DR. MATTHEW ROBERT HANSEN D.D.S.
NPI 1437172913
Dentist in Mason City, IA

NPI Status: Active since July 25, 2006

Contact Information

23 N FEDERAL AVE
MASON CITY, IA
ZIP 50401
Phone: (641) 423-4225
Fax: (641) 423-1697

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Dentist
Accepts Insurance
PECOS Enrolled

About MATTHEW HANSEN

This page provides the complete NPI Profile along with additional information for Matthew Hansen, a provider established in Mason City, Iowa with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1437172913 assigned on July 2006. The practitioner's primary taxonomy code is 122300000X with license number 08042 (IA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1437172913
Provider Name: DR. MATTHEW ROBERT HANSEN D.D.S.
Gender: Male
Entity Type: Individual
Location Address: 23 N FEDERAL AVE MASON CITY, IA 50401
Location Phone: (641) 423-4225
Location Fax: (641) 423-1697
Mailing Address: 23 N FEDERAL AVE MASON CITY, IA 50401
Mailing Phone: (641) 423-4225
Mailing Fax: (641) 423-1697
Is Sole Proprietor?: Yes
Enumeration Date: 07-25-2006
Last Update Date: 07-08-2007
Code Navigator

A dentist like Matthew Hansen is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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: Dentist
Taxonomy Code: 122300000X
Type: Dental Providers
License No.: 08042
License State: IA
Taxonomy Description: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Insurance Plans Accepted

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

Blue Cross and Blue Shield of Illinois

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Montana

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Oklahoma

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Texas

BlueCare Dental 1D - PPO
BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO

Delta Dental of Iowa

Delta Dental PPO Plus Premier� Individual Choice - Preventive Plus - PPO
Delta Dental PPO Plus Premier� Individual Choice - Platinum Plus - PPO
Delta Dental PPO Plus Premier� Individual Choice -Preferred Plus - PPO

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

Medicare Participation & PECOS Enrollment Status

Matthew Hansen 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) and a Home Health Agency (HHA).

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: No

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 50401 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $81.84
Minimum New Patient Price $52.96
Maximum New Patient Price $161.4

Average New Patient Copayment $20.46
Minimum New Patient Copayment $13.24
Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $66.36
Minimum Established Patient Price $16.91
Maximum Established Patient Price $131.98

Average Established Patient Copayment $16.59
Minimum Established Patient Copayment $4.22
Maximum Established Patient Copayment $32.99

* 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.

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	3	7	1	7	2	9	1	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	6	7	2	7	4	9	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 2 + 7 + 4 + 9 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1437172913 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.