DR. JOSEPH FRANCIS GIRONE M.D.
NPI 1366692253
Internal Medicine - Nephrology in Cherry Hill, NJ

PECOS Enrollment and Medicare Participation Status

Joseph Girone 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: 1658520176

  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: I20140303000856

  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

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.

Prosthetic and Orthotic Devices

• Prosthetic/Orthotic devices (D1F)

  Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each (HCPCS:A4417)

  1 DME suppliers used 11 Medicare Claims 660 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Tracheostomy, inner cannula (HCPCS:A4623)

  1 DME suppliers used 41 Medicare Claims 2287 Services Paid

• Prosthetic/Orthotic devices (D1F)

  Tracheostomy tube collar/holder, each (HCPCS:A7526)

  1 DME suppliers used 41 Medicare Claims 1234 Services Paid

Durable Medical Equipment

• Other DME (D1E)

  Tracheal suction catheter, any type other than closed system, each (HCPCS:A4624)

  1 DME suppliers used 41 Medicare Claims 3570 Services Paid

• Other DME (D1E)

  Iv pole (HCPCS:E0776)

  1 DME suppliers used 21 Medicare Claims 21 Services Paid

Drugs and Nutritional Products

• Enteral and parenteral (O1C)

  Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4034)

  1 DME suppliers used 13 Medicare Claims 91 Services Paid

• Enteral and parenteral (O1C)

  Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)

  1 DME suppliers used 95 Medicare Claims 732 Services Paid

• Enteral and parenteral (O1C)

  Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4036)

  1 DME suppliers used 230 Medicare Claims 2478 Services Paid

• Enteral and parenteral (O1C)

  Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4150)

  1 DME suppliers used 81 Medicare Claims 11005 Services Paid

• Enteral and parenteral (O1C)

  Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4152)

  1 DME suppliers used 232 Medicare Claims 29950 Services Paid

• Enteral and parenteral (O1C)

  Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4154)

  1 DME suppliers used 24 Medicare Claims 3112 Services Paid

• Enteral and parenteral (O1C)

  Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4155)

  1 DME suppliers used 84 Medicare Claims 5859 Services Paid

• Enteral and parenteral (O1C)

  Enteral nutrition infusion pump, any type (HCPCS:B9002)

  1 DME suppliers used 14 Medicare Claims 14 Services Paid

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NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

The NPI number 1366692253 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions