JUSTIN MAUCH MD
NPI 1295081461
Radiology - Neuroradiology in Grand Forks, ND

NPI Status: Active since July 25, 2012

Contact Information

1200 S COLUMBIA RD
GRAND FORKS, ND
ZIP 58201
Phone: (701) 780-5000
Fax: (701) 780-4477

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  • Individual
  • Male
  • Years of Experience 14
  • Radiology
  • Neuroradiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JUSTIN MAUCH

This page provides the complete NPI Profile along with additional information for Justin Mauch, a provider established in Grand Forks, North Dakota with a medical specialization in Radiology, focusing in neuroradiology and more than 14 years of experience. He graduated from University Of North Dakota School Of Medicine in 2012. The healthcare provider is registered in the NPI registry with number 1295081461 assigned on July 2012. The practitioner's primary taxonomy code is 2085N0700X with license number PT15146 (ND). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1295081461
Provider Name
JUSTIN MAUCH MD
Gender
Male
Entity Type
Individual
Location Address
1200 S COLUMBIA RD GRAND FORKS, ND 58201
Location Phone
(701) 780-5000
Location Fax
(701) 780-4477
Mailing Address
2401 DEMERS AVE GRAND FORKS, ND 58201
Mailing Phone
(701) 780-1891
Mailing Fax
(701) 780-4477
Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
07-25-2012
Last Update Date
06-15-2018
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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 Neuroradiology

Taxonomy Code
2085N0700X
Type
Allopathic & Osteopathic Physicians
License No.
PT15146
License State
ND
Taxonomy Description
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

PT15146 (ND)
22085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

56991 (MN)
32085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

107077 (MN)

Insurance Plans Accepted

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

  • BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
  • BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

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

Medicare Participation & PECOS Enrollment Status

Justin Mauch 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.

Justin Mauch 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: 547401564

    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: I20181019002186

    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.

Ct scan head or brain without contrast

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

This service was performed 504 times for 425 patients

Ct scan of blood vessels of head with contrast

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

This service was performed 115 times for 109 patients

Ct scan of blood vessels of neck with contrast

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

This service was performed 120 times for 116 patients

Ct scan of face without contrast

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

This service was performed 40 times for 39 patients

Ct scan of lower spine with contrast

A CT scan of the lower spine with contrast is a non-invasive imaging test that uses X-ray technology and a contrast dye to create detailed pictures of your lower spine. It helps in diagnosing conditions like herniated discs, fractures, or tumors.

This service was performed 30 times for 30 patients

Ct scan of lower spine without contrast

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

This service was performed 45 times for 43 patients

Ct scan of middle spine with contrast

A CT scan of the middle spine with contrast is a detailed imaging test. A special dye is used to highlight areas in your spine, providing clearer pictures. It helps doctors diagnose issues such as injuries, infections, or diseases in that area.

This service was performed 12 times for 12 patients

Ct scan of middle spine without contrast

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

This service was performed 16 times for 16 patients

Ct scan of soft tissue of neck with contrast

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

This service was performed 39 times for 35 patients

Ct scan of upper spine without contrast

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

This service was performed 128 times for 123 patients

Limited or follow-up ct scan

A limited or follow-up CT scan is a procedure where a specialized X-ray machine takes multiple images of your body from different angles. This scan focuses on a specific area and helps doctors track progress or changes after treatment or over time. It's non-invasive and usually quick.

This service was performed 26 times for 24 patients

Mri scan of blood vessels of head without contrast

An MRI scan of the head's blood vessels without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the blood vessels in your head. This helps doctors diagnose conditions such as stroke, aneurysm, or other vascular disorders.

This service was performed 50 times for 50 patients

Mri scan of blood vessels of neck before and after contrast

An MRI scan of the neck's blood vessels, both before and after contrast, is a non-invasive imaging test that uses a magnetic field and radio waves to create detailed images. Contrast dye helps highlight the vessels more clearly. This helps in diagnosing conditions like blockages or abnormalities.

This service was performed 23 times for 23 patients

Mri scan of bone of eye socket, face, and/or neck before and after contrast

An MRI scan of the eye socket, face, and/or neck uses magnetic fields to create detailed images of these areas. Contrast dye helps highlight specific tissues for clearer pictures. It's non-invasive, aids in detecting abnormalities, and guides treatment plans.

This service was performed 17 times for 16 patients

Mri scan of brain before and after contrast

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

This service was performed 269 times for 252 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 125 times for 124 patients

Mri scan of lower spinal canal before and after contrast

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

This service was performed 55 times for 51 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 256 times for 251 patients

Mri scan of middle spinal canal before and after contrast

An MRI scan of the middle spinal canal with contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your spine, both before and after a contrast dye is injected. The dye helps to highlight certain structures, providing a clearer picture for diagnosis.

This service was performed 26 times for 24 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 46 times for 45 patients

Mri scan of upper spinal canal before and after contrast

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

This service was performed 36 times for 33 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 116 times for 116 patients

X-ray of lower spinal canal with review by radiologist

An X-ray of the lower spinal canal is a non-invasive imaging test that allows a radiologist to view your lower spine. The procedure helps in identifying conditions such as fractures, infections, or disc problems. The radiologist will review and interpret the X-ray images.

This service was performed 17 times for 17 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. Justin Mauch is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ALTRU HOSPITAL1200 S COLUMBIA RD
GRAND FORKS, ND 58201
(701) 780-5000Acute Care Hospitals
NELSON COUNTY HEALTH SYSTEM200 N MAIN ST
MCVILLE, ND 58254
(701) 322-4328Critical Access Hospitals
UNITY MEDICAL CENTER164 W 13TH STREET
GRAFTON, ND 58237
(701) 352-1620Critical Access Hospitals
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION909 2ND ST
LANGDON, ND 58249
(701) 256-6100Critical Access Hospitals
HEART OF AMERICA MEDICAL CENTER800 S MAIN AVE
RUGBY, ND 58368
(701) 776-5261Critical Access 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 1295081461, 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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
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 9 → 18 → 9 0 → 0 1 → 2 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 + 1 + 8 + 5 + 0 + 8 + 2 + 4 + 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 1295081461.

Other Providers at the Same Location


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

Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Pathology (Anatomic Pathology & Clinical Pathology)
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Family Medicine
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Family Medicine
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Internal Medicine
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Anesthesiology (Pain Medicine)
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Emergency Medicine
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Practitioner
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Emergency Medicine
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Anesthesiology
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Practitioner
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Anesthetist, Certified Registered
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Pathology (Anatomic Pathology & Clinical Pathology)
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Pathology (Anatomic Pathology & Clinical Pathology)
1200 S COLUMBIA RD
GRAND FORKS, ND 58201
Anesthesiology
1200 S COLUMBIA RD
GRAND FORKS, ND 58201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295081461, enumerated as an "individual" on July 25, 2012.

The provider is located at 1200 S COLUMBIA RD GRAND FORKS, ND 58201 and the phone number is (701) 780-5000.

Radiology with taxonomy code 2085N0700X and a focus in Neuroradiology.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota and Sanford. Please consult your insurance carrier or call the provider to verify.

Justin Mauch is affiliated with: ALTRU HOSPITAL, NELSON COUNTY HEALTH SYSTEM, UNITY MEDICAL CENTER, CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION and HEART OF AMERICA MEDICAL CENTER.