ADAM RASMUSSEN
NPI 1053856609
Physician Assistant - Surgical in Iowa City, IA

NPI Status: Active since January 05, 2017

Contact Information

200 HAWKINS DR
1500 JCP
IOWA CITY, IA
ZIP 52242
Phone: (319) 384-8129
Fax: (319) 356-8378

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  • Individual
  • Male
  • Years of Experience 10
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ADAM RASMUSSEN

This page provides the complete NPI Profile along with additional information for Adam Rasmussen, a provider established in Iowa City, Iowa with a medical specialization in Physician Assistant, focusing in surgical and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1053856609 assigned on January 2017. The practitioner's primary taxonomy code is 363AS0400X with license number 085699 (IA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1053856609
Provider Name
ADAM RASMUSSEN
Gender
Male
Entity Type
Individual
Location Address
200 HAWKINS DR 1500 JCP IOWA CITY, IA 52242
Location Phone
(319) 384-8129
Location Fax
(319) 356-8378
Mailing Address
200 HAWKINS DR 1500 JCP IOWA CITY, IA 52242
Mailing Phone
(319) 384-8129
Mailing Fax
(319) 356-8378
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
Yes
Enumeration Date
01-05-2017
Last Update Date
01-05-2017
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
085699
License State
IA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Adam Rasmussen 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.

Adam Rasmussen 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: 9830473073

    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: I20170307000963

    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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Unknown

  • Treatment-Treatment - Miscellaneous (RX029N)

    Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

    1 DME suppliers used 15 Medicare Claims 805 Services Paid

  • Treatment-Treatment - Miscellaneous (RX029N)

    Mycophenolic acid, oral, 180 mg (HCPCS:J7518)

    1 DME suppliers used 15 Medicare Claims 1620 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)

    1 DME suppliers used 34 Medicare Claims 34 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 24 times for 24 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Adam Rasmussen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF IOWA HOSPITAL & CLINICS200 HAWKINS DRIVE
IOWA CITY, IA 52242
(319) 356-1616Acute Care Hospitals

Reviews for ADAM RASMUSSEN

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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 1053856609, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 8 → 16 → 7 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 6 + 5 + 1 + 2 + 6 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053856609.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
200 HAWKINS DR
IOWA CITY, IA 52242
Advanced Practice Midwife
200 HAWKINS DR
IOWA CITY, IA 52242
Pediatrics
200 HAWKINS DR
IOWA CITY, IA 52242
Transplant Surgery
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery (Vascular Surgery)
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Urology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Urology
200 HAWKINS DR
IOWA CITY, IA 52242
Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery
200 HAWKINS DR
IOWA CITY, IA 52242
Urology
200 HAWKINS DR
IOWA CITY, IA 52242
Physician Assistant
200 HAWKINS DR
IOWA CITY, IA 52242
Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery (Surgical Oncology)
200 HAWKINS DR
IOWA CITY, IA 52242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053856609, enumerated as an "individual" on January 05, 2017.

The provider is located at 200 HAWKINS DR 1500 JCP IOWA CITY, IA 52242 and the phone number is (319) 384-8129.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.

Adam Rasmussen is affiliated with: UNIVERSITY OF IOWA HOSPITAL & CLINICS.