JOHN F. KUNKEL MD NPI 1013091099
Pathology - Anatomic Pathology in Santa Rosa, CA

About JOHN F. KUNKEL MD

John Kunkel is a provider established in Santa Rosa, California and his medical specialization is Pathology with a focus in anatomic pathology with more than 28 years of experience. He graduated from University Of Cincinnati College Of Medicine in 1995. The NPI number of John Kunkel is 1013091099 and was assigned on October 2006. The practitioner's primary taxonomy code is 207ZP0101X with license number A83756 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1013091099
Provider Name JOHN F. KUNKEL MD
Location Address401 BICENTENNIAL WAY SANTA ROSA, CA 95403
Location Phone(707) 571-4000
Mailing Address1800 HARRISON ST FL 7 OAKLAND, CA 94612
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year1995
Is Sole Proprietor?No
Enumeration Date10-25-2006
Last Update Date12-22-2021

John Kunkel 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 Kunkel 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: $36.36 for a new patient copayment and $28.29 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 Code207ZP0101X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationAnatomic Pathology
License No.A83756
License StateCA
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

JOHN F. KUNKEL MD
401 BICENTENNIAL WAY
SANTA ROSA, CA
ZIP 95403
Phone: (707) 571-4000

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Mailing Address

JOHN F. KUNKEL MD
1800 HARRISON ST FL 7
OAKLAND, CA
ZIP 94612
Phone: (510) 625-6262


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 ID2062609076
PECOS Enrollment IDI20101202001152
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 95403 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
$64.13 $191.73 $145.45
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.03 $47.93 $36.36
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
$20.6 $157.41 $113.17
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.15 $39.35 $28.29

* 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.

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
00A837560MEDICAID (05)CA

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.
1013091099
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023092018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 2 + 0 + 1 + 8 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1013091099 is valid because the calculated check digit 9 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
1649276940 VIRGINIA E HOFMANN MD
Individual
Psychiatry & Neurology (Psychiatry)401 BICENTENNIAL WAY DEPARTMENT OF PSYCHIATRY
SANTA ROSA, CA 95403
(707) 571-3778
1669468682 JAMES F STONE JR. MD
Individual
Family Medicine401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-4344
1750354106DR. EDWARD A. ROSE M.D.
Individual
Family Medicine401 BICENTENNIAL WAY SUITE 130
SANTA ROSA, CA 95403
(707) 393-4152
1568406007 KAREN E. ROSE M.D.
Individual
Family Medicine401 BICENTENNIAL WAY SUITE 130
SANTA ROSA, CA 95403
(707) 393-4005
1578583233 LINDA LORZ CRNA
Individual
Registered Nurse401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-4000
1811004591MS. SARAH JOSEPHINE HARVEY NP, CDE
Individual
Nurse Practitioner (Family)401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-3916
1679685754MS. PAULA MARIE KELLEHER R.N., N.P., M.S.N.
Individual
Nurse Practitioner (Women's Health)401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-4203
1124120936 ANITA LEVINE-GOLDBERG NPMSN
Individual
Nurse Practitioner (Obstetrics & Gynecology)401 BICENTENNIAL WAY SUITE 210
SANTA ROSA, CA 95403
(707) 571-4136
1487756714MS. MARIANNE SCERRI RNP
Individual
Registered Nurse (Women's Health Care, Ambulatory)401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-4081
1790880300MS. MELANIE ANNE DOTY R. N. N.P. M. S. N.
Individual
Registered Nurse401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-3188
1891894580MS. DEBORAH A KOVAR CRNA
Individual
Nurse Anesthetist, Certified Registered401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-4854
1770677783 SABAHAT LATIF IMRAN MPHARM.
Individual
Pharmacist401 BICENTENNIAL WAY KAISER MEDICAL CENTER
SANTA ROSA, CA 95403
(707) 571-4354
1376639880MRS. PATRICIA M POWER RNP
Individual
Nurse Practitioner (Women's Health)401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-4400
1427144294DR. SAMUEL SANGMIN LEE PHARM.D.
Individual
Pharmacist401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-4700
1528154333DR. LAN C CHOE PHARMD
Individual
Pharmacist401 BICENTENNIAL WAY HOSPITAL PHARMACY
SANTA ROSA, CA 95403
(707) 571-4700
1386731008 JAMES W BROWN RPH
Individual
Pharmacist401 BICENTENNIAL WAY INPATIENT HOSPITAL PHARMACY
SANTA ROSA, CA 95403
(707) 571-4700
1972690576DR. ELIZABETH JEAN ARIETTA PHARM.D.
Individual
Pharmacist401 BICENTENNIAL WAY KAISER PERMANENTE HOSPITAL PHARMACY
SANTA ROSA, CA 95403
(707) 571-4206
1760570535 LAURA JONES O'CONNOR M.D.
Individual
Family Medicine401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-3371
1417045758 ALEXANDRA HUBBARD
Individual
Nurse Practitioner (Family)401 BICENTENNIAL WAY FMS
SANTA ROSA, CA 95403
(707) 571-4300
1457441701 KENNETH DELANO WHITBECK RPH
Individual
Pharmacist401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
(707) 571-4700

Frequently Asked Questions

What is John Kunkel MD NPI number?

The NPI number assigned to John Kunkel MD is 1013091099, registered as an "individual" on October 25, 2006

Where is John Kunkel MD located?

The provider is located at 401 Bicentennial Way Santa Rosa, Ca 95403 and the phone number is (707) 571-4000

Which is John Kunkel MD specialty?

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

How many years of experience does John Kunkel MD have?

The provider has more than 28 years of experience. He graduated from University Of Cincinnati College Of Medicine in 1995.

What insurance does John Kunkel MD 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 Kunkel MD 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 Kunkel MD?

Medicare beneficiaries should expect a typical cost of $145.45 with an average copayment of $36.36 for new patient appointments. Established patients should expect a typical charge of $113.17 and an average copayment of 28.29. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of John Kunkel MD was last updated on October 25, 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]