DR. THOMAS E JAQUITH-HOUSTON M.D. NPI 1013074681
Family Medicine in Auburn, MA

About DR. THOMAS E JAQUITH-HOUSTON M.D.

Thomas Jaquith-houston is a primary care provider established in Auburn, Massachusetts and his medical specialization is Family Medicine with more than 18 years of experience. He graduated from University Of Massachusetts Medical School in 2005. The NPI number of Thomas Jaquith-houston is 1013074681 and was assigned on January 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 235434 (MA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1013074681
Provider NameDR. THOMAS E JAQUITH-HOUSTON M.D.
Location Address4 BROTHERTON WAY AUBURN, MA 01501
Location Phone(508) 721-1199
Mailing Address4 BROTHERTON WAY AUBURN, MA 01501
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year2005
Is Sole Proprietor?No
Enumeration Date01-03-2007
Last Update Date12-08-2020

A primary care provider (PCP) like Dr. Thomas E Jaquith-houston M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Thomas Jaquith-houston 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.

Thomas Jaquith-houston 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 Umass Memorial Medical Center/university Campus and St Vincent Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $27.15 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.235434
License StateMA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. THOMAS E JAQUITH-HOUSTON M.D.
4 BROTHERTON WAY
AUBURN, MA
ZIP 01501
Phone: (508) 721-1199
Fax: (508) 453-8019

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Mailing Address

DR. THOMAS E JAQUITH-HOUSTON M.D.
4 BROTHERTON WAY
AUBURN, MA
ZIP 01501
Phone: (508) 721-1199
Fax: (508) 453-8019


Location Map

PECOS Enrollment and Medicare Participation Status

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 ID9739254350
PECOS Enrollment IDI20080818000037
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 01501 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
$61.32 $185.12 $94.07
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.33 $46.28 $23.51
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
$19.31 $151.47 $108.63
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.82 $37.86 $27.15

* 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.

  • 43Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 22Administration of influenza virus vaccine (HCPCS:G0008)
  • 16Administration of pneumococcal vaccine (HCPCS:G0009)
  • 16Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)

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. Thomas Jaquith-houston is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS55 LAKE AVENUE NORTH
WORCESTER, MA 1655
(508) 334-1000Acute Care Hospitals220163
ST VINCENT HOSPITAL123 SUMMER STREET
WORCESTER, MA 1608
(508) 363-5000Acute Care Hospitals220176

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.
1013074681
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023078616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 8 + 6 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1013074681 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548274475RELIANT MEDICAL GROUP THE ENDOSCOPY CENTER,LLC
Organization
Clinic/Center (Endoscopy)4 BROTHERTON WAY
AUBURN, MA 01501
(508) 425-5446
1851820591 MILA CARABALLO DNP
Individual
Nurse Practitioner (Pediatrics)4 BROTHERTON WAY
AUBURN, MA 01501
(508) 832-5917
1588245906 SAVANNA ZICHELLE NP-C
Individual
Nurse Practitioner (Family)4 BROTHERTON WAY
AUBURN, MA 01501
(508) 832-9621
1649865072 CHERI ANNE KLINGHARD
Individual
Nurse Practitioner (Family)4 BROTHERTON WAY
AUBURN, MA 01501
(508) 721-1150
1184235079 SARAH DINGMAN PA
Individual
Physician Assistant4 BROTHERTON WAY
AUBURN, MA 01501
(508) 425-5446
1881141802 PRATIMA PATIL NP
Individual
Nurse Practitioner (Family)4 BROTHERTON WAY
AUBURN, MA 01501
(508) 721-1150

Frequently Asked Questions

What is Dr. Thomas Jaquith-houston M.D. NPI number?

The NPI number assigned to Dr. Thomas Jaquith-houston M.D. is 1013074681, registered as an "individual" on January 03, 2007

Where is Dr. Thomas Jaquith-houston M.D. located?

The provider is located at 4 Brotherton Way Auburn, Ma 01501 and the phone number is (508) 721-1199

Which is Dr. Thomas Jaquith-houston M.D. specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Thomas Jaquith-houston M.D. have?

The provider has more than 18 years of experience. He graduated from University Of Massachusetts Medical School in 2005.

Is Dr. Thomas Jaquith-houston M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Dr. Thomas Jaquith-houston M.D.?

Medicare beneficiaries should expect a typical cost of $94.07 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $108.63 and an average copayment of 27.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Thomas Jaquith-houston M.D.?

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Administration of influenza virus vaccine, Administration of pneumococcal vaccine and Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple.

Is Dr. Thomas Jaquith-houston M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS and ST VINCENT HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Thomas Jaquith-houston M.D. was last updated on January 03, 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 at: [email protected]