ANDREW CHARLES PICEL M.D
NPI 1003012444
Radiology - Vascular & Interventional Radiology in Stanford, CA

NPI Status: Active since June 22, 2007

Contact Information

300 PASTEUR DR
STANFORD, CA
ZIP 94305
Phone: (650) 723-4000

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  • Individual
  • Male
  • Years of Experience 17
  • Radiology
  • Vascular & Interventional Radiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ANDREW PICEL

Andrew Picel is a provider established in Stanford, California and his medical specialization is Radiology with a focus in vascular & interventional radiology with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1003012444 assigned on June 2007. The practitioner's primary taxonomy code is 2085R0204X with license number A108134 (CA). The provider is registered as an individual and his NPI record was last updated April 2024.

NPI
1003012444
Provider Name
ANDREW CHARLES PICEL M.D
Gender
Male
Entity Type
Individual
Location Address
300 PASTEUR DR STANFORD, CA 94305
Location Phone
(650) 723-4000
Mailing Address
300 PASTEUR DR STANFORD, CA 94305
Mailing Phone
(650) 723-4000
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
06-22-2007
Last Update Date
04-07-2024
Code Navigator

Andrew Picel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $27.24 for a new patient copayment and $22.29 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
License No.
A108134
License State
CA
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

A108134 (CA)

PECOS Enrollment and Medicare Participation Status

Andrew Picel 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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3577781657

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20191203001764

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 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 94305 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $108.97
  • Minimum New Patient Price $71.96
  • Maximum New Patient Price $211.8
  • Average New Patient Copayment $27.24
  • Minimum New Patient Copayment $17.99
  • Maximum New Patient Copayment $52.95

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $89.18
  • Minimum Established Patient Price $23.76
  • Maximum Established Patient Price $174.56
  • Average Established Patient Copayment $22.29
  • Minimum Established Patient Copayment $5.94
  • Maximum Established Patient Copayment $43.64

* 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.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 172

    Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

  • 44

    Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)

  • 25

    Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

  • 15

    Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Andrew Picel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
STANFORD HEALTH CARE300 PASTEUR DRIVE
STANFORD, CA 94305
(650) 723-5708Acute Care Hospitals

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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.
1003012444
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301448
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 + 8 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003012444 is valid because the calculated check digit 4 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
1891788527DR. PRAVENE A NATH M.D.
Individual
Emergency Medicine300 PASTEUR DR H3200, M/C 5230
PALO ALTO, CA 94305
(650) 721-6408
1770568867DR. GREGORY HEESTAND M.D.
Individual
Internal Medicine (Hematology & Oncology)300 PASTEUR DR
STANFORD, CA 94305
(650) 498-6000
1659351369DR. DIANA G MC GREGOR MBBS
Individual
Anesthesiology300 PASTEUR DR
STANFORD, CA 94305
(650) 723-6411
1952374936DR. LISA MAI LEE MD
Individual
Obstetrics & Gynecology300 PASTEUR DR
STANFORD, CA 94305
(650) 723-4000
1346215100 JING WANG CHIANG MD
Individual
Obstetrics & Gynecology300 PASTEUR DR
STANFORD, CA 94305
(650) 723-4000
1407823875 GLENN MATTHEW CHERTOW MD
Individual
Internal Medicine (Nephrology)300 PASTEUR DR
STANFORD, CA 94305
(650) 725-4738
1487617064DR. KEVIN LEE LETZ DNP, NP
Individual
Nurse Practitioner300 PASTEUR DR SUMC - PEDS PHYSICIAN BILLING MC:5530
PALO ALTO, CA 94305
(650) 498-7391
1558328005DR. RHETT W. ATKINSON M.D.
Individual
Anesthesiology300 PASTEUR DR
STANFORD, CA 94305
(650) 725-6102
1538126099DR. MICHAEL WARREN CHAMPEAU M.D.
Individual
Anesthesiology300 PASTEUR DR
STANFORD, CA 94305
(650) 725-6102
1609834720DR. TERRI HOMER M.D.
Individual
Anesthesiology300 PASTEUR DR
STANFORD, CA 94305
(650) 725-6102
1710945837DR. EDWARD R. BAER M.D.
Individual
Anesthesiology300 PASTEUR DR
STANFORD, CA 94305
(650) 725-6102
1265490387DR. WILLIAM R. BOHMAN M.D.
Individual
Anesthesiology300 PASTEUR DR
STANFORD, CA 94305
(650) 725-6102
1821056904DR. RICHARD JOHN NOVAK M.D.
Individual
Anesthesiology300 PASTEUR DR
STANFORD, CA 94305
(650) 725-6102
1619935707DR. LISA DIANNE SAUNDERS M.D.
Individual
Anesthesiology300 PASTEUR DR
STANFORD, CA 94305
(650) 725-6102
1285683292STANFORD HOSPITAL AND CLINIC
Organization
Anesthesiology300 PASTEUR DR
STANFORD, CA 94305
(650) 498-7103
1932158318STANFORD HOSPITAL AND CLINICS
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)300 PASTEUR DR
STANFORD, CA 94305
(650) 498-7103
1538118930STANFORD HOSPITAL AND CLINCS
Organization
Psychiatry & Neurology (Psychiatry)300 PASTEUR DR
STANFORD, CA 94305
(650) 498-7103
1356390751STANFORD HOSPITAL AND CLINICS
Organization
Internal Medicine (Pulmonary Disease)300 PASTEUR DR
STANFORD, CA 94305
(650) 498-7103
1932158334 KRISTIN CLARE JENSEN MD
Individual
Pathology (Anatomic Pathology)300 PASTEUR DR
STANFORD, CA 94305
(650) 498-5710
1932159373STANFORD HOSPITAL AND CLINICS
Organization
Ophthalmology300 PASTEUR DR
STANFORD, CA 94305
(650) 498-7103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012444, enumerated in the NPI registry as an "individual" on June 22, 2007

The provider is located at 300 Pasteur Dr Stanford, Ca 94305 and the phone number is (650) 723-4000

The provider's speciality is Radiology with taxonomy code 2085R0204X with a focus in Vascular & Interventional Radiology

The provider has more than 17 years of experience.

Yes, as of April 12, 2024 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.

Medicare beneficiaries should expect a typical cost of $108.97 with an average copayment of $27.24 for new patient appointments. Established patients should expect a typical charge of $89.18 and an average copayment of 22.29. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes, Radiological supervision and interpretation of ct guidance for needle insertion, Ultrasound guidance for accessing into blood vessel and Ultrasonic guidance imaging supervision and interpretation for insertion of needle.

The practitioner is affiliated to the following hospital(s): STANFORD HEALTH CARE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record 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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