DR. JAMES R. FINK III MD
NPI 1164527495
Radiology - Neuroradiology in Madison, WI
NPI Status: Active since September 13, 2006
Contact Information
600 HIGHLAND AVE
MADISON, WI
ZIP 53792
Phone: (608) 263-9729
- Individual
- Male
- Years of Experience 28
- Radiology
- Neuroradiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JAMES FINK
This page provides the complete NPI Profile along with additional information for James Fink, a provider established in Madison, Wisconsin with a medical specialization in Radiology, focusing in neuroradiology and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1164527495 assigned on September 2006. The practitioner's primary taxonomy code is 2085N0700X with license number 81593-20 (WI). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1164527495
- Provider Name
- DR. JAMES R. FINK III MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 600 HIGHLAND AVE MADISON, WI 53792
- Location Phone
- (608) 263-9729
- Mailing Address
- 7974 UW HEALTH CT MIDDLETON, WI 53562
- Medical School Name
- OTHER
- Graduation Year
- 1998
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-13-2006
- Last Update Date
- 05-26-2023
- Code Navigator
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
Radiology Neuroradiology
- Taxonomy Code
- 2085N0700X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 81593-20
- License State
- WI
- Taxonomy Description
- A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085N0700X | Allopathic & Osteopathic Physicians | Radiology | 100235-875 (WI) |
| 2 | 2085N0700X | Allopathic & Osteopathic Physicians | Radiology | MD00044995 (WA) |
| 3 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | MD00044995 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Better Together HMO Bronze 6500 Ded/8750 MOOP HSA - HMO
- Better Together HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
- Better Together HMO Bronze No Medical Ded/10600 MOOP HSA - HMO
- Better Together HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
- Better Together HMO Gold 2000 Ded/8200 MOOP - HMO
- Better Together HMO Gold 4000 Ded/4000 MOOP HSA - HMO
- Better Together HMO Platinum 750 Ded/2000 MOOP with Vision - HMO
- Better Together HMO Platinum No Ded/3300 MOOP - HMO
- Better Together HMO Platinum No Ded/5200 MOOP - HMO
- Better Together HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
- Better Together HMO Silver 5975 Ded/5975 MOOP HSA - HMO
- Better Together HMO Silver 6000 Ded/8900 MOOP - HMO
- Partners HMO Bronze 10600 Ded/10600 MOOP HSA - HMO
- Partners HMO Bronze 6000 Ded/10600 MOOP HSA - HMO
- Partners HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
- Partners HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
- Partners HMO Gold 2000 Ded/8200 MOOP - HMO
- Partners HMO Gold 4000 Ded/4000 MOOP HSA - HMO
- Partners HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
- Partners HMO Silver 5975 Ded/5975 MOOP HSA - HMO
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 |
|---|---|---|---|
| 1164527495 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
James Fink 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.
James Fink 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: 6002852910
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: I20230123001987
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
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
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. James Fink is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY | 600 HIGHLAND AVENUE MADISON, WI 53792 | (608) 263-6400 | Acute Care Hospitals |
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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 1164527495, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164527495, enumerated as an "individual" on September 13, 2006.
The provider is located at 600 HIGHLAND AVE MADISON, WI 53792 and the phone number is (608) 263-9729.
Radiology with taxonomy code 2085N0700X and a focus in Neuroradiology.
The provider might be accepting Accepts: Group Health Cooperative-SCW, Medicare and. Please consult your insurance carrier or call the provider to verify.
James Fink is affiliated with: UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY.