ORIN HANSEN MD
NPI 1346770724
Family Medicine in Ventura, CA

NPI Status: Active since June 18, 2017

Contact Information

3291 LOMA VISTA RD
VENTURA, CA
ZIP 93003
Phone: (805) 652-6000

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  • Individual
  • Male
  • Family Medicine
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About ORIN HANSEN

This page provides the complete NPI Profile along with additional information for Orin Hansen, a primary care provider established in Ventura, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1346770724 assigned on June 2017. The practitioner's primary taxonomy code is 207Q00000X with license number A160204 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1346770724
Provider Name
ORIN HANSEN MD
Gender
Male
Entity Type
Individual
Location Address
3291 LOMA VISTA RD VENTURA, CA 93003
Location Phone
(805) 652-6000
Mailing Address
2323 KNOLL DR # 219 VENTURA, CA 93003
Is Sole Proprietor?
No
Enumeration Date
06-18-2017
Last Update Date
06-25-2020
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A primary care provider (PCP) like Orin Hansen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Orin Hansen opted out of Medicare effective on 03-05-2025 until 03-05-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
A160204
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

MED-PHYS-LIC-87988 (MT)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

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

  • Peak PPO Bronze HDHP - PPO
  • Peak PPO Bronze Standard - PPO
  • Peak PPO Catastrophic - PPO
  • Peak PPO Gold - PPO
  • Peak PPO Gold Standard - PPO
  • Peak PPO Silver - PPO
  • Peak PPO Silver Standard - PPO
  • Plus Bronze - PPO
  • Plus Bronze Standard - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • Rocky Mountain Bronze Standard - PPO
  • Rocky Mountain Gold Standard - PPO
  • Rocky Mountain Silver Standard - PPO
  • PEAK PPO BRONZE - PPO
  • PEAK PPO BRONZE HDHP - PPO
  • PEAK PPO GOLD - PPO
  • PEAK PPO GOLD HDHP - PPO
  • PEAK PPO SILVER - PPO

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

Medicare Participation & PECOS Enrollment Status

Orin Hansen 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 03-05-2025

  • Opt-Out End Date: 03-05-2027

  • Eligible to Order and Refer? 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

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 93003 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $95.28
  • Minimum New Patient Price $62.32
  • Maximum New Patient Price $185.36
  • Average New Patient Copayment $23.82
  • Minimum New Patient Copayment $15.58
  • Maximum New Patient Copayment $46.34

Established Patients Visit Costs *

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

  • Average Established Patient Price $108.74
  • Minimum Established Patient Price $20.68
  • Maximum Established Patient Price $151.85
  • Average Established Patient Copayment $27.18
  • Minimum Established Patient Copayment $5.17
  • Maximum Established Patient Copayment $37.96

* 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.

Reviews for ORIN HANSEN MD

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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 1346770724, 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
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
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 4 → 8 7 → 14 → 5 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 1 + 4 + 7 + 0 + 7 + 4 + 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 1346770724.

Other Providers at the Same Location


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

Pediatrics (Pediatric Hematology-Oncology)
3291 LOMA VISTA RD, SUITE 301 BLDG 340
VENTURA, CA 93003
Emergency Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Pediatrics (Neonatal-Perinatal Medicine)
3291 LOMA VISTA RD
VENTURA, CA 93003
Pediatrics (Neonatal-Perinatal Medicine)
3291 LOMA VISTA RD
VENTURA, CA 93003
Radiology (Diagnostic Radiology)
3291 LOMA VISTA RD, DEPARTMENT OF RADIOLOGY VCMC
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Radiology (Diagnostic Radiology)
3291 LOMA VISTA RD
VENTURA, CA 93003
Internal Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Psychiatry & Neurology (Psychiatry)
3291 LOMA VISTA RD
VENTURA, CA 93003
Internal Medicine (Rheumatology)
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Internal Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Radiology (Diagnostic Radiology)
3291 LOMA VISTA RD
VENTURA, CA 93003
Internal Medicine (Medical Oncology)
3291 LOMA VISTA RD
VENTURA, CA 93003
Radiology (Diagnostic Radiology)
3291 LOMA VISTA RD
VENTURA, CA 93003
Surgery
3291 LOMA VISTA RD, SUITE 401
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346770724, enumerated as an "individual" on June 18, 2017.

The provider is located at 3291 LOMA VISTA RD VENTURA, CA 93003 and the phone number is (805) 652-6000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to verify.