DR. RICHARD YAN M.D.
NPI 1306959812
Pediatrics in Schenectady, NY

NPI Status: Active since August 17, 2006

Contact Information

700 MCCLELLAN ST
SCHENECTADY, NY
ZIP 12304
Phone: (518) 372-5637
Fax: (518) 355-3996

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  • Individual
  • Male
  • Pediatrics
  • PECOS Enrolled

About RICHARD YAN

This page provides the complete NPI Profile along with additional information for Richard Yan, a pediatrician established in Schenectady, New York with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1306959812 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X with license number 161257 (NY). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1306959812
Provider Name
DR. RICHARD YAN M.D.
Gender
Male
Entity Type
Individual
Location Address
700 MCCLELLAN ST SCHENECTADY, NY 12304
Location Phone
(518) 372-5637
Location Fax
(518) 355-3996
Mailing Address
711 TROY SCHENECTADY RD STE 203 LATHAM, NY 12110
Mailing Phone
(518) 782-3700
Mailing Fax
(518) 355-3996
Is Sole Proprietor?
No
Enumeration Date
08-17-2006
Last Update Date
01-17-2018
Code Navigator

A pediatrician like Richard Yan is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
161257
License State
NY
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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.

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
10031234OTHER (01)NYCDPHP
070124000080OTHER (01)NYFIDELIS
000493509001OTHER (01)NYBSNENY
571281OTHER (01)NYEMPIRE BC
01160232MEDICAID (05)NY 
200182OTHER (01)NYSENIOR WHOLE HEALTH
47371OTHER (01)NYGHI/HMO
7845588OTHER (01)NYAETNA
26256OTHER (01)NYMVP

Medicare Participation & PECOS Enrollment Status

Richard Yan 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    3 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    3 DME suppliers used 12 Medicare Claims 30 Services Paid

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    3 DME suppliers used 11 Medicare Claims 40 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    3 DME suppliers used 16 Medicare Claims 16 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    4 DME suppliers used 20 Medicare Claims 20 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    3 DME suppliers used 30 Medicare Claims 30 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    4 DME suppliers used 23 Medicare Claims 120 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    4 DME suppliers used 15 Medicare Claims 15 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    2 DME suppliers used 22 Medicare Claims 22 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    1 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    2 DME suppliers used 37 Medicare Claims 37 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    4 DME suppliers used 126 Medicare Claims 126 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    4 DME suppliers used 120 Medicare Claims 120 Services Paid

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 12304 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

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

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* 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 1306959812, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 0 → 0 9 → 18 → 9 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 1 + 8 + 5 + 1 + 8 + 8 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1306959812.

Other Providers at the Same Location


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

Obstetrics & Gynecology
700 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Obstetrics & Gynecology
700 MCCLELLAN ST
SCHENECTADY, NY 12304
Obstetrics & Gynecology
700 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Nurse Practitioner (Family)
700 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Pediatrics
700 MCCLELLAN ST
SCHENECTADY, NY 12304
Pediatrics
700 MCCLELLAN ST
SCHENECTADY, NY 12304
Obstetrics & Gynecology
700 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Ophthalmology
700 MCCLELLAN ST
SCHENECTADY, NY 12304
Surgery
700 MCCLELLAN ST, SUITE 205
SCHENECTADY, NY 12304
Otolaryngology
700 MCCLELLAN ST, SUITE 203
SCHENECTADY, NY 12304
Otolaryngology
700 MCCLELLAN ST, SUITE 203
SCHENECTADY, NY 12304
Advanced Practice Midwife
700 MCCLELLAN ST, SUITE 206
SCHENECTADY, NY 12304
Ophthalmology
700 MCCLELLAN ST, ST. CLARE'S MEDICAL ARTS BUILDING
SCHENECTADY, NY 12304
Ophthalmology
700 MCCLELLAN ST, ST. CLARE'S MEDICAL ARTS BUILDING
SCHENECTADY, NY 12304
Psychologist
700 MCCLELLAN ST
SCHENECTADY, NY 12304
Ophthalmology
700 MCCLELLAN ST, SUITE 102
SCHENECTADY, NY 12304
Otolaryngology
700 MCCLELLAN ST, SUITE 700
SCHENECTADY, NY 12304
Obstetrics & Gynecology
700 MCCLELLAN ST, SUITE 101
SCHENECTADY, NY 12304
Internal Medicine (Nephrology)
700 MCCLELLAN ST, ST. CLARE'S MEDICAL ARTS BLDG, SUITE103
SCHENECTADY, NY 12304
Ophthalmology
700 MCCLELLAN ST, SUITE 102
SCHENECTADY, NY 12304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306959812, enumerated as an "individual" on August 17, 2006.

The provider is located at 700 MCCLELLAN ST SCHENECTADY, NY 12304 and the phone number is (518) 372-5637.

Pediatrics with taxonomy code 208000000X.

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