JAMIE MARIE O'BOYLE RD,LDN
NPI 1285295451
Dietitian, Registered in Broomall, PA

NPI Status: Active since June 27, 2019

Contact Information

1991 SPROUL RD
BROOMALL, PA
ZIP 19008
Phone: (484) 580-1000

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

Individual
Female
Years of Experience 13
Dietitian, Registered
Accepts Insurance
Accepts Medicare Approved Payment

About JAMIE O'BOYLE

This page provides the complete NPI Profile along with additional information for Jamie O'boyle, a provider established in Broomall, Pennsylvania with a medical specialization in Dietitian, Registered and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1285295451 assigned on June 2019. The practitioner's primary taxonomy code is 133V00000X with license number DN005475 (PA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI: 1285295451
Provider Name: JAMIE MARIE O'BOYLE RD,LDN
Gender: Female
Entity Type: Individual
Location Address: 1991 SPROUL RD BROOMALL, PA 19008
Location Phone: (484) 580-1000
Mailing Address: 611 VANDERSLICE ST PHOENIXVILLE, PA 19460
Mailing Phone: (484) 941-4150
Medical School Name: OTHER
Graduation Year: 2013
Is Sole Proprietor?: No
Enumeration Date: 06-27-2019
Last Update Date: 06-27-2019
Code Navigator

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: Dietitian, Registered
Taxonomy Code: 133V00000X
Type: Dietary & Nutritional Service Providers
License No.: DN005475
License State: PA
Taxonomy Description: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Insurance Plans Accepted

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

Highmark Blue Cross Blue Shield Delaware

my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
my Blue Access PPO Bronze 3800 - PPO
my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
my Blue Access PPO Bronze 8900 - PPO
my Blue Access PPO Gold 0 - PPO
my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
my Blue Access PPO Gold 1700 HSA - PPO
my Blue Access PPO Premier Gold 0 - PPO
my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
my Blue Access PPO Premier Platinum 0 - PPO
my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision - PPO
my Blue Access PPO Silver 7000 - PPO
my Blue Access PPO Standard Bronze 7500 - PPO
my Blue Access PPO Standard Gold 1500 - PPO
my Blue Access PPO Standard Platinum 0 - PPO
my Blue Access PPO Standard Silver 5000 - PPO
my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jamie O'boyle 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.

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.

PECOS PAC ID: 345578951
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: I20190821000207
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.

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $26.3 for an established patient copayment.

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 19008 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $0
Minimum New Patient Price $59.88
Maximum New Patient Price $180.99

Average New Patient Copayment $0
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.

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	8	5	2	9	5	4	5	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	16	5	4	9	10	4	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 9 + 1 + 0 + 4 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1									1

The NPI number 1285295451 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

DR. SHARON F RUDO MD

Obstetrics & Gynecology

1991 SPROUL RD
SUITE 200
BROOMALL, PA
ZIP 19008

About JAMIE O'BOYLE

Location Map

Specialty - Primary Taxonomy

Dietitian, Registered

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

PECOS PAC ID: 345578951

PECOS Enrollment ID: I20190821000207

Accepts Medicare Assignment? Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for JAMIE MARIE O'BOYLE RD,LDN

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions