DR. ANDREW CHARLES PICEL M.D NPI 1003012444
Radiology - Vascular & Interventional Radiology in Stanford, CA
About DR. ANDREW CHARLES PICEL M.D
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 16 years of experience. The NPI number of Andrew Picel is 1003012444 and was 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 3 years ago.
| NPI | 1003012444 |
| Provider Name | DR. ANDREW CHARLES PICEL M.D |
| Provider Location Address | 300 PASTEUR DR STANFORD, CA 94305 |
| Provider Mailing Address | 300 PASTEUR DR STANFORD, CA 94305 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-22-2007 |
| Last Update Date | 04-11-2019 |
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.
Andrew Picel 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 he has hospital affiliations with Stanford Health Care.
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.
Primary Taxonomy
| Taxonomy Code | 2085R0204X |
| Classification | Radiology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Vascular & Interventional Radiology |
| 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. |
Business Address
DR. ANDREW CHARLES PICEL M.D
300 PASTEUR DR
STANFORD, CA
ZIP 94305
Phone: (650) 723-4000
Mailing Address
DR. ANDREW CHARLES PICEL M.D
300 PASTEUR DR
STANFORD, CA
ZIP 94305
Phone: (650) 723-4000
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 | 3577781657 |
| PECOS Enrollment ID | I20191203001764 |
| 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 94305 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 |
| $71.96 | $211.8 | $108.97 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $17.99 | $52.95 | $27.24 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $23.76 | $174.56 | $89.18 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.94 | $43.64 | $22.29 |
* 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.
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.
- 102Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes (HCPCS:99144)
- 101Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
- 101Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
- 77Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
- 59Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
- 57Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
- 39Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
- 11Ultrasound study of arteries of both arms and legs (HCPCS:93922)
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. Andrew Picel is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| STANFORD HEALTH CARE | 300 PASTEUR DRIVE STANFORD, CA 94305 | (650) 723-5708 | Acute Care Hospitals | 50441 |
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 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | A108134 | CA | No |
Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. | |||||||
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 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 4 | 4 | 8 | |
| 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 = 4 | 4 | ||||||||
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 |
|---|---|---|---|
| 1891788527 | DR. PRAVENE A NATH M.D. Individual | Emergency Medicine | 300 PASTEUR DR H3200, M/C 5230 PALO ALTO, CA 94305 (650) 721-6408 |
| 1861486995 | DR. GREGORY N PROUTY PHARM.D. Individual | Pharmacist | 300 PASTEUR DR ROOM H0301, M/C 5616 STANFORD, CA 94305 (650) 725-5801 |
| 1326036013 | DR. TERENCE DAVID SANGER MD, PHD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 300 PASTEUR DR STANFORD, CA 94305 (650) 736-2154 |
| 1770568867 | DR. GREGORY HEESTAND M.D. Individual | Internal Medicine (Hematology & Oncology) | 300 PASTEUR DR STANFORD, CA 94305 (650) 498-6000 |
| 1659357200 | DARRELL MEALER WILSON MD Individual | Pediatrics (Pediatric Endocrinology) | 300 PASTEUR DR S-302 MED CENTER MC 5208 STANFORD, CA 94305 (408) 732-2486 |
| 1972589703 | DR. JOHN LOUIE M.D. Individual | Radiology (Vascular & Interventional Radiology) | 300 PASTEUR DR RM H3630 PALO ALTO, CA 94305 (650) 725-5202 |
| 1659351369 | DR. DIANA G MC GREGOR MBBS Individual | Anesthesiology | 300 PASTEUR DR STANFORD, CA 94305 (650) 723-6411 |
| 1942270764 | EMILIE V CHEUNG M.D. Individual | Orthopaedic Surgery | 300 PASTEUR DR EDWARDS BUILDING, RM. R105B PALO ALTO, CA 94305 (650) 736-7804 |
| 1598735227 | PAMELA MARIE PIACENTE RPA-C Individual | Physician Assistant (Surgical) | 300 PASTEUR DR OR ADMINISTRATION H2546 MAIL ROUTE 5635 STANFORD, CA 94305 (650) 724-5424 |
| 1003888132 | STAFFORD ROBERT GRADY JR. MD Individual | Pediatrics (Pediatric Cardiology) | 300 PASTEUR DR STANFORD, CA 94305 (650) 723-4000 |
| 1952374936 | DR. LISA MAI LEE MD Individual | Obstetrics & Gynecology | 300 PASTEUR DR STANFORD, CA 94305 (650) 723-4000 |
| 1346215100 | JING WANG CHIANG MD Individual | Obstetrics & Gynecology | 300 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 |
| 1578531430 | DR. ANTHONY DOUFAS MD Individual | Anesthesiology | 300 PASTEUR DR S272A MC 5117 STANFORD, CA 94305 (650) 725-5875 |
| 1487617064 | DR. KEVIN LEE LETZ DNP, NP Individual | Nurse Practitioner | 300 PASTEUR DR SUMC - PEDS PHYSICIAN BILLING MC:5530 PALO ALTO, CA 94305 (650) 498-7391 |
| 1558328005 | DR. RHETT W. ATKINSON M.D. Individual | Anesthesiology | 300 PASTEUR DR STANFORD, CA 94305 (650) 725-6102 |
| 1538126099 | DR. MICHAEL WARREN CHAMPEAU M.D. Individual | Anesthesiology | 300 PASTEUR DR STANFORD, CA 94305 (650) 725-6102 |
| 1609834720 | DR. TERRI HOMER M.D. Individual | Anesthesiology | 300 PASTEUR DR STANFORD, CA 94305 (650) 725-6102 |
| 1710945837 | DR. EDWARD R. BAER M.D. Individual | Anesthesiology | 300 PASTEUR DR STANFORD, CA 94305 (650) 725-6102 |
| 1265490387 | DR. WILLIAM R. BOHMAN M.D. Individual | Anesthesiology | 300 PASTEUR DR STANFORD, CA 94305 (650) 725-6102 |
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
Dr. Andrew Charles Picel 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.