DR. ARI COHEN D.O.
NPI 1386085264
Hospitalist in West Palm Beach, FL

NPI Status: Active since July 09, 2013

Contact Information

901 45TH ST
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 882-4541
Fax: (561) 650-6093

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  • Individual
  • Male
  • Years of Experience 15
  • Hospitalist
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ARI COHEN

Ari Cohen is a provider established in West Palm Beach, Florida and his medical specialization is Hospitalist with more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1386085264 assigned on July 2013. The practitioner's primary taxonomy code is 208M00000X with license number OS12255 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1386085264
Provider Name
DR. ARI COHEN D.O.
Gender
Male
Entity Type
Individual
Location Address
901 45TH ST WEST PALM BEACH, FL 33407
Location Phone
(561) 882-4541
Location Fax
(561) 650-6093
Mailing Address
901 45TH ST WEST PALM BEACH, FL 33407
Mailing Phone
(954) 632-7931
Mailing Fax
(561) 650-6093
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
Yes
Enumeration Date
07-09-2013
Last Update Date
07-21-2022
Code Navigator

Ari Cohen 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.38 for a new patient copayment and $27.09 for an established patient copayment.

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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS12255
License State
FL
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

OS12255 (FL)

Insurance Plans Accepted

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

  • Molina Healthcare

    • Bronze 4 - HMO
    • Bronze 8 - HMO
    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Gold 8 with Rx Copay - HMO
    • Silver 1 - HMO
    • Silver 1 250 - HMO
    • Silver 1 250 with Adult Vision Services - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 1 with Rx Copay and Adult Vision Services - HMO
    • Silver 12 - HMO
    • Silver 12 250 with First 4 Primary Care Visits Free - HMO
    • Silver 12 with first 4 free PCP or MH visits - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Oscar Insurance Company of Florida

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Elite + Specialist Saver Plus - EPO
    • Bronze Elite Saver Plus - EPO
    • Gold Classic - EPO
    • Gold Classic Standard - EPO
    • Gold Elite - EPO
    • Gold Elite Saver Plus - EPO
    • Secure - EPO
    • Silver Classic - EPO
    • Silver Classic Standard - EPO
    • Silver Elite - EPO
    • Silver Elite Saver Plus - EPO
  • Medicare

  • Medicaid


*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
009328400MEDICAID (05)FL 

PECOS Enrollment and Medicare Participation Status

Ari Cohen 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: 4082840392

    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: I20131114001878

    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.

Durable Medical Equipment

  • Wheelchairs (D1D)

    Lightweight wheelchair (HCPCS:K0003)

    1 DME suppliers used 11 Medicare Claims 11 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 33407 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $141.52
  • Minimum New Patient Price $61.36
  • Maximum New Patient Price $187
  • Average New Patient Copayment $35.38
  • Minimum New Patient Copayment $15.34
  • Maximum New Patient Copayment $46.75

Established Patients Visit Costs *

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

  • Average Established Patient Price $108.36
  • Minimum Established Patient Price $18.68
  • Maximum Established Patient Price $151.65
  • Average Established Patient Copayment $27.09
  • Minimum Established Patient Copayment $4.67
  • Maximum Established Patient Copayment $37.91

* 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.

Hospital Affiliations

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. Ari Cohen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST MARY'S MEDICAL CENTER901 45TH ST
WEST PALM BEACH, FL 33407
(561) 840-6202Acute Care Hospitals

Reviews for DR. ARI COHEN D.O.

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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.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386085264
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231660810212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 0 + 8 + 1 + 0 + 2 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1386085264 is valid because the calculated check digit 4 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.

NPI Name / Type Taxonomy Address
1295720241STERLING EMERGENCY SERVICES OF FLORIDA PA
Organization
Emergency Medicine901 45TH ST
WEST PALM BEACH, FL 33407
(561) 844-6300
1720061674DR. SUNDERAM KODMAN SHETTY M.D., F.A.C.R.O.
Individual
Specialist901 45TH ST KAPLAN CANCER CENTER, ST MARYS HOSPITAL
WEST PALM BEACH, FL 33407
(561) 881-2815
1235107343 PAMELA HOURI MD
Individual
Emergency Medicine901 45TH ST
WEST PALM BEACH, FL 33407
(561) 882-9944
1124097761 GUILLERMO VILA-SOTOMAYOR MD
Individual
Pediatrics901 45TH ST
WEST PALM BEACH, FL 33407
(561) 844-6300
1457320822 FRANCES RODRIGUEZ MD
Individual
Emergency Medicine901 45TH ST
WEST PALM BEACH, FL 33407
(561) 882-9944
1558323683 ELIZABETH SHARPE ARNP
Individual
Nurse Practitioner (Neonatal, Critical Care)901 45TH ST
WEST PALM BEACH, FL 33407
(561) 881-2980
1316909468 HELEN ALICE RINER ARNP
Individual
Nurse Practitioner (Neonatal, Critical Care)901 45TH ST
WEST PALM BEACH, FL 33407
(561) 881-2980
1588627442MRS. KATHLEEN ANN BISCHOFF ARNP
Individual
Nurse Practitioner (Neonatal)901 45TH ST
WEST PALM BEACH, FL 33407
(561) 881-2980
1780648899DR. ENOCH CORDOBA M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)901 45TH ST
WEST PALM BEACH, FL 33407
(561) 881-2980
1356307037DR. DAVID MORRIS KANTER MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)901 45TH ST ST. MARY'S MEDICAL CENTER NICU
WEST PALM BEACH, FL 33407
(561) 840-6220
1417907460DR. LERMA UY TE M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)901 45TH ST
WEST PALM BEACH, FL 33407
(561) 881-2980
1710938386STERLING HOSPITALISTS OF FLORIDA PA
Organization
Internal Medicine901 45TH ST
WEST PALM BCH, FL 33407
(561) 844-6300
1639126840ANESTHESIA AND CRITICAL CARE SPECIALISTS OF PALM BEACH, PA
Organization
Anesthesiology901 45TH ST
WEST PALM BEACH, FL 33407
(561) 840-3444
1629016332 ELLEN GERRITY NP
Individual
Nurse Practitioner901 45TH ST EMERGENCY DEPARTMENT
WEST PALM BEACH, FL 33407
(561) 844-6300
1386672699 NIDHI SINHA M.D.
Individual
Anesthesiology901 45TH ST
WEST PALM BEACH, FL 33407
(516) 844-6300
1245260488 HEIDI COHEN MD
Individual
Emergency Medicine901 45TH ST
WEST PALM BEACH, FL 33407
(561) 844-6300
1649284076RADIATION ONCOLOGY SPECIALISTS OF THE PALM BEACHES, L.L.C.
Organization
Specialist901 45TH ST KAPLAN CANCER CENTER
WEST PALM BEACH, FL 33407
(561) 881-2815
1124035878 EDDIE HENRY CARTER CRNA
Individual
Nurse Anesthetist, Certified Registered901 45TH ST
WEST PALM BEACH, FL 33407
(561) 840-3444
1316050040 SUE S GOLDFINGER MD
Individual
Specialist901 45TH ST
WEST PALM BEACH, FL 33407
(561) 840-6181
1750478061DR. PHILIP LEVITT MD
Individual
Neurological Surgery901 45TH ST ST MARYS MEDICAL CENTER
WEST PALM BEACH, FL 33407
(561) 844-6300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386085264, enumerated in the NPI registry as an "individual" on July 09, 2013

The provider is located at 901 45th St West Palm Beach, Fl 33407 and the phone number is (561) 882-4541

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider has more than 15 years of experience.

The provider might be accepting Accepts: Molina Healthcare, Oscar Insurance Company of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $141.52 with an average copayment of $35.38 for new patient appointments. Established patients should expect a typical charge of $108.36 and an average copayment of 27.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): ST MARY'S MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 09, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.