DR. ERIC L. MARANDA M.D. NPI 1205362043
Dermatology in Billings, MT
About DR. ERIC L. MARANDA M.D.
Eric Maranda is a provider established in Billings, Montana and his medical specialization is Dermatology with more than 7 years of experience. He graduated from University Of Miami, Lm Miller School Of Medicine in 2017. The healthcare provider is registered in the NPI registry with number 1205362043 assigned on May 2017. The practitioner's primary taxonomy code is 207N00000X with license number 98511 (MT). The provider is registered as an individual and his NPI record was last updated 2 years ago.
| NPI | 1205362043 |
| Provider Name | DR. ERIC L. MARANDA M.D. |
| Location Address | 178 S 32ND ST W STE 3 BILLINGS, MT 59102 |
| Location Phone | (406) 702-1323 |
| Mailing Address | 178 S 32ND ST W STE 3 BILLINGS, MT 59102 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 05-11-2017 |
| Last Update Date | 02-08-2022 |
A dermatologist like Eric Maranda is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.Eric Maranda 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.
Eric Maranda 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. According to claims data he has hospital affiliations with Billings Clinic and St Vincent Healthcare.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.72 for a new patient copayment and $18.47 for an established patient copayment.
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.
| Taxonomy Code | 207N00000X |
| Classification | Dermatology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 98511 |
| License State | MT |
| Taxonomy Description | A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Business Address
178 S 32ND ST W STE 3
BILLINGS, MT
ZIP 59102
Phone: (406) 702-1323
Mailing Address
178 S 32ND ST W STE 3
BILLINGS, MT
ZIP 59102
Phone: (305) 409-7584
Location Map
PECOS Enrollment and Medicare Participation Status
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.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1153723432 |
| PECOS Enrollment ID | I20210708002605 |
| 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 order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount, beneficiaries under these health plans should not be billed for more than the approved deductible and coinsurance amounts. The tables below display 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 59102 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $59.12 | $179.28 | $90.9 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.78 | $44.82 | $22.72 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.41 | $146.41 | $73.91 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.6 | $36.6 | $18.47 |
* 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. Eric Maranda is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| BILLINGS CLINIC | 2800 10TH AVE N BILLINGS, MT 59101 | (406) 657-4000 | Acute Care Hospitals | 270004 | |
| ST VINCENT HEALTHCARE | 1233 N 30TH ST BILLINGS, MT 59101 | (406) 657-7000 | Acute Care Hospitals | 270049 |
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 | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | MOHS-Micrographic Surgery | 98511 | MT | No |
Taxonomy Description: the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. | |||||||
| 2 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 98511 | MT | No | |
Taxonomy Description: a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee | |||||||
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. | |||||||||
| 1 | 2 | 0 | 5 | 3 | 6 | 2 | 0 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 6 | 6 | 4 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 6 + 6 + 4 + 0 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1205362043 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558033712 | YELLOWSTONE DERMATOLOGY ASSOCIATES LLC Organization | Dermatology (MOHS-Micrographic Surgery) | 178 S 32ND ST W STE 3 BILLINGS, MT 59102 (305) 409-7584 |
Frequently Asked Questions
What is Dr. Eric Maranda M.D. NPI number?
The NPI number assigned to this healthcare provider is 1205362043, enumerated in the NPI registry as an "individual" on May 11, 2017
Where is the provider located?
The provider is located at 178 S 32nd St W Ste 3 Billings, Mt 59102 and the phone number is (406) 702-1323
What is the provider specialty code?
The provider's speciality is Dermatology with taxonomy code 207N00000X
How many years of experience does Dr. Eric Maranda M.D. have?
The provider has more than 7 years of experience. He graduated from University Of Miami, Lm Miller School Of Medicine in 2017.
Is Dr. Eric Maranda M.D. registered in PECOS?
Yes, as of September 14, 2023 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.
How much is a visit to Dr. Eric Maranda M.D.?
Medicare beneficiaries should expect a typical cost of $90.9 with an average copayment of $22.72 for new patient appointments. Established patients should expect a typical charge of $73.91 and an average copayment of 18.47. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Dr. Eric Maranda M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: BILLINGS CLINIC and ST VINCENT HEALTHCARE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on May 11, 2017. 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].
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