MR. RONALD D PALLANT MD
NPI 1255322376
Surgery in Springfield, NJ

NPI Status: Active since October 31, 2005

Contact Information

155 MORRIS AVE
SECOND FLOOR
SPRINGFIELD, NJ
ZIP 07081
Phone: (973) 232-2300
Fax: (973) 232-2311

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  • Individual
  • Male
  • Years of Experience 56
  • Surgery
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About RONALD PALLANT

This page provides the complete NPI Profile along with additional information for Ronald Pallant, a provider established in Springfield, New Jersey with a medical specialization in Surgery and more than 56 years of experience. He graduated from Rutgers New Jersey Medical School in 1970. The healthcare provider is registered in the NPI registry with number 1255322376 assigned on October 2005. The practitioner's primary taxonomy code is 208600000X with license number 30097 (NJ). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1255322376
Provider Name
MR. RONALD D PALLANT MD
Gender
Male
Entity Type
Individual
Location Address
155 MORRIS AVE SECOND FLOOR SPRINGFIELD, NJ 07081
Location Phone
(973) 232-2300
Location Fax
(973) 232-2311
Mailing Address
155 MORRIS AVE SECOND FLOOR SPRINGFIELD, NJ 07081
Mailing Phone
(973) 232-2300
Mailing Fax
(973) 232-2311
Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year
1970
Is Sole Proprietor?
No
Enumeration Date
10-31-2005
Last Update Date
02-11-2008
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A surgeon like Ronald Pallant treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
30097
License State
NJ
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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
426157TCNMEDICARE ID-TYPE UNSPECIFIED (04)NJ 
C58567MEDICARE UPIN (02) 
1992601MEDICAID (05)NJ 

Medicare Participation & PECOS Enrollment Status

Ronald Pallant is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Ronald Pallant 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: 6002876455

    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: I20041103000695

    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? Maybe

    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.

Ultrasound study of arm or leg veins with compression and maneuvers

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

This service was performed 31 times for 31 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 07081 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $98.09
  • Minimum New Patient Price $63.84
  • Maximum New Patient Price $190.92
  • Average New Patient Copayment $24.52
  • Minimum New Patient Copayment $15.96
  • Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $79.09
  • Minimum Established Patient Price $20.97
  • Maximum Established Patient Price $155.92
  • Average Established Patient Copayment $19.77
  • Minimum Established Patient Copayment $5.24
  • Maximum Established Patient Copayment $38.98

* 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.

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. Ronald Pallant is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TRINITAS REGIONAL MEDICAL CENTER225 WILLIAMSON STREET
ELIZABETH, NJ 07207
(908) 994-5000Acute Care Hospitals

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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 1255322376, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 5 → 10 → 1 3 → 6 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 6 + 2 + 4 + 3 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1255322376.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Dentist
155 MORRIS AVE, SUITE 3
SPRINGFIELD, NJ 07081
Ophthalmology
155 MORRIS AVE, 3RD FLOOR, SUITE 2
SPRINGFIELD, NJ 07081
Ophthalmology
155 MORRIS AVE, SUITE 302
SPRINGFIELD, NJ 07081
Surgery
155 MORRIS AVE, 2ND FLOOR
SPRINGFIELD, NJ 07081
Optometrist
155 MORRIS AVE, SUITE 302
SPRINGFIELD, NJ 07081
Ophthalmology
155 MORRIS AVE, SUITE 302
SPRINGFIELD, NJ 07081
Optometrist
155 MORRIS AVE, STE 302
SPRINGFIELD, NJ 07081
Surgery
155 MORRIS AVE, SECIND FLOOR
SPRINGFIELD, NJ 07081
Surgery
155 MORRIS AVE, SECOND FLOOR
SPRINGFIELD, NJ 07081
Surgery
155 MORRIS AVE, SUITE 204
SPRINGFIELD, NJ 07081
Ophthalmology
155 MORRIS AVE, 3RD FLOOR, SUITE 2
SPRINGFIELD, NJ 07081
Optometrist
155 MORRIS AVE
SPRINGFIELD, NJ 07081
Social Worker
155 MORRIS AVE
SPRINGFIELD, NJ 07081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255322376, enumerated as an "individual" on October 31, 2005.

The provider is located at 155 MORRIS AVE SECOND FLOOR SPRINGFIELD, NJ 07081 and the phone number is (973) 232-2300.

Surgery with taxonomy code 208600000X.

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

Ronald Pallant is affiliated with: TRINITAS REGIONAL MEDICAL CENTER.