DR. PETER WEON JOON CHO D.D.S., M.S. NPI 1003017054

Dentist (Oral and Maxillofacial Surgery) in Ames, IA

NPI 1003017054 Individual Male Dentist Oral and Maxillofacial Surgery PECOS Enrolled Opted-Out Medicare

NPI Profile for DR. PETER WEON JOON CHO D.D.S., M.S.

Peter Cho is a provider established in Ames, Iowa and his medical specialization is dentist (oral and maxillofacial surgery) . The NPI number of Peter Cho is 1003017054 and was assigned on May 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 30196 (IA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

A dentist like Dr. Peter Weon Joon Cho D.d.s., M.s. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Peter Cho 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) and a Home Health Agency (HHA)..

Peter Cho is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Peter Cho opted out of Medicare effective on 08-14-2015 until 08-14-2023. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

NPI

1003017054

Provider NameDR. PETER WEON JOON CHO D.D.S., M.S.
Provider Location Address1212 DUFF AVE AMES, IA 50010
Provider Mailing Address1212 DUFF AVE AMES, IA 50010
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-29-2007
Last Update Date05-14-2010


Primary Taxonomy

Taxonomy Code1223S0112X
ClassificationDentist
TypeDental Providers
SpecializationOral and Maxillofacial Surgery
License No.30196
License StateIA
Taxonomy DescriptionThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Business Address

DR. PETER WEON JOON CHO D.D.S., M.S.
1212 DUFF AVE
AMES, IA
ZIP 50010
Phone: (515) 232-6830

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Mailing Address

DR. PETER WEON JOON CHO D.D.S., M.S.
1212 DUFF AVE
AMES, IA
ZIP 50010
Phone: (515) 232-6830



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
Opted-Out of MedicareYes
Opt-Out Effective Date08-14-2015
Opt-Out End Date08-14-2023
Eligible to Order and ReferYes
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 DevicesNo

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003017054
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 0 + 1 + 0 + 24 = 36
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 36 = 44

The NPI number 1003017054 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 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831170729DR. JOHN B KAZWELL DDS
Individual
Dentist (Oral and Maxillofacial Surgery)1212 DUFF AVE
AMES, IA 50010
(515) 232-6830
1942282553DR. ROBERT A RUDMAN DDS MS
Individual
Oral & Maxillofacial Surgery1212 DUFF AVE
AMES, IA 50010
(515) 232-6830
1063497766MR. CHARLES D FARRELL DDS
Individual
Dentist (Oral and Maxillofacial Surgery)1212 DUFF AVE
AMES, IA 50010
(515) 232-6830
1548369630 RONALD CRAIG SMITH D.D.S.
Individual
Dentist (Pediatric Dentistry)1212 DUFF AVE
AMES, IA 50010
(515) 233-2174
1336328509AMES ORAL SURGEONS, P.C.
Organization
Clinic/Center (Oral and Maxillofacial Surgery)1212 DUFF AVE
AMES, IA 50010
(515) 232-6830
1114194339RONALD C. SMITH, DDS
Organization
Clinic/Center (Dental)1212 DUFF AVE
AMES, IA 50010
(151) 523-3217
1104074897SWANSON DENTAL CARE PC
Organization
Dentist (General Practice)1212 DUFF AVE
AMES, IA 50010
(515) 233-2174
1871743286SWANSON FAMILY DENTAL PC
Organization
Dentist (General Practice)1212 DUFF AVE
AMES, IA 50010
(515) 233-2174
1184076051DR. HALIE MARIE BRICKER DDS
Individual
Dentist (General Practice)1212 DUFF AVE
AMES, IA 50010
(515) 233-2174

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. Peter Weon Joon Cho D.d.s., M.s. 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.