DR. DEBORAH SUE FOLLMER KACMARYNSKI M.D.
NPI 1457557704
Otolaryngology - Pediatric Otolaryngology in Iowa City, IA

NPI Status: Active since June 25, 2007

Contact Information

200 HAWKINS DR
IOWA CITY, IA
ZIP 52242
Phone: (319) 356-3612
Fax: (319) 356-4108

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  • Individual
  • Female
  • Years of Experience 24
  • Otolaryngology
  • Pediatric Otolaryngology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DEBORAH KACMARYNSKI

This page provides the complete NPI Profile along with additional information for Deborah Kacmarynski, a provider established in Iowa City, Iowa with a medical specialization in Otolaryngology, focusing in pediatric otolaryngology and more than 24 years of experience. She graduated from University Of Minnesota Medical School in 2002. The healthcare provider is registered in the NPI registry with number 1457557704 assigned on June 2007. The practitioner's primary taxonomy code is 207YP0228X with license number 37327 (IA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1457557704
Provider Name
DR. DEBORAH SUE FOLLMER KACMARYNSKI M.D.
Gender
Female
Entity Type
Individual
Location Address
200 HAWKINS DR IOWA CITY, IA 52242
Location Phone
(319) 356-3612
Location Fax
(319) 356-4108
Mailing Address
200 HAWKINS DR IOWA CITY, IA 52242
Mailing Phone
(319) 356-3612
Mailing Fax
(319) 356-4108
Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
06-25-2007
Last Update Date
05-12-2009
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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

Otolaryngology Pediatric Otolaryngology

Taxonomy Code
207YP0228X
Type
Allopathic & Osteopathic Physicians
License No.
37327
License State
IA
Taxonomy Description
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

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)
1207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

16004 (MN)
2207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

37327 (IA)

Insurance Plans Accepted

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

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

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
I0923186MEDICARE PIN (08)IA 

Medicare Participation & PECOS Enrollment Status

Deborah Kacmarynski 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.

Deborah Kacmarynski 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: 9537217849

    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: I20090424000296

    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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

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. Deborah Kacmarynski is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF IOWA HOSPITAL & CLINICS200 HAWKINS DRIVE
IOWA CITY, IA 52242
(319) 356-1616Acute Care Hospitals

Reviews for DR. DEBORAH SUE FOLLMER KACMARYNSKI M.D.

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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 1457557704, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 5 → 10 → 1 7 → 14 → 5 0 → 0

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 + 1 + 0 + 5 + 1 + 4 + 7 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1457557704.

Other Providers at the Same Location


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

Pharmacist
200 HAWKINS DR
IOWA CITY, IA 52242
Advanced Practice Midwife
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Pediatrics
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Transplant Surgery
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Surgery (Vascular Surgery)
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Ophthalmology
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Ophthalmology
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Optometrist
200 HAWKINS DR
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Urology
200 HAWKINS DR
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Ophthalmology
200 HAWKINS DR
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Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
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Urology
200 HAWKINS DR
IOWA CITY, IA 52242
Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery
200 HAWKINS DR
IOWA CITY, IA 52242
Urology
200 HAWKINS DR
IOWA CITY, IA 52242
Physician Assistant
200 HAWKINS DR
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Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery (Surgical Oncology)
200 HAWKINS DR
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457557704, enumerated as an "individual" on June 25, 2007.

The provider is located at 200 HAWKINS DR IOWA CITY, IA 52242 and the phone number is (319) 356-3612.

Otolaryngology with taxonomy code 207YP0228X and a focus in Pediatric Otolaryngology.

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

Deborah Kacmarynski is affiliated with: UNIVERSITY OF IOWA HOSPITAL & CLINICS.