DR. ERIC SCHENFELD MD NPI 1003042375

Emergency Medicine in Murray, UT

NPI 1003042375 Individual Male Years of Experience 14 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. ERIC SCHENFELD MD

Eric Schenfeld is a provider established in Murray, Utah and his medical specialization is emergency medicine with more than 14 years of experience. He graduated from University Of Pittsburgh School Of Medicine in 2009. The NPI number of Eric Schenfeld is 1003042375 and was assigned on June 2009. The practitioner's primary taxonomy code is 207P00000X with license number 8280012-1205 (UT). The provider is registered as an individual and his NPI record was last updated 8 years ago.

Eric Schenfeld 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.

Eric Schenfeld 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 Intermountain Medical Center, Alta View Hospital, Riverton Hospital and Lds Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.68 for a new patient copayment and $25.08 for an established patient copayment.

NPI

1003042375

Provider NameDR. ERIC SCHENFELD MD
Provider Location Address5171 COTTONWOOD ST SUITE 740 MURRAY, UT 84107
Provider Mailing Address5171 COTTONWOOD ST SUITE 740 MURRAY, UT 84107
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year2009
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-01-2009
Last Update Date08-14-2014


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.8280012-1205
License StateUT
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. ERIC SCHENFELD MD
5171 COTTONWOOD ST
SUITE 740
MURRAY, UT
ZIP 84107
Phone: (801) 507-9700
Fax: (801) 507-9705

Get Directions


Mailing Address

DR. ERIC SCHENFELD MD
5171 COTTONWOOD ST
SUITE 740
MURRAY, UT
ZIP 84107
Phone: (801) 507-9700



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 ID7810145638
PECOS Enrollment IDI20120919000452
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 84107 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
$56.18 $171.82 $86.74
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.04 $42.95 $21.68
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.3 $140.3 $100.32
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.07 $25.08

* 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.

  • 237Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

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. Eric Schenfeld is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
INTERMOUNTAIN MEDICAL CENTER5121 SOUTH COTTONWOOD STREET
MURRAY, UT 84107
(801) 507-7000Acute Care Hospitals460010
ALTA VIEW HOSPITAL9660 SOUTH 1300 EAST
SANDY, UT 84094
(801) 501-2600Acute Care Hospitals460044
RIVERTON HOSPITAL3741 WEST 12600 SOUTH
RIVERTON, UT 84065
(801) 285-4000Acute Care Hospitals460058
LDS HOSPITAL8TH AVENUE AND C STREET
SALT LAKE CITY, UT 84143
(801) 408-1100Acute Care Hospitals460006

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
1207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine156598NCNo

Taxonomy Description: an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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.
1003042375
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003044314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 4 + 4 + 3 + 1 + 4 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003042375 is valid because the calculated check digit 5 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
1205871043DR. SHIRO FUJITA MD
Individual
Transplant Surgery5171 COTTONWOOD ST SUITE 650
MURRAY, UT 84107
(801) 507-9600
1073534970CANYON SURGICAL ASSOCIATES, LLC
Organization
Specialist5171 COTTONWOOD ST STE # 650
MURRAY, UT 84107
(801) 507-9600
1891802591DR. TAWNYA M. CONSTANTINO M.D.
Individual
Psychiatry & Neurology (Clinical Neurophysiology)5171 COTTONWOOD ST SUITE 810
MURRAY, UT 84107
(801) 507-9800
1710086210 SCOTT SWASEY D.O.
Individual
Physical Medicine & Rehabilitation5171 COTTONWOOD ST SUITE 810
MURRAY, UT 84107
(801) 507-9800
1275740607DR. DIANE ALONSO MD
Individual
Transplant Surgery5171 COTTONWOOD ST SUITE 650
MURRAY, UT 84107
(801) 507-9600
1386886455DR. DANIEL GLEN KELLER AU.D.
Individual
Audiologist5171 COTTONWOOD ST SOUTH OFFICE BUILDING 8TH FLOOR
MURRAY, UT 84107
(801) 507-9800
1629359955 JODY L ANDERSON NP
Individual
Nurse Practitioner (Family)5171 COTTONWOOD ST SUITE 810
MURRAY, UT 84107
(801) 507-7000
1831476308IHC HEALTH SERVICES INC
Organization
Psychiatry & Neurology (Neurology)5171 COTTONWOOD ST STE 810
MURRAY, UT 84107
(801) 507-9800
1669732830UNIVERSITY OF UTAH NEUROSURGERY IMC
Organization
Neurological Surgery5171 COTTONWOOD ST STE 945
MURRAY, UT 84107
(801) 507-9565
1942260617DR. MARK V REICHMAN M.D.
Individual
Neurological Surgery5171 COTTONWOOD ST SUITE 950
MURRAY, UT 84107
(801) 507-9555
1851351530DR. CHARLES C RICH M.D.
Individual
Neurological Surgery5171 COTTONWOOD ST STE 950
MURRAY, UT 84107
(801) 507-9555
1487615852 DAVID J KOTTER APRN
Individual
Nurse Practitioner5171 COTTONWOOD ST STE 950
MURRAY, UT 84107
(801) 507-9555
1225099021 DAWNDI REICHMAN CRNFA
Individual
Registered Nurse (Registered Nurse First Assistant)5171 COTTONWOOD ST STE 950
MURRAY, UT 84107
(801) 507-9555
1477695187NEUROSURGICAL ASSOCIATES LLC
Organization
Neurological Surgery5171 COTTONWOOD ST # 950
MURRAY, UT 84107
(801) 507-9555
1982984555 LORI E PASSEY DNP
Individual
Nurse Practitioner (Acute Care)5171 COTTONWOOD ST SUITE 950
MURRAY, UT 84107
(801) 507-9555
1447459151MS. MENGJING HUAN M.D.
Individual
Psychiatry & Neurology (Neurology)5171 COTTONWOOD ST STE 810
MURRAY, UT 84107
(801) 507-9800
1679533343DR. JOHN R MACFARLANE M.D.
Individual
Neurological Surgery5171 COTTONWOOD ST SUITE 950
MURRAY, UT 84107
(801) 507-9555
1124088802DR. RICHARD H TIPPETS M.D.
Individual
Neurological Surgery5171 COTTONWOOD ST STE 950
MURRAY, UT 84107
(801) 507-9555
1700066768 PETER HANKS MAUGHAN MD
Individual
Neurological Surgery5171 COTTONWOOD ST SUITE 950
MURRAY, UT 84107
(801) 507-9555
1780003780 JOSEPH STAPLEY REDMAN M.D., PH.D.
Individual
Internal Medicine (Transplant Hepatology)5171 COTTONWOOD ST SOUTH OFFICE BUILDING, SUITE 201
MURRAY, UT 84107
(801) 507-3380

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. Eric Schenfeld 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.