MATTHEW FRANKLIN AGACNP
NPI 1033843909
Nurse Practitioner - Acute Care in Newark, DE
NPI Status: Active since July 14, 2022
Contact Information
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
Phone: (302) 733-1000
- Individual
- Male
- Years of Experience 4
- Nurse Practitioner
- Acute Care
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MATTHEW FRANKLIN
This page provides the complete NPI Profile along with additional information for Matthew Franklin, a provider established in Newark, Delaware with a medical specialization in Nurse Practitioner, focusing in acute care and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1033843909 assigned on July 2022. The practitioner's primary taxonomy code is 363LA2100X with license number LP-0010557 (DE). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1033843909
- Provider Name
- MATTHEW FRANKLIN AGACNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4755 OGLETOWN STANTON RD NEWARK, DE 19718
- Location Phone
- (302) 733-1000
- Mailing Address
- 603 SANDYS PARISH RD LANDENBERG, PA 19350
- Mailing Phone
- (720) 280-2156
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-14-2022
- Last Update Date
- 07-14-2022
- Code Navigator
A nurse practitioner (NP) like Matthew Franklin is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
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
Nurse Practitioner Acute Care
- Taxonomy Code
- 363LA2100X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- LP-0010557
- License State
- DE
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Matthew Franklin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Matthew Franklin 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
PECOS PAC ID: 8628450723
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220805002959
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 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 typical physician office visit costs for Medicare beneficiaries in this area are: $22.09 for a new patient copayment and $25.17 for an established patient copayment.
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 19718 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* 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.
Reviews for MATTHEW FRANKLIN AGACNP
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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. | |||||||||
| 1 | 0 | 3 | 3 | 8 | 4 | 3 | 9 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 16 | 4 | 6 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 6 + 4 + 6 + 9 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1033843909 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.
DR. CYNTHIA ELLEN FLYNN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
DR. MARY VIRGINIA IACOCCA MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
DR. MICHAEL DOUGLAS KANZER MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
DR. GARY BRUCE WITKIN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
DR. MARK L MITCHELL MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
DR. WILLIAM MACLEOD KIRBY MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
MATTHEW K HOFFMAN MD
Obstetrics & Gynecology
4755 OGLETOWN STANTON RD
DEPT. OF OB/GYN
NEWARK, DE
ZIP 19718
DIANE C BOHNER MD
Internal Medicine
4755 OGLETOWN STANTON RD
NEWARK
NEWARK, DE
ZIP 19718
PAUL R SIERZENSKI MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
STEVEN KUSHNER MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
JASON E NACE MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
JAMES M CARROLL MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
ANITA H HODSON MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
CORY T CARPENTER MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
LAURA A LAWLER MD
Pediatrics
4755 OGLETOWN STANTON RD
CHRISTIANA HOSPITAL, DEPT OF PEDIATRICS
NEWARK, DE
ZIP 19718
DR. CEM SOYKAN MD
Pediatrics
(Neonatal-Perinatal Medicine)
4755 OGLETOWN STANTON RD
DEPT. OF PEDIATRICS
NEWARK, DE
ZIP 19718
THOMAS A SWEENEY MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
BRIAN J LEVINE MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
SUNANDA NABHA MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
JEREMIAH L DRISCOLL PAC
Physician Assistant
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033843909, enumerated as an "individual" on July 14, 2022.
The provider is located at 4755 OGLETOWN STANTON RD NEWARK, DE 19718 and the phone number is (302) 733-1000.
Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.
The provider might be accepting Accepts: AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to verify.
