JACQUELINE POWELL MD
NPI 1093276990
Obstetrics & Gynecology - Gynecology in Madison, WI

NPI Status: Active since March 25, 2019

Contact Information

UW HOSPITALS & CLINICS 600 HIGHLAND AVE
MADISON, WI
ZIP 53792
Phone: (608) 263-6240
Fax: (608) 265-1726

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Obstetrics & Gynecology
Gynecology
Accepts Insurance
PECOS Enrolled

About JACQUELINE POWELL

This page provides the complete NPI Profile along with additional information for Jacqueline Powell, a women's health care provider established in Madison, Wisconsin with a medical specialization in Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1093276990 assigned on March 2019. The practitioner's primary taxonomy code is 207VG0400X with license number 81524 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI: 1093276990
Provider Name: JACQUELINE POWELL MD
Gender: Female
Entity Type: Individual
Location Address: UW HOSPITALS & CLINICS 600 HIGHLAND AVE MADISON, WI 53792
Location Phone: (608) 263-6240
Location Fax: (608) 265-1726
Mailing Address: 7974 UW HEALTH CT MIDDLETON, WI 53562
Is Sole Proprietor?: No
Enumeration Date: 03-25-2019
Last Update Date: 02-05-2024
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Women's health care providers like Jacqueline Powell treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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: Obstetrics & Gynecology Gynecology
Taxonomy Code: 207VG0400X
Type: Allopathic & Osteopathic Physicians
License No.: 81524
License State: WI
Taxonomy Description: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Insurance Plans Accepted

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

Group Health Cooperative-SCW

Better Together HMO Bronze 6500 Ded/8750 MOOP HSA - HMO
Better Together HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
Better Together HMO Bronze No Medical Ded/10600 MOOP HSA - HMO
Better Together HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
Better Together HMO Gold 2000 Ded/8200 MOOP - HMO
Better Together HMO Gold 4000 Ded/4000 MOOP HSA - HMO
Better Together HMO Platinum 750 Ded/2000 MOOP with Vision - HMO
Better Together HMO Platinum No Ded/3300 MOOP - HMO
Better Together HMO Platinum No Ded/5200 MOOP - HMO
Better Together HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
Better Together HMO Silver 5975 Ded/5975 MOOP HSA - HMO
Better Together HMO Silver 6000 Ded/8900 MOOP - HMO
Partners HMO Bronze 10600 Ded/10600 MOOP HSA - HMO
Partners HMO Bronze 6000 Ded/10600 MOOP HSA - HMO
Partners HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
Partners HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
Partners HMO Gold 2000 Ded/8200 MOOP - HMO
Partners HMO Gold 4000 Ded/4000 MOOP HSA - HMO
Partners HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
Partners HMO Silver 5975 Ded/5975 MOOP HSA - HMO

HealthPartners

Oak $1,300 Gold - PPO
Oak $2,000 Standard Gold - PPO

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

Medicare Participation & PECOS Enrollment Status

Jacqueline Powell 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 53792 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $123.69
Minimum New Patient Price $53.9
Maximum New Patient Price $163.24

Average New Patient Copayment $30.92
Minimum New Patient Copayment $13.47
Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $67.37
Minimum Established Patient Price $17.4
Maximum Established Patient Price $133.76

Average Established Patient Copayment $16.84
Minimum Established Patient Copayment $4.35
Maximum Established Patient Copayment $33.44

* 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.

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 1093276990, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 18 → 1 + 8

Check

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 9 → 18 → 9 2 → 4 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 4 + 7 + 1 + 2 + 9 + 1 + 8 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1093276990.