DOUGLAS S COSGROVE MD
NPI 1164468427
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

NPI Status: Active since June 22, 2006

Contact Information

101 E OLNEY AVE
SUITE 400
PHILADELPHIA, PA
ZIP 19120
Phone: (215) 456-7000
Fax: (215) 254-2599

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Psychiatry
  • PECOS Enrolled

About DOUGLAS COSGROVE

This page provides the complete NPI Profile along with additional information for Douglas Cosgrove, a provider established in Philadelphia, Pennsylvania with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1164468427 assigned on June 2006. The practitioner's primary taxonomy code is 2084P0800X with license number MD044861L (PA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1164468427
Provider Name
DOUGLAS S COSGROVE MD
Gender
Male
Entity Type
Individual
Location Address
101 E OLNEY AVE SUITE 400 PHILADELPHIA, PA 19120
Location Phone
(215) 456-7000
Location Fax
(215) 254-2599
Mailing Address
4200 MONUMENT RD PHILADELPHIA, PA 19131
Mailing Phone
(215) 581-3763
Mailing Fax
(215) 254-2599
Is Sole Proprietor?
No
Enumeration Date
06-22-2006
Last Update Date
09-21-2010
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A psychiatrist like Douglas Cosgrove are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
MD044861L
License State
PA
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

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
F09649MEDICARE UPIN (02)PA 
702233MEDICARE ID-TYPE UNSPECIFIED (04)PA 

Medicare Participation & PECOS Enrollment Status

Douglas Cosgrove 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: Durable Medical Equipment (DME) 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: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • 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 19120 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $180.99
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $45.24
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

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

  • Average Established Patient Price $74.47
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $18.61
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* 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 1164468427, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
7
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 6 → 12 → 3 4 → 8 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 8 + 6 + 1 + 6 + 4 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1164468427.

Other Providers at the Same Location


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

Pediatrics
101 E OLNEY AVE, SUITE C5
PHILADELPHIA, PA 19120
Physician Assistant (Surgical)
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Physician Assistant
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Psychiatry & Neurology (Psychiatry)
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Anesthesiology
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Anesthesiology
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Anesthesiology
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Anesthesiology
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Anesthesiology
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Anesthesiology
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Internal Medicine (Geriatric Medicine)
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Anesthesiology
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Physical Medicine & Rehabilitation
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Physical Medicine & Rehabilitation
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Nurse Anesthetist, Certified Registered
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Nurse Anesthetist, Certified Registered
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Physician Assistant (Surgical)
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Physical Medicine & Rehabilitation
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120
Emergency Medicine
101 E OLNEY AVE, SUITE 400
PHILA, PA 19120
Psychologist (Clinical)
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 19120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164468427, enumerated as an "individual" on June 22, 2006.

The provider is located at 101 E OLNEY AVE SUITE 400 PHILADELPHIA, PA 19120 and the phone number is (215) 456-7000.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

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