EDINSON ABEL NAJERA AGUILAR MD
NPI 1013538362
Neurological Surgery in East Stroudsburg, PA
NPI Status: Active since April 28, 2020
Contact Information
500 PLAZA CT
EAST STROUDSBURG, PA
ZIP 18301
Phone: (610) 402-6555
- Individual
- Male
- Neurological Surgery
- PECOS Enrolled
About EDINSON NAJERA AGUILAR
This page provides the complete NPI Profile along with additional information for Edinson Najera Aguilar, a provider established in East Stroudsburg, Pennsylvania with a medical specialization in Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1013538362 assigned on April 2020. The practitioner's primary taxonomy code is 207T00000X with license number MD481670 (PA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1013538362
- Provider Name
- EDINSON ABEL NAJERA AGUILAR MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 500 PLAZA CT EAST STROUDSBURG, PA 18301
- Location Phone
- (610) 402-6555
- Mailing Address
- 2100 MACK BLVD FL 4 ALLENTOWN, PA 18103
- Mailing Phone
- (484) 884-4500
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-28-2020
- Last Update Date
- 04-11-2024
- Code Navigator
Location Map
Secondary Locations
- 2950 Cleveland Clinic Blvd
Weston, FL 33331
(954) 659-5000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD481670
- License State
- PA
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Medicare Participation & PECOS Enrollment Status
Edinson Najera Aguilar 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 18301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013538362, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
EAST STROUDSBURG, PA 18301
E STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013538362, enumerated as an "individual" on April 28, 2020.
The provider is located at 500 PLAZA CT EAST STROUDSBURG, PA 18301 and the phone number is (610) 402-6555.
Neurological Surgery with taxonomy code 207T00000X.
