EVAN SIRC MD NPI 1003019654

Radiology (Diagnostic Radiology) in Santa Cruz, CA

NPI 1003019654 Individual Male Years of Experience 16 Radiology Diagnostic Radiology PECOS Enrolled May Accept Medicare Approved Payment

NPI Profile for EVAN SIRC MD

Evan Sirc is a provider established in Santa Cruz, California and his medical specialization is radiology (diagnostic radiology) with more than 16 years of experience. He graduated from University Of Minnesota Medical School in 2007. The NPI number of Evan Sirc is 1003019654 and was assigned on June 2007. The practitioner's primary taxonomy code is 2085R0202X with license number A119825 (CA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

Evan Sirc 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.

Evan Sirc is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with John Muir Medical Center - Walnut Creek Campus, John Muir Medical Center - Concord Campus, Alta Bates Summit Medical Center, Alta Bates Summit Medical Center - Alta Bates Camp and Eden Medical Center.

NPI

1003019654

Provider Name EVAN SIRC MD
Provider Location Address1661 SOQUEL DR STE G SANTA CRUZ, CA 95065
Provider Mailing Address1661 SOQUEL DR STE G SANTA CRUZ, CA 95065
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-08-2007
Last Update Date10-16-2013


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.A119825
License StateCA
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

EVAN SIRC MD
1661 SOQUEL DR STE G
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 476-7711

Get Directions


Mailing Address

EVAN SIRC MD
1661 SOQUEL DR STE G
SANTA CRUZ, CA
ZIP 95065
Phone: (949) 263-8620
Fax: (800) 409-7005



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 ID9234371196
PECOS Enrollment IDI20130806000699
Accepts Medicare Assignment? Maybe "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

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.

  • 2056X-ray of chest, 1 view, front (HCPCS:71010)
  • 387X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 292Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 231CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 122X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 112CT scan of abdomen and pelvis (HCPCS:74176)
  • 79Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 70Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 67X-ray of knee, 3 views (HCPCS:73562)
  • 64X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 64Bone and/or joint imaging, whole body (HCPCS:78306)
  • 61Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 59X-ray of abdomen, single view (HCPCS:74000)
  • 48X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 44Nuclear medicine study with CT imaging whole body (HCPCS:78816)
  • 33X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 27X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 25Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • 16Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

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. Evan Sirc is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS1601 YGNACIO VALLEY RD
WALNUT CREEK, CA 94598
(925) 939-3000Acute Care Hospitals50180
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS2540 EAST ST
CONCORD, CA 94520
(925) 682-8200Acute Care Hospitals50496
ALTA BATES SUMMIT MEDICAL CENTER350 HAWTHORNE AVENUE
OAKLAND, CA 94609
(510) 655-4000Acute Care Hospitals50043
ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP2450 ASHBY AVENUE
BERKELEY, CA 94705
(510) 204-4444Acute Care Hospitals50305
EDEN MEDICAL CENTER20103 LAKE CHABOT ROAD
CASTRO VALLEY, CA 94546
(510) 537-1234Acute Care Hospitals50488

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
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HK513MEDICARE PIN (08)CA
HK513WMEDICARE PIN (08)CA
1003019654MEDICAID (05)CA
HK513XMEDICARE PIN (08)CA
00A1198250OTHER (01)CABCBS OF CA
HK513VMEDICARE PIN (08)CA

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.
1003019654
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030118610
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 + 8 + 6 + 1 + 0 + 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 1003019654 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215253349 DUSTIN NEWELL MD
Individual
Radiology (Diagnostic Radiology)1661 SOQUEL DR STE G
SANTA CRUZ, CA 95065
(831) 476-7711
1457597387DR. HOANG ANH TRAN VO M.D.
Individual
Radiology (Diagnostic Radiology)1661 SOQUEL DR STE G
SANTA CRUZ, CA 95065
(831) 476-7711
1588778252 LEPING PU MD
Individual
Radiology (Diagnostic Radiology)1661 SOQUEL DR STE G
SANTA CRUZ, CA 95065
(831) 476-7711
1104119544 NICHOLAS THOMAS RUDNICK M.D.
Individual
Radiology (Diagnostic Radiology)1661 SOQUEL DR STE G
SANTA CRUZ, CA 95065
(831) 476-7711

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
Evan Sirc Md 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.