ELIOT NIERMAN MD
NPI 1235166158
Hospitalist in Philadelphia, PA

NPI Status: Active since June 27, 2006

Contact Information

3701 MARKET ST
7TH FL SUITE 700
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 349-5600

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  • Individual
  • Male
  • Hospitalist
  • PECOS Enrolled

About ELIOT NIERMAN

This page provides the complete NPI Profile along with additional information for Eliot Nierman, a provider established in Philadelphia, Pennsylvania with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1235166158 assigned on June 2006. The practitioner's primary taxonomy code is 208M00000X with license number MD020753E (PA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1235166158
Provider Name
ELIOT NIERMAN MD
Gender
Male
Entity Type
Individual
Location Address
3701 MARKET ST 7TH FL SUITE 700 PHILADELPHIA, PA 19104
Location Phone
(215) 349-5600
Mailing Address
3701 MARKET ST 7TH FLOOR SUITE 700 PHILADELPHIA, PA 19104
Is Sole Proprietor?
No
Enumeration Date
06-27-2006
Last Update Date
05-02-2019
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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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD020753E
License State
PA
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

MD020753E (PA)

Insurance Plans Accepted

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

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

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
0007133660001MEDICAID (05)PA 

Medicare Participation & PECOS Enrollment Status

Eliot Nierman 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 (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 59 times for 59 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 15 times for 15 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 175 times for 148 patients

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 19104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $137.17
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $34.29
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

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

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* 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.

Reviews for ELIOT NIERMAN MD

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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 1235166158, 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 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
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 3 → 6 1 → 2 6 → 12 → 3 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 + 6 + 5 + 2 + 6 + 1 + 2 + 1 + 1 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1235166158.

Other Providers at the Same Location


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

Pharmacist
3701 MARKET ST, SUITE 640- ANTICOAGULATION CENTER
PHILADELPHIA, PA 19104
Internal Medicine
3701 MARKET ST, 7TH FL STE 760
PHILADELPHIA, PA 19104
Internal Medicine
3701 MARKET ST, 6TH FL STE 640
PHILADELPHIA, PA 19104
Internal Medicine
3701 MARKET ST, STE 640 6TH FL
PHILADELPHIA, PA 19104
Obstetrics & Gynecology (Reproductive Endocrinology)
3701 MARKET ST, 7TH & 8TH FLOOR
PHILADELPHIA, PA 19104
Internal Medicine
3701 MARKET ST, 7TH FL STE 741
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
3701 MARKET ST, 7TH FLOOR
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3701 MARKET ST, 6TH FLOOR SUITE 640
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3701 MARKET ST, 6TH FLOOR SUITE 640
PHILADELPHIA, PA 19104
Internal Medicine
3701 MARKET ST, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3701 MARKET ST, 7TH FLOOR SUITE 741
PHILADELPHIA, PA 19104
Nurse Practitioner (Obstetrics & Gynecology)
3701 MARKET ST, 8TH FL - REPRODUCTIVE RESEARCH
PHILADELPHIA, PA 19104
Nurse Practitioner (Obstetrics & Gynecology)
3701 MARKET ST, 8TH FLOOR - REPRODUCTIVE RESEARCH
PHILADELPHIA, PA 19104
Nurse Practitioner (Women's Health)
3701 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3701 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Nurse Practitioner (Obstetrics & Gynecology)
3701 MARKET ST
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3701 MARKET ST, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3701 MARKET ST, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3701 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Advanced Practice Midwife
3701 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235166158, enumerated as an "individual" on June 27, 2006.

The provider is located at 3701 MARKET ST 7TH FL SUITE 700 PHILADELPHIA, PA 19104 and the phone number is (215) 349-5600.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.