DR. RICHARD JOHN VANEK SR. DDS MSCO
NPI 1164526257
Dentist - Orthodontics and Dentofacial Orthopedics in Jacksonville, NC
NPI Status: Active since September 11, 2006
Contact Information
17 OFFICE PARK DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 353-5234
Fax: (910) 353-1999
- Individual
- Male
- Dentist
- Orthodontics and Dentofacial Orthopedics
- PECOS Enrolled
- Opted-Out Medicare
About RICHARD VANEK
This page provides the complete NPI Profile along with additional information for Richard Vanek, a provider established in Jacksonville, North Carolina with a medical specialization in Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1164526257 assigned on September 2006. The practitioner's primary taxonomy code is 1223X0400X with license number 3622 (NC). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1164526257
- Provider Name
- DR. RICHARD JOHN VANEK SR. DDS MSCO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 17 OFFICE PARK DR JACKSONVILLE, NC 28546
- Location Phone
- (910) 353-5234
- Location Fax
- (910) 353-1999
- Mailing Address
- 17 OFFICE PARK DR JACKSONVILLE, NC 28546
- Mailing Phone
- (910) 330-1235
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-11-2006
- Last Update Date
- 07-28-2015
- Code Navigator
A dentist like Richard Vanek is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Richard Vanek opted out of Medicare effective on 10-01-2018 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Dentist Orthodontics and Dentofacial Orthopedics
- Taxonomy Code
- 1223X0400X
- Type
- Dental Providers
- License No.
- 3622
- License State
- NC
- Taxonomy Description
- That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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.
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 |
|---|---|---|---|
| 241156A | OTHER (01) | NC | MEDICARE PTAN |
| 98778 | OTHER (01) | NC | BLUE CROSS BLUE SHIELD NC |
| T63852 | MEDICARE UPIN (02) | ||
| 6998778 | MEDICAID (05) | NC |
Medicare Participation & PECOS Enrollment Status
Richard Vanek 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) and a Home Health Agency (HHA).
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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2018
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? 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: No
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 28546 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.72
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $16.93
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* 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 1164526257, 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 43 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164526257, enumerated as an "individual" on September 11, 2006.
The provider is located at 17 OFFICE PARK DR JACKSONVILLE, NC 28546 and the phone number is (910) 353-5234.
Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
