MR. DENNIS JAMES HORAN PA
NPI 1215928650
Physician Assistant in Dover, DE
NPI Status: Active since November 03, 2005
Contact Information
200 BANNING ST
ST 210
DOVER, DE
ZIP 19904
Phone: (302) 744-9645
- Individual
- Male
- Physician Assistant
- PECOS Enrolled
About DENNIS HORAN
This page provides the complete NPI Profile along with additional information for Dennis Horan, a primary care provider established in Dover, Delaware with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1215928650 assigned on November 2005. The practitioner's primary taxonomy code is 363A00000X with license number C50000255 (DE). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1215928650
- Provider Name
- MR. DENNIS JAMES HORAN PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 BANNING ST ST 210 DOVER, DE 19904
- Location Phone
- (302) 744-9645
- Mailing Address
- 273 BLUE SPRUCE DR MAGNOLIA, DE 19962
- Mailing Phone
- (320) 335-4753
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-03-2005
- Last Update Date
- 01-02-2014
- Code Navigator
A primary care provider (PCP) like Dennis Horan 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
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.
- C50000255
- License State
- DE
- 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.
Medicare Participation & PECOS Enrollment Status
Dennis Horan 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
13 DME suppliers used 71 Medicare Claims 169 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
10 DME suppliers used 21 Medicare Claims 30 Services Paid
DME-Other DME (DE000N)
Tracheal suction catheter, any type other than closed system, each (HCPCS:A4624)
1 DME suppliers used 11 Medicare Claims 990 Services Paid
DME-Other DME (DE000N)
Oropharyngeal suction catheter, each (HCPCS:A4628)
1 DME suppliers used 11 Medicare Claims 44 Services Paid
DME-Other DME (DE000N)
Large volume nebulizer, disposable, unfilled, used with aerosol compressor (HCPCS:A7007)
1 DME suppliers used 11 Medicare Claims 16 Services Paid
DME-Other DME (DE000N)
Water collection device, used with large volume nebulizer (HCPCS:A7012)
1 DME suppliers used 11 Medicare Claims 21 Services Paid
DME-Other DME (DE000N)
Filter, disposable, used with aerosol compressor or ultrasonic generator (HCPCS:A7013)
1 DME suppliers used 11 Medicare Claims 16 Services Paid
DME-Other DME (DE000N)
Nebulizer, with compressor (HCPCS:E0570)
2 DME suppliers used 13 Medicare Claims 13 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
3 DME suppliers used 34 Medicare Claims 35 Services Paid
Orthotic Devices
DME-Orthotic Devices (DF000N)
Tracheostomy tube collar/holder, each (HCPCS:A7526)
1 DME suppliers used 11 Medicare Claims 330 Services Paid
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 19904 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.19
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $17.79
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* 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.
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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 1215928650, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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.
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 60 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.
DOVER, DE 19904
DOVER, DE 19904
DOVER, DE 19904
DOVER, DE 19904
DOVER, DE 19904
DOVER, DE 19904
DOVER, DE 19904
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215928650, enumerated as an "individual" on November 03, 2005.
The provider is located at 200 BANNING ST ST 210 DOVER, DE 19904 and the phone number is (302) 744-9645.
Physician Assistant with taxonomy code 363A00000X.
