ERIK M RATCHFORD D.O. NPI 1003013392

Urology in Grand Rapids, MI

Individual Male Years of Experience 16 Urology PECOS Enrolled Accepts Medicare Approved Payment

About ERIK M RATCHFORD D.O.

Erik Ratchford is a provider established in Grand Rapids, Michigan and his medical specialization is Urology with more than 16 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2007. The NPI number of Erik Ratchford is 1003013392 and was assigned on June 2007. The practitioner's primary taxonomy code is 208800000X with license number 5101017248 (MI). The provider is registered as an individual and his NPI record was last updated March 2022.

NPI

1003013392

Provider Name ERIK M RATCHFORD D.O.
Provider Location Address245 CHERRY ST SE, SUITE 202 GRAND RAPIDS, MI 49503
Provider Mailing Address245 CHERRY ST SE, SUITE 202 GRAND RAPIDS, MI 49503
GenderMale
NPI Entity TypeIndividual
Medical School NameMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date06-29-2007
Last Update Date03-21-2022



Erik Ratchford 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.

Erik Ratchford 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 Mercy Health Saint Mary's, Spectrum Health and Spectrum Health Gerber Memorial.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.68 for a new patient copayment and $17.7 for an established patient copayment.



Primary Taxonomy

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.5101017248
License StateMI
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Business Address

ERIK M RATCHFORD D.O.
245 CHERRY ST SE,
SUITE 202
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-3551
Fax: (616) 459-1060

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Mailing Address

ERIK M RATCHFORD D.O.
245 CHERRY ST SE,
SUITE 202
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-3551
Fax: (616) 459-1060


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 ID9931355088
PECOS Enrollment IDI20120806000885
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 49503 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.39 $172.8 $130.74
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.09 $43.2 $32.68
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
$17.24 $140.86 $70.8
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.31 $35.21 $17.7

* 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.

  • 343Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 73Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • 38Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 13Ultrasound of rectum (HCPCS:76872)
  • 11Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 11Biopsy of prostate gland (HCPCS:55700)

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. Erik Ratchford is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MERCY HEALTH SAINT MARY'S200 JEFFERSON AVENUE SE
GRAND RAPIDS, MI 49503
(616) 685-5000Acute Care Hospitals230059
SPECTRUM HEALTH100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 391-1774Acute Care Hospitals230038
SPECTRUM HEALTH GERBER MEMORIAL212 S SULLIVAN ST
FREMONT, MI 49412
(231) 924-3300Critical Access Hospitals231338

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.
1003013392
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003016318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 3 + 1 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003013392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

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
Erik M Ratchford D.o. 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.