HERBERT EDWARD AUERBACH D.O. NPI 1013079516
Pathology - Anatomic Pathology & Clinical Pathology in Abington, PA

About HERBERT EDWARD AUERBACH D.O.

Herbert Auerbach is a provider established in Abington, Pennsylvania and his medical specialization is Pathology with a focus in anatomic pathology & clinical pathology with more than 42 years of experience. He graduated from Philadelphia College Of Osteopathic Medicine in 1981. The NPI number of Herbert Auerbach is 1013079516 and was assigned on December 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number OS004804L (PA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013079516
Provider Name HERBERT EDWARD AUERBACH D.O.
Location Address1200 OLD YORK RD DEPT PATHOLOGY ABINGTON, PA 19001
Location Phone(215) 481-2000
Mailing Address1200 OLD YORK RD DEPT PATHOLOGY ABINGTON, PA 19001
GenderMale
NPI Entity TypeIndividual
Medical School NamePHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year1981
Is Sole Proprietor?No
Enumeration Date12-14-2006
Last Update Date07-08-2007

Herbert Auerbach 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.

Herbert Auerbach 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 Abington Memorial Hospital, Thomas Jefferson University Hospital, Abington Health Lansdale Hospital, Jefferson Health- Northeast and Hospital Of Univ Of Pennsylvania.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.88 for a new patient copayment and $27.71 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 Code207ZP0102X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationAnatomic Pathology & Clinical Pathology
License No.OS004804L
License StatePA
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

HERBERT EDWARD AUERBACH D.O.
1200 OLD YORK RD
DEPT PATHOLOGY
ABINGTON, PA
ZIP 19001
Phone: (215) 481-2000
Fax: (215) 481-4069

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Mailing Address

HERBERT EDWARD AUERBACH D.O.
1200 OLD YORK RD
DEPT PATHOLOGY
ABINGTON, PA
ZIP 19001
Phone: (215) 481-2000
Fax: (215) 481-4069


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 ID3173676780
PECOS Enrollment IDI20090729000794
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 19001 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$62.8 $189.43 $143.54
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.7 $47.35 $35.88
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
$19.68 $154.62 $110.85
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.92 $38.65 $27.71

* 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.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 82.5
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 97.8
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

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.

  • 571Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • 114Special stained specimen slides to examine tissue (HCPCS:88341)
  • 68Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • 62Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • 44Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)

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. Herbert Auerbach is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ABINGTON MEMORIAL HOSPITAL1200 OLD YORK ROAD
ABINGTON, PA 19001
(215) 481-2000Acute Care Hospitals390231
THOMAS JEFFERSON UNIVERSITY HOSPITAL111 SOUTH 11TH STREET
PHILADELPHIA, PA 19107
(215) 955-6000Acute Care Hospitals390174
ABINGTON HEALTH LANSDALE HOSPITAL100 MEDICAL CAMPUS DRIVE
LANSDALE, PA 19446
(215) 368-2100Acute Care Hospitals390012
JEFFERSON HEALTH- NORTHEAST10800 KNIGHTS ROAD
PHILADELPHIA, PA 19114
(215) 612-4000Acute Care Hospitals390115
HOSPITAL OF UNIV OF PENNSYLVANIA34TH & SPRUCE STS
PHILADELPHIA, PA 19104
(215) 662-3227Acute Care Hospitals390111

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
D71396MEDICARE UPIN (02)PA

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.
1013079516
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 8 + 5 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013079516 is valid because the calculated check digit 6 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
1942204276 PETER J VACCA M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 487-2000
1043212285ANESTHESIA ASSOCIATES OF ABINGTON
Organization
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1982606182 JEREMY R JAFFE M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1447252630 ANDREW R LEVETTE M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1568464741 LUIS MERCADER M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1922002260 DEAN WERNER M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1710989991 WILLIAM JOHN MOLINARI JR. M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1831191089 PHILIP JOHN SASSO M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1013919224 JUAN CARLOS ANIGATI M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1265434476 ROBERT F ATKINS M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1609878818 MARK STEWART ETTER M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1417959602 ANNE MARGARET KACHUK CRNA
Individual
Nurse Anesthetist, Certified Registered1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1720080914 RANDY LAMBERG M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1336143304 MICHAEL MATEO M.D.
Individual
Specialist1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1588661938DR. BARBARA GOLDMAN ROBINS M.D.
Individual
Radiology (Diagnostic Radiology)1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1780682690 MILLARD ARTHUR RUDDELL M.D.
Individual
Emergency Medicine (Emergency Medical Services)1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-4355
1477541035RADIOLOGY GROUP OF ABINGTON PC
Organization
Radiology (Diagnostic Radiology)1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1558359117DR. JEROME JACOBSTEIN M.D.
Individual
Nuclear Medicine1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1407844772HEART GROUP OF ABINGTON LTD.
Organization
Internal Medicine (Cardiovascular Disease)1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000
1346238284DR. MANOJ R MUTTREJA M.D.
Individual
Internal Medicine (Cardiovascular Disease)1200 OLD YORK RD
ABINGTON, PA 19001
(215) 481-2000

Frequently Asked Questions

What is Herbert Auerbach D.O. NPI number?

The NPI number assigned to Herbert Auerbach D.O. is 1013079516, registered as an "individual" on December 14, 2006

Where is Herbert Auerbach D.O. located?

The provider is located at 1200 Old York Rd Dept Pathology Abington, Pa 19001 and the phone number is (215) 481-2000

Which is Herbert Auerbach D.O. specialty?

The provider's speciality is Pathology with a focus in Anatomic Pathology & Clinical Pathology

How many years of experience does Herbert Auerbach D.O. have?

The provider has more than 42 years of experience. He graduated from Philadelphia College Of Osteopathic Medicine in 1981.

What insurance does Herbert Auerbach D.O. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Herbert Auerbach D.O. 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 Herbert Auerbach D.O.?

Medicare beneficiaries should expect a typical cost of $143.54 with an average copayment of $35.88 for new patient appointments. Established patients should expect a typical charge of $110.85 and an average copayment of 27.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Herbert Auerbach D.O.?

The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity, Special stained specimen slides to examine tissue, Tissue or cell analysis by immunologic technique, Pathology examination of tissue using a microscope, moderately high complexity and Pathology examination of tissue using a microscope, moderately low complexity.

Is Herbert Auerbach D.O. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: ABINGTON MEMORIAL HOSPITAL, THOMAS JEFFERSON UNIVERSITY HOSPITAL, ABINGTON HEALTH LANSDALE HOSPITAL, JEFFERSON HEALTH- NORTHEAST and HOSPITAL OF UNIV OF PENNSYLVANIA. 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 Herbert Auerbach D.O. was last updated on December 14, 2006. 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]