EDIE ANN CAREY D.O.
NPI 1104142843
Hospitalist in Tulsa, OK

NPI Status: Active since April 19, 2010

Contact Information

1145 S UTICA AVE
STE 460
TULSA, OK
ZIP 74104
Phone: (918) 579-5749
Fax: (918) 579-5762

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  • Individual
  • Female
  • Hospitalist
  • PECOS Enrolled

About EDIE CAREY

This page provides the complete NPI Profile along with additional information for Edie Carey, a provider established in Tulsa, Oklahoma with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1104142843 assigned on April 2010. The practitioner's primary taxonomy code is 208M00000X with license number 5063 (OK). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1104142843
Provider Name
EDIE ANN CAREY D.O.
Gender
Female
Entity Type
Individual
Location Address
1145 S UTICA AVE STE 460 TULSA, OK 74104
Location Phone
(918) 579-5749
Location Fax
(918) 579-5762
Mailing Address
1145 S UTICA AVE STE 460 TULSA, OK 74104
Mailing Phone
(918) 579-5749
Mailing Fax
(918) 579-5762
Is Sole Proprietor?
No
Enumeration Date
04-19-2010
Last Update Date
10-14-2016
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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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
5063
License State
OK
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200345230BMEDICAID (05)OK 
294519YLYKMEDICARE PIN (08)OK 

Medicare Participation & PECOS Enrollment Status

Edie Carey 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

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.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    1 DME suppliers used 55 Medicare Claims 55 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 67 Medicare Claims 67 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.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 17 times for 14 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 430 times for 153 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 130 times for 120 patients

Hospital observation care on day of discharge

Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.

This service was performed 14 times for 14 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 42 times for 41 patients

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 74104 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $123.06
  • Minimum New Patient Price $53
  • Maximum New Patient Price $162.61
  • Average New Patient Copayment $30.76
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.27
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $132.4
  • Average Established Patient Copayment $23.56
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.1

* 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 1104142843, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 0 → 0 1 → 2 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 2 + 4 + 4 + 8 + 8 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104142843.

Other Providers at the Same Location


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

Pathology (Anatomic Pathology & Clinical Pathology)
1145 S UTICA AVE, SUITE 365
TULSA, OK 74104
Audiologist
1145 S UTICA AVE, SUITE 302
TULSA, OK 74104
Audiologist
1145 S UTICA AVE, SUITE 302
TULSA, OK 74104
Clinical Medical Laboratory
1145 S UTICA AVE, SUITE 367
TULSA, OK 74104
Marriage & Family Therapist
1145 S UTICA AVE, SUITE 1013
TULSA, OK 74104
Internal Medicine
1145 S UTICA AVE, STE 1105
TULSA, OK 74104
Specialist
1145 S UTICA AVE, SUITE 520
TULSA, OK 74104
Pediatrics (Developmental - Behavioral Pediatrics)
1145 S UTICA AVE, SUITE 262
TULSA, OK 74104
Psychologist (Counseling)
1145 S UTICA AVE, SUITE 364
TULSA, OK 74104
Anesthesiology
1145 S UTICA AVE
TULSA, OK 74104
Hearing Aid Equipment
1145 S UTICA AVE, SUITE 302
TULSA, OK 74104
Family Medicine (Adult Medicine)
1145 S UTICA AVE, SUITE 453
TULSA, OK 74104
Specialist
1145 S UTICA AVE, SUITE 364
TULSA, OK 74104
Pharmacy (Community/Retail Pharmacy)
1145 S UTICA AVE, STE 18
TULSA, OK 74104
Urology
1145 S UTICA AVE, STE 202
TULSA, OK 74104
Specialist
1145 S UTICA AVE, SUITE 520
TULSA, OK 74104
Occupational Therapist
1145 S UTICA AVE, SUITE 262
TULSA, OK 74104
Internal Medicine
1145 S UTICA AVE, #1105
TULSA, OK 74104
Physician Assistant
1145 S UTICA AVE, #1105
TULSA, OK 74104
Internal Medicine
1145 S UTICA AVE, SUITE 1105
TULSA, OK 74104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104142843, enumerated as an "individual" on April 19, 2010.

The provider is located at 1145 S UTICA AVE STE 460 TULSA, OK 74104 and the phone number is (918) 579-5749.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.