TIMOTHY JOHN GEORGELAS MD
NPI 1184688970
Radiology - Diagnostic Radiology in Richardson, TX

NPI Status: Active since April 17, 2006

Contact Information

403 W CAMPBELL RD
SUITE 201
RICHARDSON, TX
ZIP 75080
Phone: (972) 498-4000

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  • Individual
  • Male
  • Years of Experience 46
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TIMOTHY GEORGELAS

This page provides the complete NPI Profile along with additional information for Timothy Georgelas, a provider established in Richardson, Texas with a medical specialization in Radiology, focusing in diagnostic radiology and more than 46 years of experience. He graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1980. The healthcare provider is registered in the NPI registry with number 1184688970 assigned on April 2006. The practitioner's primary taxonomy code is 2085R0202X with license number G2140 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1184688970
Provider Name
TIMOTHY JOHN GEORGELAS MD
Gender
Male
Entity Type
Individual
Location Address
403 W CAMPBELL RD SUITE 201 RICHARDSON, TX 75080
Location Phone
(972) 498-4000
Mailing Address
PO BOX 1888 GREENVILLE, TX 75403
Mailing Phone
(800) 945-2455
Mailing Fax
Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year
1980
Is Sole Proprietor?
No
Enumeration Date
04-17-2006
Last Update Date
04-11-2008
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
G2140
License State
TX
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

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

  • BSW Diabetes Care Gold HMO 014 - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Savers Bronze HMO H S A 009 - HMO
  • Imperial Preferred Bronze - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Gold Zero - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - 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.

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
C16047MEDICARE UPIN (02) 
P00352388MEDICARE PIN (08)TX 
8F4139MEDICARE PIN (08)TX 
8U5020OTHER (01)BCBS
8F1669MEDICARE PIN (08)TX 

Medicare Participation & PECOS Enrollment Status

Timothy Georgelas 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.

Timothy Georgelas 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: 3678594405

    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: I20051208000549

    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.

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

This service was performed 62 times for 61 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

This service was performed 14 times for 13 patients

Diagnostic mammography of 1 breast

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

This service was performed 47 times for 41 patients

Diagnostic mammography of both breasts

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

This service was performed 44 times for 44 patients

Diagnostic mammography of both breasts

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

This service was performed 12 times for 11 patients

Dxa bone density measurement of hip, pelvis, spine

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

This service was performed 194 times for 194 patients

Injection of radioactive material for x-ray identification of lymph node

This procedure involves injecting a safe radioactive substance into your body. It travels to your lymph nodes, making them visible on X-ray images. This helps in identifying any abnormal nodes for further examination. It's a standard part of many diagnostic processes.

This service was performed 14 times for 14 patients

Limited ultrasound scan of 1 breast

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

This service was performed 39 times for 38 patients

Screening 3d breast mammography

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

This service was performed 500 times for 500 patients

Screening 3d breast mammography

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

This service was performed 233 times for 233 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 499 times for 499 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 232 times for 232 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.04 for a new patient copayment and $17.82 for an established patient copayment.

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 75080 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $88.19
  • Minimum New Patient Price $57.18
  • Maximum New Patient Price $172.86
  • Average New Patient Copayment $22.04
  • Minimum New Patient Copayment $14.29
  • Maximum New Patient Copayment $43.21

Established Patients Visit Costs *

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

  • Average Established Patient Price $71.28
  • Minimum Established Patient Price $18.48
  • Maximum Established Patient Price $141.2
  • Average Established Patient Copayment $17.82
  • Minimum Established Patient Copayment $4.62
  • Maximum Established Patient Copayment $35.3

* 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.

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. Timothy Georgelas is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
METHODIST RICHARDSON MEDICAL CENTER2831 E PRESIDENT GEORGE BUSH HIGHWAY
RICHARDSON, TX 75082
(469) 204-1000Acute 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 1184688970, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
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 8 → 16 → 7 6 → 12 → 3 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 1 + 2 + 8 + 1 + 6 + 9 + 1 + 4 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1184688970.

Other Providers at the Same Location


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

Pharmacist
403 W CAMPBELL RD, SUITE 101
RICHARDSON, TX 75080
Pathology (Anatomic Pathology & Clinical Pathology)
403 W CAMPBELL RD
RICHARDSON, TX 75080
Internal Medicine
403 W CAMPBELL RD, STE 410
RICHARDSON, TX 75080
Family Medicine
403 W CAMPBELL RD, SUITE 103
RICHARDSON, TX 75080
Family Medicine
403 W CAMPBELL RD, SUITE 103
RICHARDSON, TX 75080
Family Medicine
403 W CAMPBELL RD, SUITE 103
RICHARDSON, TX 75080
Internal Medicine
403 W CAMPBELL RD, STE. 410
RICHARDSON, TX 75080
Radiology (Diagnostic Radiology)
403 W CAMPBELL RD, # 205
RICHARDSON, TX 75080
Internal Medicine
403 W CAMPBELL RD, SUITE 410
RICHARDSON, TX 75080
Family Medicine
403 W CAMPBELL RD, SUITE 103
RICHARDSON, TX 75080
Obstetrics & Gynecology
403 W CAMPBELL RD, SUITE 102
RICHARDSON, TX 75080
Durable Medical Equipment & Medical Supplies
403 W CAMPBELL RD, 310
RICHARDSON, TX 75080
Specialist
403 W CAMPBELL RD, SUITE 400
RICHARDSON, TX 75080
Pharmacy (Community/Retail Pharmacy)
403 W CAMPBELL RD, SUITE 101
RICHARDSON, TX 75080
Internal Medicine
403 W CAMPBELL RD, STE. 410
RICHARDSON, TX 75080
Obstetrics & Gynecology
403 W CAMPBELL RD, SUITE 400
RICHARDSON, TX 75080
Obstetrics & Gynecology
403 W CAMPBELL RD, SUITE 305
RICHARDSON, TX 75080
Pediatrics (Neonatal-Perinatal Medicine)
403 W CAMPBELL RD, #207
RICHARDSON, TX 75080
Orthopaedic Surgery
403 W CAMPBELL RD, SUITE 320
RICHARDSON, TX 75080
Pharmacy
403 W CAMPBELL RD, SUITE 101
RICHARDSON, TX 75080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184688970, enumerated as an "individual" on April 17, 2006.

The provider is located at 403 W CAMPBELL RD SUITE 201 RICHARDSON, TX 75080 and the phone number is (972) 498-4000.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Imperial. Please consult your insurance carrier or call the provider to verify.

Timothy Georgelas is affiliated with: METHODIST RICHARDSON MEDICAL CENTER.