DR. PAUL G. MEADE M.D.
NPI 1457314023
Colon & Rectal Surgery in Johnstown, PA

NPI Status: Active since April 06, 2006

Contact Information

1086 FRANKLIN ST
GOOD SAMARITAN BLDG, GROUND FL
JOHNSTOWN, PA
ZIP 15905
Phone: (814) 539-8725
Fax: (814) 539-3906

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  • Individual
  • Male
  • Colon & Rectal Surgery
  • PECOS Enrolled

About PAUL MEADE

This page provides the complete NPI Profile along with additional information for Paul Meade, a provider established in Johnstown, Pennsylvania with a medical specialization in Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1457314023 assigned on April 2006. The practitioner's primary taxonomy code is 208C00000X with license number MD424547 (PA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1457314023
Provider Name
DR. PAUL G. MEADE M.D.
Gender
Male
Entity Type
Individual
Location Address
1086 FRANKLIN ST GOOD SAMARITAN BLDG, GROUND FL JOHNSTOWN, PA 15905
Location Phone
(814) 539-8725
Location Fax
(814) 539-3906
Mailing Address
1086 FRANKLIN ST JOHNSTOWN, PA 15905
Mailing Phone
(814) 410-8300
Mailing Fax
(814) 539-3906
Is Sole Proprietor?
No
Enumeration Date
04-06-2006
Last Update Date
12-12-2016
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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

Colon & Rectal Surgery

Taxonomy Code
208C00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD424547
License State
PA
Taxonomy Description
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

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)
1208600000XAllopathic & Osteopathic Physicians

Surgery

MD424547 (PA)

Insurance Plans Accepted

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

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
101081169MEDICAID (05)PA 
082500MEDICARE ID-TYPE UNSPECIFIED (04)PA 
G16689MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Paul Meade 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.

Orthotic Devices

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each (HCPCS:A4385)

    2 DME suppliers used 15 Medicare Claims 440 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4409)

    2 DME suppliers used 16 Medicare Claims 480 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each (HCPCS:A4425)

    2 DME suppliers used 19 Medicare Claims 570 Services Paid

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA000N)

    Adhesive remover, wipes, any type, each (HCPCS:A4456)

    2 DME suppliers used 13 Medicare Claims 700 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 13 times for 12 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 13 times for 13 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 12 times for 12 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 16 times for 16 patients

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 15905 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $84.88
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $21.22
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

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

  • Average Established Patient Price $68.36
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $17.09
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* 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 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 1457314023, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 3 → 6 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 6 + 1 + 8 + 0 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1457314023.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery (Trauma Surgery)
1086 FRANKLIN ST, GOOD SAMARITAN BLDG., GROUND FLOOR
JOHNSTOWN, PA 15905
Surgery (Surgical Critical Care)
1086 FRANKLIN ST, GOOD SAMARITAN BLDG., GROUND FLOOR
JOHNSTOWN, PA 15905
Anesthesiology
1086 FRANKLIN ST, SUITE A401
JOHNSTOWN, PA 15905
Anesthesiology
1086 FRANKLIN ST, SUITE A401
JOHNSTOWN, PA 15905
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Anesthesiology
1086 FRANKLIN ST, SUITE A401
JOHNSTOWN, PA 15905
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Anesthesiology
1086 FRANKLIN ST, SUITE A401
JOHNSTOWN, PA 15905
Physician Assistant
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST, CONEMAUGH EMERGENCY PHYSICIANS GROUP
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST, CONEMAUGH EMERGENCY PHYSICIANS GROUP
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST, CONEMAUGH EMERGENCY PHYSICIANS GROUP
JOHNSTOWN, PA 15905
Specialist
1086 FRANKLIN ST, PATHOLOGY RM 205B
JOHNSTOWN, PA 15905
Specialist
1086 FRANKLIN ST, PATHOLOGY RM 205B
JOHNSTOWN, PA 15905
Specialist
1086 FRANKLIN ST, PATHOLOGY RM 205B
JOHNSTOWN, PA 15905
Specialist
1086 FRANKLIN ST, PATHOLOGY RM 205B
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Specialist
1086 FRANKLIN ST, PATHOLOGY RM 205B
JOHNSTOWN, PA 15905
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Physician Assistant
1086 FRANKLIN ST, CONEMAUGH EMERGENCY PHYSICIANS GROUP
JOHNSTOWN, PA 15905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457314023, enumerated as an "individual" on April 06, 2006.

The provider is located at 1086 FRANKLIN ST GOOD SAMARITAN BLDG, GROUND FL JOHNSTOWN, PA 15905 and the phone number is (814) 539-8725.

Colon & Rectal Surgery with taxonomy code 208C00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.