|Provider Name||DR. PETER H PRUDEN D.D.S.|
|Location Address||177 MAIN ST STE 102 HUNTINGTON, NY 11743|
|Location Phone||(631) 421-2471|
|Mailing Address||177 MAIN ST STE 102 HUNTINGTON, NY 11743|
|NPI Entity Type||Individual|
|Medical School Name||CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY|
|Is Sole Proprietor?||No|
|Last Update Date||07-08-2007|
A dentist like Dr. Peter H Pruden D.d.s. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.Peter Pruden 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) and a Home Health Agency (HHA).
Peter Pruden 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.
The typical physician office visit costs for Medicare beneficiaries in this area are: $27.39 for a new patient copayment and $22.04 for an established patient copayment.
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.
|Specialization||Oral and Maxillofacial Surgery|
|Taxonomy Description||The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.|
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
DR. PETER H PRUDEN D.D.S.
177 MAIN ST STE 102
Phone: (631) 421-2471
Fax: (631) 547-6809
DR. PETER H PRUDEN D.D.S.
177 MAIN ST STE 102
Phone: (631) 421-2471
Fax: (631) 547-6809
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 ID||2062569080|
|PECOS Enrollment ID||I20090409000069|
|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 Imaging||Yes|
|Eligible order / refer Durable Medical Equipment||Yes|
|Eligible order / refer Home Health Agency (HHA)||Yes|
|Eligible order / refer Power Mobility Devices||No|
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 11743 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|
|Minimum New Patient Copayment||Maximum New Patient Copayment||Typical New Patient Copayment|
|Established Patients Office Visits Costs *|
|Most Utilized Procedure Code for established patients office visits: 99213|
|Minimum Established Patient Pricing||Maximum Established Patient Pricing||Typical Established Patient Pricing|
|Minimum Established Patient Copayment||Maximum Established Patient Copayment||Typical Established Patient Copayment|
* 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.
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.
- 14Removal of growth of mouth (HCPCS:40812)
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|
|D0E231||MEDICARE ID-TYPE UNSPECIFIED (04)||NY|
|T49247||MEDICARE UPIN (02)||NY|
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 2 + 3 + 0 + 8 + 1 + 4 + 7 + 1 + 8 + 24 = 60|
|Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.|
The NPI number 1013087790 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
What is Dr. Peter Pruden D.D.S. NPI number?
The NPI number assigned to Dr. Peter Pruden D.D.S. is 1013087790, registered as an "individual" on November 09, 2006
Where is Dr. Peter Pruden D.D.S. located?
The provider is located at 177 Main St Ste 102 Huntington, Ny 11743 and the phone number is (631) 421-2471
Which is Dr. Peter Pruden D.D.S. specialty?
The provider's speciality is Dentist with a focus in Oral and Maxillofacial Surgery
How many years of experience does Dr. Peter Pruden D.D.S. have?
The provider has more than 44 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1979.
What insurance does Dr. Peter Pruden D.D.S. 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 Dr. Peter Pruden D.D.S. 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) and a Home Health Agency (HHA).
How much is a visit to Dr. Peter Pruden D.D.S.?
Medicare beneficiaries should expect a typical cost of $109.58 with an average copayment of $27.39 for new patient appointments. Established patients should expect a typical charge of $88.17 and an average copayment of 22.04. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Peter Pruden D.D.S.?
The most common procedures or services performed by this practitioner are: Removal of growth of mouth.
How do I update my NPI information?
The NPI record of Dr. Peter Pruden D.D.S. was last updated on November 09, 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]