JOSEPH GORDON KRAININ MD
NPI 1386792307
Psychiatry & Neurology - Neurology in Charleston, SC

NPI Status: Active since January 08, 2007

Contact Information

171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-1414

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology
  • Accepts Insurance
  • PECOS Enrolled

About JOSEPH KRAININ

This page provides the complete NPI Profile along with additional information for Joseph Krainin, a provider established in Charleston, South Carolina with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1386792307 assigned on January 2007. The practitioner's primary taxonomy code is 2084N0400X with license number ME117836 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1386792307
Provider Name
JOSEPH GORDON KRAININ MD
Gender
Male
Entity Type
Individual
Location Address
171 ASHLEY AVE CHARLESTON, SC 29425
Location Phone
(843) 792-1414
Mailing Address
2 SHIRCLIFF WAY STE 300 JACKSONVILLE, FL 32204
Mailing Phone
(904) 308-7959
Is Sole Proprietor?
No
Enumeration Date
01-08-2007
Last Update Date
06-02-2022
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
ME117836
License State
FL
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

37156 (SC)
22084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

MD60603804 (WA)
32084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

DR.0057012 (CO)
42084S0012XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Sleep Medicine

4301091617 (MI)

Insurance Plans Accepted

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

  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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

Medicare Participation & PECOS Enrollment Status

Joseph Krainin 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)

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

    3 DME suppliers used 13 Medicare Claims 36 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0471)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

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.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 27 times for 25 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 31 times for 30 patients

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 29425 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $124.04
  • Minimum New Patient Price $53.57
  • Maximum New Patient Price $163.84
  • Average New Patient Copayment $31.01
  • Minimum New Patient Copayment $13.39
  • Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

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

  • Average Established Patient Price $95.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $133.52
  • Average Established Patient Copayment $23.78
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $33.38

* 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 1386792307, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
7
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 8 → 16 → 7 7 → 14 → 5 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 4 + 9 + 4 + 3 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1386792307.

Other Providers at the Same Location


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

Physician Assistant
171 ASHLEY AVE
CHARLESTON, SC 29425
Emergency Medicine
171 ASHLEY AVE, EMERGENCY MEDICINE
CHARLESTON, SC 29425
Radiology (Diagnostic Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Otolaryngology
171 ASHLEY AVE
CHARLESTON, SC 29425
Neurological Surgery
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Neuroradiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Pharmacist (Pharmacotherapy)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Internal Medicine
171 ASHLEY AVE
CHARLESTON, SC 29425
Thoracic Surgery (Cardiothoracic Vascular Surgery)
171 ASHLEY AVE
CHARLESTON, SC 29425
Pediatrics (Neonatal-Perinatal Medicine)
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker (Clinical)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pediatrics (Pediatric Gastroenterology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Obstetrics & Gynecology
171 ASHLEY AVE
CHARLESTON, SC 29425
Specialist/Technologist (Athletic Trainer)
171 ASHLEY AVE, MSC 622
CHARLESTON, SC 29425
Surgery (Surgical Critical Care)
171 ASHLEY AVE
CHARLESTON, SC 29425
Internal Medicine (Nephrology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
171 ASHLEY AVE
CHARLESTON, SC 29425
Midwife
171 ASHLEY AVE
CHARLESTON, SC 29425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386792307, enumerated as an "individual" on January 08, 2007.

The provider is located at 171 ASHLEY AVE CHARLESTON, SC 29425 and the phone number is (843) 792-1414.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.