JOSEPH T. MCGARRY M.D.
NPI 1164419966
Family Medicine in Florence, CO

NPI Status: Active since October 05, 2005

Contact Information

501 W 5TH ST
FLORENCE, CO
ZIP 81226
Phone: (719) 784-4816

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 51
  • Family Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JOSEPH MCGARRY

Joseph Mcgarry is a primary care provider established in Florence, Colorado and his medical specialization is Family Medicine with more than 51 years of experience. He graduated from Pennsylvania State University College Of Medicine in 1974. The healthcare provider is registered in the NPI registry with number 1164419966 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 21028 (CO). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1164419966
Provider Name
JOSEPH T. MCGARRY M.D.
Gender
Male
Entity Type
Individual
Location Address
501 W 5TH ST FLORENCE, CO 81226
Location Phone
(719) 784-4816
Mailing Address
501 W 5TH ST FLORENCE, CO 81226
Mailing Phone
(719) 784-4816
Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year
1974
Is Sole Proprietor?
Yes
Enumeration Date
10-05-2005
Last Update Date
10-26-2011
Code Navigator

A primary care provider (PCP) like Joseph Mcgarry sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Joseph Mcgarry 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.01 for a new patient copayment and $26.58 for an established patient copayment.

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
21028
License State
CO
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

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

  • Medicare

  • Medicaid


*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
01210285MEDICAID (05)CO 
D23866MEDICARE UPIN (02)CO 
C61021MEDICARE ID-TYPE UNSPECIFIED (04)CO 

PECOS Enrollment and Medicare Participation Status

Joseph Mcgarry 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: 1557431392

    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: I20101101000847

    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.

Durable Medical Equipment

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    4 DME suppliers used 18 Medicare Claims 49 Services Paid

  • Other DME (D1E)

    Lancets, per box of 100 (HCPCS:A4259)

    3 DME suppliers used 11 Medicare Claims 17 Services Paid

  • Other DME (D1E)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    3 DME suppliers used 17 Medicare Claims 17 Services Paid

  • Other DME (D1E)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    3 DME suppliers used 16 Medicare Claims 38 Services Paid

  • Other DME (D1E)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    4 DME suppliers used 14 Medicare Claims 14 Services Paid

  • Other DME (D1E)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    3 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Other DME (D1E)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    4 DME suppliers used 19 Medicare Claims 114 Services Paid

  • Other DME (D1E)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    4 DME suppliers used 11 Medicare Claims 11 Services Paid

  • Oxygen and supplies (D1C)

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

    4 DME suppliers used 46 Medicare Claims 53 Services Paid

  • Oxygen and supplies (D1C)

    Portable oxygen contents, gaseous, 1 month's supply = 1 unit (HCPCS:E0443)

    2 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Other DME (D1E)

    Nebulizer, with compressor (HCPCS:E0570)

    3 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Other DME (D1E)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    1 DME suppliers used 14 Medicare Claims 15 Services Paid

  • Other DME (D1E)

    External ambulatory infusion pump, insulin (HCPCS:E0784)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Oxygen and supplies (D1C)

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

    7 DME suppliers used 113 Medicare Claims 120 Services Paid

  • Oxygen and supplies (D1C)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    4 DME suppliers used 24 Medicare Claims 24 Services Paid

  • Drugs Administered through DME (D1G)

    Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)

    3 DME suppliers used 17 Medicare Claims 1977 Services Paid

  • Drugs Administered through DME (D1G)

    Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme (HCPCS:J7620)

    2 DME suppliers used 13 Medicare Claims 1170 Services Paid

  • Wheelchairs (D1D)

    Standard wheelchair (HCPCS:K0001)

    2 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Other DME (D1E)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    3 DME suppliers used 41 Medicare Claims 42 Services Paid

  • Oxygen and supplies (D1C)

    Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:K0738)

    2 DME suppliers used 12 Medicare Claims 12 Services Paid

Drugs and Nutritional Products

  • Other drugs (O1E)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    3 DME suppliers used 31 Medicare Claims 31 Services Paid

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 81226 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.04
  • Minimum New Patient Price $60.06
  • Maximum New Patient Price $181
  • Average New Patient Copayment $23.01
  • Minimum New Patient Copayment $15.01
  • Maximum New Patient Copayment $45.25

Established Patients Visit Costs *

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

  • Average Established Patient Price $106.32
  • Minimum Established Patient Price $18.98
  • Maximum Established Patient Price $148.2
  • Average Established Patient Copayment $26.58
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.05

* 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.

Hospital Affiliations

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. Joseph Mcgarry is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CENTURA HEALTH-ST THOMAS MORE HOSPITAL1338 PHAY AVE
CANON CITY, CO 81212
(719) 285-2000Critical Access Hospitals

Reviews for JOSEPH T. MCGARRY M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1164419966
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211248118912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 8 + 1 + 1 + 8 + 9 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1164419966 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639455918JOSEPH T MCGARRY MD PC
Organization
Family Medicine501 W 5TH ST
FLORENCE, CO 81226
(719) 784-4816
1972505964DR. ROBERT S BLISS MD
Individual
Family Medicine501 W 5TH ST
FLORENCE, CO 81226
(719) 784-4816
1215442397 TOLOA PEARL NP
Individual
Nurse Practitioner (Gerontology)501 W 5TH ST
FLORENCE, CO 81226
(719) 784-4816
1255359329 RICHARD G. STRAIGHT FNP
Individual
Nurse Practitioner (Family)501 W 5TH ST FLORENCE MEDICAL CENTER
FLORENCE, CO 81226
(719) 784-4816
1689294704POUDRE VALLEY MEDICAL GROUP, LLC
Organization
Internal Medicine (Cardiovascular Disease)501 W 5TH ST
FLORENCE, CO 81226
(719) 784-4816
1053308858FLORENCE MEDICAL CENTER LLC
Organization
Family Medicine501 W 5TH ST
FLORENCE, CO 81226
(719) 784-4816

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164419966, enumerated in the NPI registry as an "individual" on October 05, 2005

The provider is located at 501 W 5th St Florence, Co 81226 and the phone number is (719) 784-4816

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 51 years of experience. He graduated from Pennsylvania State University College Of Medicine in 1974.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $92.04 with an average copayment of $23.01 for new patient appointments. Established patients should expect a typical charge of $106.32 and an average copayment of 26.58. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): CENTURA HEALTH-ST THOMAS MORE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 05, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.