ROBERT K NAGUSZEWSKI M.D.
NPI 1255315016
Psychiatry & Neurology - Neurology in Carrollton, GA

NPI Status: Active since December 05, 2005

Contact Information

905 DIXIE ST
CARROLLTON, GA
ZIP 30117
Phone: (770) 812-5831
Fax: (770) 812-5832

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Psychiatry & Neurology
Neurology
PECOS Enrolled

About ROBERT NAGUSZEWSKI

This page provides the complete NPI Profile along with additional information for Robert Naguszewski, a provider established in Carrollton, Georgia with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1255315016 assigned on December 2005. The practitioner's primary taxonomy code is 2084N0400X with license number 032792 (GA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI: 1255315016
Provider Name: ROBERT K NAGUSZEWSKI M.D.
Gender: Male
Entity Type: Individual
Location Address: 905 DIXIE ST CARROLLTON, GA 30117
Location Phone: (770) 812-5831
Location Fax: (770) 812-5832
Mailing Address: 119 AMBULANCE DR. SUITE 202 CARROLLTON, GA 30117
Mailing Phone: (770) 838-8787
Is Sole Proprietor?: No
Enumeration Date: 12-05-2005
Last Update Date: 12-17-2014
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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: Psychiatry & Neurology Neurology
Taxonomy Code: 2084N0400X
Type: Allopathic & Osteopathic Physicians
License No.: 032792
License State: GA
Taxonomy Description: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

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

Medicare

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

Medicaid

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
5111110826	MEDICARE PIN (08)	GA
11BDCHB	MEDICARE ID-TYPE UNSPECIFIED (04)	GA
0004296684	MEDICAID (05)	GA
00429668C	MEDICAID (05)	GA
E71276	MEDICARE UPIN (02)	GA

Medicare Participation & PECOS Enrollment Status

Robert Naguszewski 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 30117 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $124.1
Minimum New Patient Price $53.31
Maximum New Patient Price $164.04

Average New Patient Copayment $31.02
Minimum New Patient Copayment $13.32
Maximum New Patient Copayment $41.01

Established Patients Visit Costs *

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

Average Established Patient Price $94.84
Minimum Established Patient Price $16.68
Maximum Established Patient Price $133.24

Average Established Patient Copayment $23.71
Minimum Established Patient Copayment $4.17
Maximum Established Patient Copayment $33.31

* 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 Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	5	5	3	1	5	0	1	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	10	5	6	1	10	0	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 1 + 1 + 0 + 0 + 2 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 6									6

The NPI number 1255315016 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.