MR. DONALD RICHARD ANDREWS JR. PAC
NPI 1154335669
Physician Assistant - Surgical in Huntsville, AL

NPI Status: Active since July 28, 2006

Contact Information

927 FRANKLIN ST SE
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 539-2728
Fax: (256) 539-2666

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  • Individual
  • Male
  • Years of Experience 24
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DONALD ANDREWS

This page provides the complete NPI Profile along with additional information for Donald Andrews, a provider established in Huntsville, Alabama with a medical specialization in Physician Assistant, focusing in surgical and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1154335669 assigned on July 2006. The practitioner's primary taxonomy code is 363AS0400X with license number PA385 (AL). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1154335669
Provider Name
MR. DONALD RICHARD ANDREWS JR. PAC
Gender
Male
Entity Type
Individual
Location Address
927 FRANKLIN ST SE HUNTSVILLE, AL 35801
Location Phone
(256) 539-2728
Location Fax
(256) 539-2666
Mailing Address
927 FRANKLIN ST SE HUNTSVILLE, AL 35801
Mailing Phone
(256) 539-2728
Mailing Fax
(256) 539-2666
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
07-28-2006
Last Update Date
02-02-2010
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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.
PA385
License State
AL

Insurance Plans Accepted

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

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Standardized Statewide Silver EPO - EPO
  • Blue Statewide Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage (Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO

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.

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
1154335669MEDICAID (05)AL 
P78847MEDICARE UPIN (02) 
51048438OTHER (01)ALBCBS
510I970161MEDICARE PIN (08)AL 

Medicare Participation & PECOS Enrollment Status

Donald Andrews 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.

Donald Andrews 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: 9335048644

    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: I20050930000435

    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

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.

Exam of lung with removal of lung lobe using an endoscope

This is a procedure where an endoscope, a thin tube with a light and camera, is used to examine the lung and remove a lobe if necessary. It's less invasive than traditional surgery, resulting in shorter recovery time.

This service was performed 11 times for 11 patients

Harvest of vein using an endoscope

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

This service was performed 14 times for 14 patients

Removal of lymph nodes of chest cavity using an endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.

This service was performed 14 times for 14 patients

Repair of hernia of muscle at esophagus and stomach using an endoscope

This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.

This service was performed 11 times for 11 patients

Reviews for MR. DONALD RICHARD ANDREWS JR. PAC

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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 1154335669, 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
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 3 → 6 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 6 + 3 + 1 + 0 + 6 + 1 + 2 + 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 1154335669.

Other Providers at the Same Location


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

Physical Medicine & Rehabilitation
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Physician Assistant
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Orthopaedic Surgery
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Physical Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Physical Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Specialist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Specialist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Specialist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Physician Assistant (Surgical)
927 FRANKLIN ST SE, THE ORTHOPAEDIC CENTER
HUNTSVILLE, AL 35801
Physician Assistant (Surgical)
927 FRANKLIN ST SE, THE ORTHOPAEDIC CENTER
HUNTSVILLE, AL 35801
Physician Assistant (Surgical)
927 FRANKLIN ST SE, THE ORTHOPAEDIC CENTER
HUNTSVILLE, AL 35801
Audiologist
927 FRANKLIN ST SE, SUITE 100
HUNTSVILLE, AL 35801
Physician Assistant (Surgical)
927 FRANKLIN ST SE, THE ORTHOPAEDIC CENTER
HUNTSVILLE, AL 35801
Occupational Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Physical Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Physical Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Audiologist
927 FRANKLIN ST SE, SUITE 100
HUNTSVILLE, AL 35801
Physical Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Physical Therapist (Orthopedic)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Occupational Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154335669, enumerated as an "individual" on July 28, 2006.

The provider is located at 927 FRANKLIN ST SE HUNTSVILLE, AL 35801 and the phone number is (256) 539-2728.

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, BlueCross. Please consult your insurance carrier or call the provider to verify.