PECOS Enrollment and Medicare Participation Status
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.
PECOS PAC ID: 5294826103
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: I20070807000594
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.
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 specialty, excluding evaluation and management codes.
- 82Eardrum testing using ear probe (HCPCS:92567)
- 77Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
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. Melanie Vanderpol is affiliated with the following medical facilities:
|Hospital Name||Address||Phone||Hospital Type||Overall Rating|
|SAINT ALPHONSUS REGIONAL MEDICAL CENTER||1055 NORTH CURTIS ROAD|
BOISE, ID 83706
|(208) 367-2121||Acute Care Hospitals|
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|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 + 7 + 1 + 8 + 24 = 51|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|60 - 51 = 9||9|
The NPI number 1003017799 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
What is Melanie Vanderpol AUD NPI number?
The NPI number assigned to this healthcare provider is 1003017799, enumerated in the NPI registry as an "individual" on May 30, 2007
Where is the provider located?
The provider is located at 6094 W Emerald Street Boise, Id 83704 and the phone number is (208) 302-1000
What is the provider specialty code?
The provider's speciality is Audiologist with taxonomy code 231H00000X
How many years of experience does Melanie Vanderpol AUD have?
The provider has more than 17 years of experience.
What are some of the services provided by Melanie Vanderpol AUD?
The most common procedures or services performed by this practitioner are: Eardrum testing using ear probe and Air and bone conduction assessment of hearing loss and speech recognition.
Is Melanie Vanderpol AUD affiliated to any hospitals?
The practitioner is affiliated to the following hospital(s): SAINT ALPHONSUS REGIONAL 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?
This NPI record was last updated on May 30, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.