ROBERT JOHN FILLION D.O.
NPI 1417916792
Family Medicine in Akron, CO

NPI Status: Active since March 23, 2006

Contact Information

82 MAIN AVE
AKRON, CO
ZIP 80720
Phone: (970) 848-5405
Fax: (970) 345-5475

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 49
  • Family Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ROBERT FILLION

Robert Fillion is a primary care provider established in Akron, Colorado and his medical specialization is Family Medicine with more than 49 years of experience. He graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1976. The healthcare provider is registered in the NPI registry with number 1417916792 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X with license number DR.0021524 (CO). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1417916792
Provider Name
ROBERT JOHN FILLION D.O.
Gender
Male
Entity Type
Individual
Location Address
82 MAIN AVE AKRON, CO 80720
Location Phone
(970) 848-5405
Location Fax
(970) 345-5475
Mailing Address
1000 W 8TH AVE YUMA, CO 80759
Mailing Phone
(970) 848-5405
Mailing Fax
(970) 345-5475
Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year
1976
Is Sole Proprietor?
No
Enumeration Date
03-23-2006
Last Update Date
03-25-2021
Code Navigator

A primary care provider (PCP) like Robert Fillion sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Robert Fillion 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: $23.01 for a new patient copayment and $26.58 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
DR.0021524
License State
CO
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PECOS Enrollment and Medicare Participation Status

Robert Fillion 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: 2365350154

    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: I20040407000664

    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

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    3 DME suppliers used 20 Medicare Claims 46 Services Paid

  • Other DME (D1E)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Oxygen and supplies (D1C)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 22 Medicare Claims 28 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 80720 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.04
  • Minimum New Patient Price $60.06
  • Maximum New Patient Price $181
  • Average New Patient Copayment $23.01
  • Minimum New Patient Copayment $15.01
  • Maximum New Patient Copayment $45.25

Established Patients Visit Costs *

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

  • Average Established Patient Price $106.32
  • Minimum Established Patient Price $18.98
  • Maximum Established Patient Price $148.2
  • Average Established Patient Copayment $26.58
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.05

* 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. Robert Fillion is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
EAST MORGAN COUNTY HOSPITAL2400 W EDISON ST
BRUSH, CO 80723
(970) 842-6222Critical Access Hospitals
YUMA DISTRICT HOSPITAL1000 W 8TH AVE
YUMA, CO 80759
(970) 848-5405Critical Access Hospitals

Reviews for ROBERT JOHN FILLION D.O.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1417916792
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242718112718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 8 + 1 + 1 + 2 + 7 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1417916792 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912194762 EARL JE BACUS ALQUIZALAS R.P.T.
Individual
Physical Therapist82 MAIN AVE
AKRON, CO 80720
(702) 768-8356
1265478465 LISA G NEW NP
Individual
Nurse Practitioner82 MAIN AVE
AKRON, CO 80720
(970) 345-6336
1326151754 CAITLIN M AHERN M.D.
Individual
Family Medicine82 MAIN AVE
AKRON, CO 80720
(970) 345-6336
1730185323YUMA DISTRICT HOSPITAL
Organization
Clinic/Center (Rural Health)82 MAIN AVE
AKRON, CO 80720
(970) 345-6336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417916792, enumerated in the NPI registry as an "individual" on March 23, 2006

The provider is located at 82 Main Ave Akron, Co 80720 and the phone number is (970) 848-5405

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 49 years of experience. He graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1976.

Yes, as of July 16, 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 $92.04 with an average copayment of $23.01 for new patient appointments. Established patients should expect a typical charge of $106.32 and an average copayment of 26.58. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): EAST MORGAN COUNTY HOSPITAL and YUMA DISTRICT HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 23, 2006. 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.