (973) 831-3503
Mailing Address
5730 EXECUTIVE DR STE 230
CATONSVILLE, MD
ZIP 21228
Secondary Locations
780 Allwood Rd
Clifton, NJ 07012
(973) 249-6202
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 | 8628266863 |
PECOS Enrollment ID | I20110103000644 |
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 07444 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 |
$66.45 | $198.48 | $101.4 |
Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
$16.61 | $49.62 | $25.35 |
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 |
$21.27 | $162.58 | $116.86 |
Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
$5.31 | $40.64 | $29.21 |
* 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. Lorelane Tindoc is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
---|---|---|---|---|---|
CHILTON MEDICAL CENTER | 97 WEST PARKWAY POMPTON PLAINS, NJ 7444 | (973) 831-5000 | Acute Care Hospitals | 310017 | |
ST JOSEPH'S HOSPITAL AND MEDICAL CENTER | 703 MAIN ST PATERSON, NJ 7503 | (973) 754-2010 | Acute Care Hospitals | 310019 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
---|---|---|---|---|---|---|---|
1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 048737 | CT | No | |
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. | |||||||
2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 25MA0883500 | NJ | No | |
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. | |||||||
3 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | No | |||
Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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 | 1 | 2 | 4 | 1 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 0 | 3 | 0 | 1 | 4 | 4 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 0 + 3 + 0 + 1 + 4 + 4 + 2 + 24 = 40 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1003012410 is valid because the calculated check digit 0 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 |
---|---|---|---|
1104866797 | CHERYL S GAUFF RN. APN-C Individual | Nurse Practitioner (Gerontology) | 1 CEDAR CREST VILLAGE DR CEDAR CREST VILLAGE MEDICAL CENTER POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1760569982 | MRS. SUSAN MARIE POPOLO BECKER NURSE PRACTITIONER Individual | Nurse Practitioner | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1275744062 | ARLENE D' CUNHA M.D. Individual | Internal Medicine | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1649426081 | SENIOR CAMPUS PRIMARY CARE PHYSICIANS PC Organization | Durable Medical Equipment & Medical Supplies | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1013342856 | JORGE GUTIERREZ PT, DPT Individual | Physical Therapist | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3670 |
1699100362 | MRS. EVELYN M. KABLER P.T. Individual | Physical Therapist | 1 CEDAR CREST VILLAGE DR WOODLAND COMMONS POMPTON PLAINS, NJ 07444 (973) 831-3670 |
1497715734 | STEVEN NICHOLAS LOPIANO DPM Individual | Podiatrist | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1275798357 | DR. CHERYL ANN ZIEMBA MD Individual | Internal Medicine (Geriatric Medicine) | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1942255443 | MARTHA JEAN KECK APN Individual | Nurse Practitioner (Gerontology) | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1992725832 | ERICKSON HEALTH MEDICAL GROUP OF NEW JERSEY PC Organization | Internal Medicine | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1003196395 | DANIELLE M. CUSIMANO PT Individual | Physical Therapist | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3670 |
1972965598 | KRISHNA S RAO MS,OTR/L Individual | Occupational Therapist | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3670 |
1083076327 | LORI DRENSWICK OT Individual | Occupational Therapist | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3670 |
1659376713 | DR. PETER THOMAS ORLIC MD Individual | Internal Medicine | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1770749145 | ERICKSON HEALTH MEDICAL GROUP OF NEW JERSEY PC Organization | Durable Medical Equipment & Medical Supplies | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1376593525 | NORMAN PENERA MD Individual | Internal Medicine | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1477874808 | MRS. JENNIFER MALEC MSW, LCSW, CCS Individual | Social Worker (Clinical) | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
1053602995 | SAMANTHA COOPER MSOT, OTR Individual | Occupational Therapist | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3674 |
1891928545 | PATRICE HEADLEY Individual | Physical Therapist | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (800) 416-8243 |
1437619467 | KATHI ELAYNE RABINOWITZ-HIRSCH LCSW, MSW Individual | Social Worker (Clinical) | 1 CEDAR CREST VILLAGE DR POMPTON PLAINS, NJ 07444 (973) 831-3540 |
Frequently Asked Questions
What is Dr. Lorelane Tindoc M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003012410, registered as an "individual" on June 22, 2007
Where is Dr. Lorelane Tindoc M.D. located?
The provider is located at 1 Cedar Crest Village Dr Pompton Plains, Nj 07444 and the phone number is (973) 831-3540
Which is Dr. Lorelane Tindoc M.D. specialty?
The provider's speciality is Family Medicine
How many years of experience does Dr. Lorelane Tindoc M.D. have?
The provider has more than 21 years of experience.
Is Dr. Lorelane Tindoc M.D. registered in PECOS?
Yes, as of September 14, 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.
How much is a visit to Dr. Lorelane Tindoc M.D.?
Medicare beneficiaries should expect a typical cost of $101.4 with an average copayment of $25.35 for new patient appointments. Established patients should expect a typical charge of $116.86 and an average copayment of 29.21. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Dr. Lorelane Tindoc M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: CHILTON MEDICAL CENTER and ST JOSEPH'S HOSPITAL AND MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Lorelane Tindoc M.D. was last updated on June 22, 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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