DR. GADIA KUMUNJUN PEABODY DDS
NPI 1457570863
Dentist - Prosthodontics in Muskegon, MI
NPI Status: Active since April 24, 2007
Contact Information
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
Phone: (231) 767-9830
Fax: (231) 737-1808
- Individual
- Male
- Dentist
- Prosthodontics
- Accepts Insurance
- PECOS Enrolled
About GADIA PEABODY
This page provides the complete NPI Profile along with additional information for Gadia Peabody, a provider established in Muskegon, Michigan with a medical specialization in Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1457570863 assigned on April 2007. The practitioner's primary taxonomy code is 1223P0700X with license number 2901011507 (MI). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1457570863
- Provider Name
- DR. GADIA KUMUNJUN PEABODY DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2201 S GETTY ST MUSKEGON, MI 49444
- Location Phone
- (231) 767-9830
- Location Fax
- (231) 737-1808
- Mailing Address
- 2201 S GETTY ST MUSKEGON, MI 49444
- Mailing Phone
- (231) 767-9830
- Mailing Fax
- (231) 737-1808
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-24-2007
- Last Update Date
- 12-06-2016
- Code Navigator
A dentist like Gadia Peabody 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 Prosthodontics
- Taxonomy Code
- 1223P0700X
- Type
- Dental Providers
- License No.
- 2901011507
- License State
- MI
- Taxonomy Description
- That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | 019026130 (IL) |
| 2 | 1223P0700X | Dental Providers | Dentist | 63907 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
- Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
- Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
- Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
- Delta Dental Individual PPO Silver Plan, EHB Certified - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gadia Peabody 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: Durable Medical Equipment (DME).
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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
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 49444 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* 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.
Reviews for DR. GADIA KUMUNJUN PEABODY DDS
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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 | 5 | 7 | 5 | 7 | 0 | 8 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 10 | 7 | 0 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 0 + 7 + 0 + 8 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1457570863 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. PAUL LOUIS SCHULTZ III PHARMD
Pharmacist
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
KATHLEEN KAY ROBINSON MSN, FNP
Nurse Practitioner
(Family)
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
MGH FAMILY HEALTH CENTER
Family Medicine
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
BARBARA BIEN PA-C
Physician Assistant
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
DR. THOMAS EDWARD MCCURDY D.O.
Obstetrics & Gynecology
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
MCKINLEY SIMS JR. MASSAGE THERAPIST
Massage Therapist
2201 S GETTY ST
MUSKEGON HEIGHTS, MI
ZIP 49444
JOHN KASZA R.D.
Dietitian, Registered
2201 S GETTY ST
MUSKEGON HEIGHTS, MI
ZIP 49444
MRS. STEPHANIE JOY CHARLES RN
Registered Nurse
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
MICHAEL ONEKA DO
Family Medicine
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
STEVEN J SMIT PA-C
Physician Assistant
(Medical)
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
DENNIS A PALMER PA
Physician Assistant
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
ELLEN JO STIBITZ P.A.
Physician Assistant
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
MR. CLAY WOODROW REEVES JR. NP-C
Nurse Practitioner
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
DR. NORRIS E MARCH DDS
Dentist
(General Practice)
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
MGH FAMILY HEALTH CENTER
General Practice
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
NICHOLAS T. NOVITSKY DDS
Dentist
(General Practice)
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
THOMAS A. KRYGIER DDS
Dentist
(General Practice)
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
DR. DAVID JOSEPH JARACZ DDS
Dentist
(General Practice)
2201 S GETTY ST
MUSKEGON, MI
ZIP 49444
MRS. DANELLE KRISTINE SHAW RN
Registered Nurse
2201 S GETTY ST
MUSKEGON HEIGHTS, MI
ZIP 49444
MELISSA DOVE R.N.
Registered Nurse
(Case Management)
2201 S GETTY ST
MUSKEGON HEIGHTS, MI
ZIP 49444
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457570863, enumerated as an "individual" on April 24, 2007.
The provider is located at 2201 S GETTY ST MUSKEGON, MI 49444 and the phone number is (231) 767-9830.
Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.
The provider might be accepting Accepts: CareSource, Delta Dental of Michigan and Humana. Please consult your insurance carrier or call the provider to verify.
