ANDRE PELHAM-BRAITHWAITE PA-C
NPI 1215029848
Physician Assistant in New York, NY

NPI Status: Active since September 29, 2006

Contact Information

17 E 102ND ST
NEW YORK, NY
ZIP 10029
Phone: (212) 241-7270

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physician Assistant
PECOS Enrolled

About ANDRE PELHAM-BRAITHWAITE

This page provides the complete NPI Profile along with additional information for Andre Pelham-braithwaite, a primary care provider established in New York, New York with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1215029848 assigned on September 2006. The practitioner's primary taxonomy code is 363A00000X with license number 008082 (NY). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI: 1215029848
Provider Name: ANDRE PELHAM-BRAITHWAITE PA-C
Gender: Male
Entity Type: Individual
Location Address: 17 E 102ND ST NEW YORK, NY 10029
Location Phone: (212) 241-7270
Mailing Address: 1 GUSTAVE L LEVY PL BOX 3000 NEW YORK, NY 10029
Mailing Phone: (212) 987-3100
Is Sole Proprietor?: No
Enumeration Date: 09-29-2006
Last Update Date: 03-17-2018
Code Navigator

A primary care provider (PCP) like Andre Pelham-braithwaite sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

342 Stanhope St
Brooklyn, NY 11237
(917) 202-4038

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: Physician Assistant
Taxonomy Code: 363A00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 008082
License State: NY
Taxonomy Description: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	001093 (CT)

Medicare Participation & PECOS Enrollment Status

Andre Pelham-braithwaite 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 10029 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $102.04
Minimum New Patient Price $65.69
Maximum New Patient Price $198.19

Average New Patient Copayment $25.51
Minimum New Patient Copayment $16.42
Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

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

Average Established Patient Price $81.44
Minimum Established Patient Price $21.2
Maximum Established Patient Price $160.66

Average Established Patient Copayment $20.36
Minimum Established Patient Copayment $5.3
Maximum Established Patient Copayment $40.16

* 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 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 1215029848, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

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 1 → 2 0 → 0 9 → 18 → 9 4 → 8