SUSAN H BANTZ MD
NPI 1447272828
Family Medicine in Connersville, IN
NPI Status: Active since July 24, 2006
Contact Information
911 N CENTRAL AVE
CONNERSVILLE, IN
ZIP 47331
Phone: (765) 827-1164
Fax: (765) 827-3876
- Individual
- Female
- Family Medicine
- PECOS Enrolled
About SUSAN BANTZ
Susan Bantz is a primary care provider established in Connersville, Indiana and her medical specialization is Family Medicine. The healthcare provider is registered in the NPI registry with number 1447272828 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 01049721A (IN). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1447272828
- Provider Name
- SUSAN H BANTZ MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 911 N CENTRAL AVE CONNERSVILLE, IN 47331
- Location Phone
- (765) 827-1164
- Location Fax
- (765) 827-3876
- Mailing Address
- 509 HARCOURT WAY PO BOX 21 RUSHVILLE, IN 46173
- Mailing Phone
- (765) 932-3699
- Mailing Fax
- (765) 827-3876
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-24-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Susan Bantz 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 .
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.
- 01049721A
- License State
- IN
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
CareSource
- CareSource Marketplace Bronze First - HMO
- CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Gold - HMO
- CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Silver - HMO
- CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Gold - HMO
- CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Silver - HMO
- CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Essential Silver - HMO
- CareSource Marketplace Essential Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Gold - HMO
- CareSource Marketplace Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace HSA Eligible Bronze - HMO
Oscar Health Insurance
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Bronze Elite + PCP Saver Plus (Select) - HMO
- Bronze Elite + Specialist Saver Plus (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
Oscar Insurance Corporation of Ohio
- Gold Elite Saver Plus - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Susan Bantz 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 47331 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.54
- Minimum New Patient Price $54.76
- Maximum New Patient Price $167.54
- Average New Patient Copayment $21.13
- Minimum New Patient Copayment $13.69
- Maximum New Patient Copayment $41.88
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.12
- Minimum Established Patient Price $16.96
- Maximum Established Patient Price $137.16
- Average Established Patient Copayment $24.53
- Minimum Established Patient Copayment $4.24
- Maximum Established Patient Copayment $34.29
* 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 | 4 | 7 | 2 | 7 | 2 | 8 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 4 | 7 | 4 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 4 + 7 + 4 + 8 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1447272828 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902852759 | MICHELLE MARIE GARNER CANP Individual | Nurse Practitioner (Adult Health) | 911 N CENTRAL AVE CONNERSVILLE, IN 47331 (765) 827-1164 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447272828, enumerated in the NPI registry as an "individual" on July 24, 2006
The provider is located at 911 N Central Ave Connersville, In 47331 and the phone number is (765) 827-1164
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: CareSource, Oscar Health Insurance and Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 03, 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 $84.54 with an average copayment of $21.13 for new patient appointments. Established patients should expect a typical charge of $98.12 and an average copayment of 24.53. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 24, 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].
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