PATRICIA TRAN
NPI 1417217084
Pediatrics in Huntington, WV
NPI Status: Active since May 16, 2012
Contact Information
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
Phone: (304) 526-2273
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About PATRICIA TRAN
This page provides the complete NPI Profile along with additional information for Patricia Tran, a pediatrician established in Huntington, West Virginia with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1417217084 assigned on May 2012. The practitioner's primary taxonomy code is 208000000X with license number 29892 (WV). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1417217084
- Provider Name
- PATRICIA TRAN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1340 HAL GREER BLVD HUNTINGTON, WV 25701
- Location Phone
- (304) 526-2273
- Mailing Address
- 1600 MEDICAL CENTER DR STE 3500 HUNTINGTON, WV 25701
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-16-2012
- Last Update Date
- 07-28-2020
- Code Navigator
A pediatrician like Patricia Tran is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 29892
- License State
- WV
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 009134 (GA) |
| 2 | 390200000X | Student, 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:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Patricia Tran 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
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 25701 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.49
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $20.87
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.81
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $23.7
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* 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 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. | |||||||||
| 1 | 4 | 1 | 7 | 2 | 1 | 7 | 0 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 4 | 1 | 14 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 4 + 1 + 1 + 4 + 0 + 1 + 6 + 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 = 4 | 4 | ||||||||
The NPI number 1417217084 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.
DR. LORI KAY BENNETT MD
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HUNTINGTON, WV
ZIP 25701
DONALD ANDREW GROSS MD
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ZIP 25701
CABELL HUNTINGTON HOSPITAL INC
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1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
DR. HARRY DAVID HINCHMAN D.O.
Emergency Medicine
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
SHERRIE L BROWNING CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
FAROUK ABADIR M.D.
Anesthesiology
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
ANDREA R BENNETT CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
LEE A BIAS CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
SARA B DAVIS CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
CINDY L CHILDERS CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
JAMES E HULL CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
KATRINA S CRADDOCK CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
KIMBERLY G KARNES CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
SUSAN K HELMER CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
ZACHARY J MARCUM CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
SANDRA K MCDONALD CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
HECTOR J MARTINEZ CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
MICKEY J NEAL M.D.
Anesthesiology
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
DANNY W PAPPAS CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
TAMARA S MINNIX CRNA
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417217084, enumerated as an "individual" on May 16, 2012.
The provider is located at 1340 HAL GREER BLVD HUNTINGTON, WV 25701 and the phone number is (304) 526-2273.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Aetna CVS Health, Alliant Health Plans, Inc. and. Please consult your insurance carrier or call the provider to verify.
