DALE W. PIGNOLET M.D.
NPI 1245285261
Personal Emergency Response Attendant in East Cleveland, OH

NPI Status: Active since May 24, 2006

Contact Information

13951 TERRACE RD
EAST CLEVELAND, OH
ZIP 44112
Phone: (216) 761-3300

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  • Individual
  • Male
  • Years of Experience 39
  • Personal Emergency Response Attendant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DALE PIGNOLET

This page provides the complete NPI Profile along with additional information for Dale Pignolet, a provider established in East Cleveland, Ohio with a medical specialization in Personal Emergency Response Attendant and more than 39 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1987. The healthcare provider is registered in the NPI registry with number 1245285261 assigned on May 2006. The practitioner's primary taxonomy code is 146D00000X with license number 35059543 (OH). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1245285261
Provider Name
DALE W. PIGNOLET M.D.
Gender
Male
Entity Type
Individual
Location Address
13951 TERRACE RD EAST CLEVELAND, OH 44112
Location Phone
(216) 761-3300
Mailing Address
498 SANDHURST DR HIGHLAND HTS, OH 44143
Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year
1987
Is Sole Proprietor?
Yes
Enumeration Date
05-24-2006
Last Update Date
07-08-2007
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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

Personal Emergency Response Attendant

Taxonomy Code
146D00000X
Type
Emergency Medical Service Providers
License No.
35059543
License State
OH
Taxonomy Description
Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO

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
0921113MEDICAID (05)OH 
P00320017OTHER (01)OHMEDICARE TRAVELERS RR-GA
942460636431OTHER (01)OHCARESOURCE
PI4182871MEDICARE ID-TYPE UNSPECIFIED (04)OH 
F56004MEDICARE UPIN (02)OH 

Medicare Participation & PECOS Enrollment Status

Dale Pignolet is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Dale Pignolet 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

  • PECOS PAC ID: 2769389873

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20031217000307

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

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.

Telephone medical discussion with physician, 11-20 minutes

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

This service was performed 64 times for 63 patients

Telephone medical discussion with physician, 5-10 minutes

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

This service was performed 18 times for 18 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dale Pignolet is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CLEVELAND CLINIC9500 EUCLID AVENUE
CLEVELAND, OH 44195
(216) 952-9829Acute Care Hospitals

Reviews for DALE W. PIGNOLET M.D.

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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 1245285261, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 4 → 8 2 → 4 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 4 + 8 + 1 + 0 + 2 + 1 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1245285261.

Other Providers at the Same Location


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

Pharmacist
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Nurse Anesthetist, Certified Registered
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Specialist
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Specialist
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Specialist
13951 TERRACE RD
CLEVELAND, OH 44112
Specialist
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Specialist
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Specialist
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Specialist
13951 TERRACE RD
EAST CLEVELAND, OH 44112
General Acute Care Hospital
13951 TERRACE RD
CLEVELAND, OH 44112
Psychiatric Unit
13951 TERRACE RD
CLEVELAND, OH 44112
Physician Assistant
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Physician Assistant
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Physician Assistant
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Physician Assistant
13951 TERRACE RD
E CLEVELAND, OH 44112
Physician Assistant
13951 TERRACE RD
E CLEVELAND, OH 44112
Personal Emergency Response Attendant
13951 TERRACE RD
EAST CLEVELAND, OH 44112
Internal Medicine
13951 TERRACE RD
CLEVELAND, OH 44112
Plastic Surgery
13951 TERRACE RD
CLEVELAND, OH 44112
Family Medicine
13951 TERRACE RD
EAST CLEVELAND, OH 44112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245285261, enumerated as an "individual" on May 24, 2006.

The provider is located at 13951 TERRACE RD EAST CLEVELAND, OH 44112 and the phone number is (216) 761-3300.

Personal Emergency Response Attendant with taxonomy code 146D00000X.

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

Dale Pignolet is affiliated with: CLEVELAND CLINIC.