STUART SHAPIRO
NPI 1225003155
Specialist in Oil City, PA

NPI Status: Active since February 22, 2006

Contact Information

1 MEMORIAL DR
OIL CITY, PA
ZIP 16301
Phone: (814) 676-8571

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Durable Medical Equipment
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Specialist
PECOS Enrolled

About STUART SHAPIRO

This page provides the complete NPI Profile along with additional information for Stuart Shapiro, a provider established in Oil City, Pennsylvania with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1225003155 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number MD022294E (PA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI: 1225003155
Provider Name: STUART SHAPIRO
Gender: Male
Entity Type: Individual
Location Address: 1 MEMORIAL DR OIL CITY, PA 16301
Location Phone: (814) 676-8571
Mailing Address: 1 MEMORIAL DR OIL CITY, PA 16301
Is Sole Proprietor?: No
Enumeration Date: 02-22-2006
Last Update Date: 03-25-2021
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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: Specialist
Taxonomy Code: 174400000X
Type: Other Service Providers
License No.: MD022294E
License State: PA
Taxonomy Description: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Medicare Participation & PECOS Enrollment Status

Stuart Shapiro 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.

Orthotic Devices

DME-Orthotic Devices (DF010N)
Ostomy skin barrier, powder, per oz (HCPCS:A4371)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy skin barrier, non-pectin based, paste, per ounce (HCPCS:A4405)
1 DME suppliers used 12 Medicare Claims 24 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4414)
1 DME suppliers used 12 Medicare Claims 240 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each (HCPCS:A4427)
1 DME suppliers used 12 Medicare Claims 240 Services Paid

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 1225003155, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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 → 4

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

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 2 → 4 0 → 0 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 0 + 0 + 6 + 1 + 1 + 0 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1225003155.