JOHN D KNIGHT M.D. NPI 1013080761
Pediatrics in Huntsville, TX

About JOHN D KNIGHT M.D.

John Knight is a pediatrician established in Huntsville, Texas and his medical specialization is Pediatrics with more than 31 years of experience. He graduated from University Of Texas Medical School At Houston in 1992. The NPI number of John Knight is 1013080761 and was assigned on November 2006. The practitioner's primary taxonomy code is 208000000X with license number J4272 (TX). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013080761
Provider Name JOHN D KNIGHT M.D.
Location Address100 MEDICAL CENTER PKWY SUITE 1000 HUNTSVILLE, TX 77340
Location Phone(936) 295-8000
Mailing AddressPO BOX 8570 HUNTSVILLE, TX 77340
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year1992
Is Sole Proprietor?No
Enumeration Date11-17-2006
Last Update Date10-22-2007

A pediatrician like John D Knight M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.John Knight 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.

John Knight 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 Huntsville Memorial Hospital, Aspire Hospital and St Joseph Regional Health Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.84 for a new patient copayment and $25.3 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 Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.J4272
License StateTX
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

JOHN D KNIGHT M.D.
100 MEDICAL CENTER PKWY
SUITE 1000
HUNTSVILLE, TX
ZIP 77340
Phone: (936) 295-8000
Fax: (936) 439-1169

Get Directions


Mailing Address

JOHN D KNIGHT M.D.
PO BOX 8570
HUNTSVILLE, TX
ZIP 77340
Phone: (936) 295-8000
Fax: (936) 439-1169


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 ID6002849031
PECOS Enrollment IDI20050912000369
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 77340 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
$56.75 $172.6 $87.36
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.15 $21.84
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
$17.72 $141.29 $101.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $35.32 $25.3

* 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.

  • 79Administration of pneumococcal vaccine (HCPCS:G0009)
  • 66Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 52Urinalysis, manual test (HCPCS:81002)
  • 47X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 45Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 42Administration of influenza virus vaccine (HCPCS:G0008)
  • 41Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 28Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 20Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • 14X-ray of abdomen, single view (HCPCS:74000)

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. John Knight is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HUNTSVILLE MEMORIAL HOSPITAL110 MEMORIAL HOSPITAL DRIVE
HUNTSVILLE, TX 77340
(936) 291-3411Acute Care Hospitals450347
ASPIRE HOSPITAL2006 SOUTH LOOP 336 WEST, SUITE 500
CONROE, TX 77304
(936) 647-3500Acute Care Hospitals670093
ST JOSEPH REGIONAL HEALTH CENTER2801 FRANCISCAN DR
BRYAN, TX 77802
(979) 776-3912Acute Care Hospitals450011

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
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineJ4272TXNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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
89W423MEDICARE UPIN (02)
G45014MEDICARE UPIN (02)TX

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.
1013080761
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023080712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 0 + 7 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013080761 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417959040DR. CURTIS EDWARD MONTGOMERY M.D.
Individual
Obstetrics & Gynecology100 MEDICAL CENTER PKWY STE 500
HUNTSVILLE, TX 77340
(936) 291-0614
1679515076MY DOCTOR, P.A.
Organization
Clinic/Center (Primary Care)100 MEDICAL CENTER PKWY SUITE 1000
HUNTSVILLE, TX 77340
(936) 295-8000
1699702084 JAYNE R SCHULTE M.D.
Individual
Pediatrics100 MEDICAL CENTER PKWY SUITE 1000
HUNTSVILLE, TX 77340
(936) 295-8000
1952474603 GREGORY C MCKEEVER M.D.
Individual
Family Medicine100 MEDICAL CENTER PKWY SUITE 1000
HUNTSVILLE, TX 77340
(936) 295-8000
1316010002 VICTOR K HSIAO M.D.
Individual
Pediatrics100 MEDICAL CENTER PKWY SUITE 1000
HUNTSVILLE, TX 77340
(936) 295-8000
1447323159 LOWELL G ROLLINS JR. M.D.
Individual
Family Medicine100 MEDICAL CENTER PKWY SUITE 1000
HUNTSVILLE, TX 77340
(936) 295-8000
1396818035 DAVID A PRIER M.D.
Individual
Pediatrics100 MEDICAL CENTER PKWY SUITE 1000
HUNTSVILLE, TX 77340
(936) 295-8000
1518030212 GLENDA J READ M.D.
Individual
Pediatrics100 MEDICAL CENTER PKWY SUITE 1000
HUNTSVILLE, TX 77340
(936) 295-8000
1295889525DR. DAVID O RATHKE D.D.S.
Individual
Dentist (General Practice)100 MEDICAL CENTER PKWY SUITE 400
HUNTSVILLE, TX 77340
(936) 291-8383
1225301542CURTIS E MONTGOMERY MD PA
Organization
Clinic/Center (Health Service)100 MEDICAL CENTER PKWY STE 500
HUNTSVILLE, TX 77340
(936) 291-0614
1508259797MRS. MEGHAN ELIZABETH GOEBEL M.S.
Individual
Speech-Language Pathologist100 MEDICAL CENTER PKWY SUITE 100
HUNTSVILLE, TX 77340
(936) 293-8800
1558635037BELIEVE THERAPIES, LLC
Organization
Clinic/Center (Rehabilitation)100 MEDICAL CENTER PKWY SUITE 100
HUNTSVILLE, TX 77340
(936) 293-8800
1972036358 JAMIE LEWIS
Individual
Speech-Language Pathologist100 MEDICAL CENTER PKWY SUITE 100
HUNTSVILLE, TX 77340
(936) 293-8800
1801329297 KELSEY CROTWELL
Individual
Speech-Language Pathologist100 MEDICAL CENTER PKWY SUITE 100
HUNTSVILLE, TX 77340
(936) 293-8800
1184248718 BETHANY JANE FAULKNER
Individual
Speech-Language Pathologist100 MEDICAL CENTER PKWY
HUNTSVILLE, TX 77340
(936) 293-8800
1932774965 CEZANNE OSANA CLARKE OTR/L
Individual
100 MEDICAL CENTER PKWY
HUNTSVILLE, TX 77340
(936) 293-8800
1407304512 ANDREA WATKINS
Individual
Speech-Language Pathologist100 MEDICAL CENTER PKWY
HUNTSVILLE, TX 77340
(972) 442-1860
1669146817 MEGAN ELIZABETH MOSELEY
Individual
Specialist/Technologist (Speech-Language Assistant)100 MEDICAL CENTER PKWY
HUNTSVILLE, TX 77340
(936) 293-8800
1427479146MRS. SARAH DAWN ALAWAY DPT
Individual
Physical Therapist100 MEDICAL CENTER PKWY
HUNTSVILLE, TX 77340
(936) 293-8800
1821741729 BARBARA BURDETTE
Individual
Physical Therapy Assistant100 MEDICAL CENTER PKWY
HUNTSVILLE, TX 77340
(936) 293-8800

Frequently Asked Questions

What is John Knight M.D. NPI number?

The NPI number assigned to John Knight M.D. is 1013080761, registered as an "individual" on November 17, 2006

Where is John Knight M.D. located?

The provider is located at 100 Medical Center Pkwy Suite 1000 Huntsville, Tx 77340 and the phone number is (936) 295-8000

Which is John Knight M.D. specialty?

The provider's speciality is Pediatrics

How many years of experience does John Knight M.D. have?

The provider has more than 31 years of experience. He graduated from University Of Texas Medical School At Houston in 1992.

What insurance does John Knight M.D. 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 John Knight 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 John Knight M.D.?

Medicare beneficiaries should expect a typical cost of $87.36 with an average copayment of $21.84 for new patient appointments. Established patients should expect a typical charge of $101.2 and an average copayment of 25.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by John Knight M.D.?

The most common procedures or services performed by this practitioner are: Administration of pneumococcal vaccine, Pneumococcal vaccine for injection into muscle, Urinalysis, manual test, X-ray of chest, 2 views, front and side, Routine EKG using at least 12 leads including interpretation and report, Administration of influenza virus vaccine, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Complete blood cell count (red cells, white blood cell, platelets), automated test, Blood glucose (sugar) test performed by hand-held instrument and X-ray of abdomen, single view.

Is John Knight M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: HUNTSVILLE MEMORIAL HOSPITAL, ASPIRE HOSPITAL and ST JOSEPH REGIONAL HEALTH 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?

The NPI record of John Knight M.D. was last updated on November 17, 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]