PAUL THOMAS MARSH DO
NPI 1255374534
Radiology - Diagnostic Radiology in Fort Worth, TX

NPI Status: Active since June 14, 2006

Contact Information

1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 738-6571
Fax: (817) 738-6573

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  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • PECOS Enrolled

About PAUL MARSH

This page provides the complete NPI Profile along with additional information for Paul Marsh, a provider established in Fort Worth, Texas with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1255374534 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X with license number H9545 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1255374534
Provider Name
PAUL THOMAS MARSH DO
Gender
Male
Entity Type
Individual
Location Address
1500 S MAIN ST FORT WORTH, TX 76104
Location Phone
(817) 738-6571
Location Fax
(817) 738-6573
Mailing Address
PO BOX 1888 GREENVILLE, TX 75403
Mailing Phone
(800) 945-2455
Mailing Fax
(817) 738-6573
Is Sole Proprietor?
No
Enumeration Date
06-14-2006
Last Update Date
05-14-2008
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
H9545
License State
TX
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

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

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - 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
F57328MEDICARE UPIN (02) 
P00283059MEDICARE PIN (08)TX 
101479706MEDICAID (05)TX 
8F0962MEDICARE PIN (08)TX 

Medicare Participation & PECOS Enrollment Status

Paul Marsh 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

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.

Mri scan of arm joint without contrast

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

This service was performed 79 times for 72 patients

Mri scan of brain without contrast

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

This service was performed 50 times for 49 patients

Mri scan of leg joint without contrast

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

This service was performed 128 times for 113 patients

Mri scan of leg without contrast

An MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.

This service was performed 29 times for 29 patients

Mri scan of lower spinal canal without contrast

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

This service was performed 153 times for 153 patients

Mri scan of middle spinal canal without contrast

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

This service was performed 24 times for 23 patients

Mri scan of upper spinal canal without contrast

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

This service was performed 58 times for 57 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 76104 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $87.2
  • Minimum New Patient Price $56.47
  • Maximum New Patient Price $171.07
  • Average New Patient Copayment $21.8
  • Minimum New Patient Copayment $14.11
  • Maximum New Patient Copayment $42.76

Established Patients Visit Costs *

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

  • Average Established Patient Price $70.45
  • Minimum Established Patient Price $18.18
  • Maximum Established Patient Price $139.68
  • Average Established Patient Copayment $17.61
  • Minimum Established Patient Copayment $4.54
  • Maximum Established Patient Copayment $34.92

* 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.

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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 1255374534, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 4 → 8 3 → 6

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 + 7 + 8 + 5 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1255374534.

Other Providers at the Same Location


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

Anesthesiology
1500 S MAIN ST, JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY
FORT WORTH, TX 76104
General Acute Care Hospital
1500 S MAIN ST, PHYSICIAN SERVICES
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FORT WORTH
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY HEALTH CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, DEPT. OF FAMILY MEDICINE
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
1500 S MAIN ST
FORT WORTH, TX 76104
Emergency Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner
1500 S MAIN ST
FORT WORTH, TX 76104
Pediatrics
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner
1500 S MAIN ST
FORT WORTH, TX 76104
Pediatrics
1500 S MAIN ST
FORT WORTH, TX 76104
Dermatology
1500 S MAIN ST
FORT WORTH, TX 76104
Internal Medicine (Gastroenterology)
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1500 S MAIN ST
FORT WORTH, TX 76104
Internal Medicine (Medical Oncology)
1500 S MAIN ST
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255374534, enumerated as an "individual" on June 14, 2006.

The provider is located at 1500 S MAIN ST FORT WORTH, TX 76104 and the phone number is (817) 738-6571.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.