LEE A BAGGOTT MD
NPI 1396778619
Preventive Medicine - Aerospace Medicine in Cleveland, OH
NPI Status: Active since July 09, 2006
Contact Information
BURKE LAKEFRONT AIRPORT
1501 N MARGINAL RD. SUITE 162
CLEVELAND, OH
ZIP 44114
Phone: (216) 333-7051
- Individual
- Female
- Preventive Medicine
- Aerospace Medicine
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About LEE BAGGOTT
This page provides the complete NPI Profile along with additional information for Lee Baggott, a provider established in Cleveland, Ohio with a medical specialization in Preventive Medicine, focusing in aerospace medicine . The healthcare provider is registered in the NPI registry with number 1396778619 assigned on July 2006. The practitioner's primary taxonomy code is 2083A0100X with license number 35.099043 (OH). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1396778619
- Provider Name
- LEE A BAGGOTT MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- BURKE LAKEFRONT AIRPORT 1501 N MARGINAL RD. SUITE 162 CLEVELAND, OH 44114
- Location Phone
- (216) 333-7051
- Mailing Address
- PO BOX 83 GATES MILLS, OH 44040
- Mailing Phone
- (216) 333-7051
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-09-2006
- Last Update Date
- 12-24-2024
- Code Navigator
Location Map
Secondary Locations
- 163 Van Buren Rd
Caribou, ME 04736
(207) 498-3111
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
Preventive Medicine Aerospace Medicine
- Taxonomy Code
- 2083A0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35.099043
- License State
- OH
- Taxonomy Description
- Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
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) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | MD12941 (ME) |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 35.099043 (OH) |
| 3 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | MD12941 (ME) |
| 4 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | 35.099043 (OH) |
| 5 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | 35.099043 (OH) |
| 6 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | MD12941 (ME) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
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.
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.
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 |
|---|---|---|---|
| 046076 | OTHER (01) | ME | ANTHEM BLUE CROSS BLUE SHIELD |
| M59001 | OTHER (01) | ME | CIGNA |
| 5757272 | OTHER (01) | ME | AETNA |
| 000000851675 | OTHER (01) | OH | ANTHEM BLUE CROSS BLUE SHIELD |
| 0094506 | MEDICAID (05) | OH | |
| 189790000 | MEDICAID (05) | ME | |
| P01772689 | OTHER (01) | OH | RAILROAD MEDICARE |
| P00024541 | OTHER (01) | ME | RAILROAD MEDICARE |
Medicare Participation & PECOS Enrollment Status
Lee Baggott 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)
Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)
2 DME suppliers used 12 Medicare Claims 28 Services Paid
DME-Other DME (DE001N)
Tubing used with positive airway pressure device (HCPCS:A7037)
5 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
5 DME suppliers used 22 Medicare Claims 88 Services Paid
DME-Other DME (DE000N)
Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)
3 DME suppliers used 16 Medicare Claims 16 Services Paid
Drugs Administered Through DME
DME-Drugs Administered Through DME (DG006N)
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme (HCPCS:J7620)
2 DME suppliers used 13 Medicare Claims 930 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 44114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 69% | 85 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
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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 1396778619, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396778619, enumerated as an "individual" on July 09, 2006.
The provider is located at BURKE LAKEFRONT AIRPORT 1501 N MARGINAL RD. SUITE 162 CLEVELAND, OH 44114 and the phone number is (216) 333-7051.
Preventive Medicine with taxonomy code 2083A0100X and a focus in Aerospace Medicine.
The provider might be accepting Accepts: CareSource, Blue Cross Blue Shield, Anthem Blue. Please consult your insurance carrier or call the provider to verify.
