TRINA CROLAND
NPI 1205936879
Pediatrics in Peoria, IL

NPI Status: Active since September 24, 2006

Contact Information

420 NE GLEN OAK AVE
PEORIA, IL
ZIP 61603
Phone: (309) 627-5673
Fax: (309) 683-5669

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Accepts Insurance
PECOS Enrolled

About TRINA CROLAND

This page provides the complete NPI Profile along with additional information for Trina Croland, a pediatrician established in Peoria, Illinois with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1205936879 assigned on September 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI: 1205936879
Provider Name: TRINA CROLAND
Gender: Female
Entity Type: Individual
Location Address: 420 NE GLEN OAK AVE PEORIA, IL 61603
Location Phone: (309) 627-5673
Location Fax: (309) 683-5669
Mailing Address: 420 NE GLEN OAK AVE PEORIA, IL 61603
Mailing Phone: (309) 627-5673
Mailing Fax: (309) 683-5669
Is Sole Proprietor?: No
Enumeration Date: 09-24-2006
Last Update Date: 07-08-2007
Code Navigator

A pediatrician like Trina Croland is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
License State: IL
Taxonomy Description: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

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

Blue Cross and Blue Shield of Illinois

Blue Precision Bronze HMO? 205 - HMO
Blue Precision Bronze HMO? 701 - HMO
Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
Blue Precision Gold HMO? 207 - HMO
Blue Precision Gold HMO? 703 - HMO
Blue Precision Gold HMO? Standard - Rx Copays - HMO
Blue Precision Silver HMO? 206 - HMO
Blue Precision Silver HMO? 704 - HMO
Blue Precision Silver HMO? Standard - Select Rx Copays - HMO

Molina Healthcare

Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 with Rx Copay - HMO
Silver 1 - HMO
Silver 1 with Rx Copay and Adult Vision Services - HMO
Silver 12 with first 4 free PCP or MH visits - HMO
Silver 8 - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
809840	MEDICARE ID-TYPE UNSPECIFIED (04)	IL	GROUP #
K19913	MEDICARE ID-TYPE UNSPECIFIED (04)	IL	INDIVIDUAL #
H25269	MEDICARE UPIN (02)

Medicare Participation & PECOS Enrollment Status

Trina Croland 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
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

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 61603 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $85.71
Minimum New Patient Price $54.8
Maximum New Patient Price $168.44

Average New Patient Copayment $21.42
Minimum New Patient Copayment $13.7
Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $97.25
Minimum Established Patient Price $17.16
Maximum Established Patient Price $136.56

Average Established Patient Copayment $24.31
Minimum Established Patient Copayment $4.29
Maximum Established Patient Copayment $34.14

* 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.

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	9	3	6	8	7	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	0	5	18	3	12	8	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 3 + 1 + 2 + 8 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1205936879 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

DR. RICHARD PEARL M.D.

Surgery

(Pediatric Surgery)

420 NE GLEN OAK AVE
STE 201
PEORIA, IL
ZIP 61603

About TRINA CROLAND

Location Map

Specialty - Primary Taxonomy

Pediatrics

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? 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: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for TRINA CROLAND

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions