DIANA HORTON MD
NPI 1467432880
Internal Medicine in Austin, TX
NPI Status: Active since January 20, 2006
Contact Information
4207 JAMES CASEY ST
SUITE 302
AUSTIN, TX
ZIP 78745
Phone: (512) 445-9000
Fax: (512) 306-8788
- Individual
- Female
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About DIANA HORTON
This page provides the complete NPI Profile along with additional information for Diana Horton, an internist established in Austin, Texas with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1467432880 assigned on January 2006. The practitioner's primary taxonomy code is 207R00000X with license number J0002 (TX). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1467432880
- Provider Name
- DIANA HORTON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4207 JAMES CASEY ST SUITE 302 AUSTIN, TX 78745
- Location Phone
- (512) 445-9000
- Location Fax
- (512) 306-8788
- Mailing Address
- PO BOX 160787 AUSTIN, TX 78716
- Mailing Phone
- (512) 445-9000
- Mailing Fax
- (512) 306-8788
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-20-2006
- Last Update Date
- 07-16-2007
- Code Navigator
An internist like Diana Horton is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- J0002
- License State
- TX
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Bronze HDHP 7500 - EPO
- Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
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.
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 |
|---|---|---|---|
| P00004533 | OTHER (01) | RAILROAD MEDICARE | |
| 00381V | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| E97702 | MEDICARE UPIN (02) | ||
| 0045KD | OTHER (01) | BCBS |
Medicare Participation & PECOS Enrollment Status
Diana Horton 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) 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: 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: 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.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
1 DME suppliers used 12 Medicare Claims 24 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
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 78745 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.95
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $32.98
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $101.65
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $25.41
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* 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 DIANA HORTON MD
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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 | 6 | 7 | 4 | 3 | 2 | 8 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 8 | 3 | 4 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 8 + 3 + 4 + 8 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1467432880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
HALSEY SETTLE III M.D.
Ophthalmology
4207 JAMES CASEY ST
SUITE 305
AUSTIN, TX
ZIP 78745
DR. PETER BROBERG M.D.
Ophthalmology
4207 JAMES CASEY ST
STE 305
AUSTIN, TX
ZIP 78745
KATHRYN SMITH MACHUGA FNP
Nurse Practitioner
(Family)
4207 JAMES CASEY ST
STE 215
AUSTIN, TX
ZIP 78745
AFFILIATED UROLOGISTS OF GREATER AUSTIN
Urology
4207 JAMES CASEY ST
STE 107
AUSTIN, TX
ZIP 78745
CAPITAL CARDIOVASCULAR CONSULTANTS, PLLC
Internal Medicine
(Cardiovascular Disease)
4207 JAMES CASEY ST
STE 215
AUSTIN, TX
ZIP 78745
WILLIAM THOMAS MCGLATHERY IV MD
Ophthalmology
4207 JAMES CASEY ST
SUITE 305
AUSTIN, TX
ZIP 78745
MAUREEN M ALEXANDER MD
Ophthalmology
4207 JAMES CASEY ST
SUITE 303
AUSTIN, TX
ZIP 78745
STEVEN HODGES PICKETT MDPHD
Urology
4207 JAMES CASEY ST
SUITE 107
AUSTIN, TX
ZIP 78745
ERIC JAMES FRISCHHERTZ M.D.
Internal Medicine
(Cardiovascular Disease)
4207 JAMES CASEY ST
STE 317
AUSTIN, TX
ZIP 78745
SACHIN MEHTA M.D.
Internal Medicine
(Interventional Cardiology)
4207 JAMES CASEY ST
SUITE 317
AUSTIN, TX
ZIP 78745
SOUTH AUSTIN SURGICENTER, LLC
Clinic/Center
(Ambulatory Surgical)
4207 JAMES CASEY ST
SUITE 203
AUSTIN, TX
ZIP 78745
GERALD N. ZERINGUE DPM
Podiatrist
4207 JAMES CASEY ST
STE. 315
AUSTIN, TX
ZIP 78745
TEXAS OCULOPLASTIC CONSULTANTS LLP
Ophthalmology
(Ophthalmic Plastic and Reconstructive Surgery)
4207 JAMES CASEY ST
SUITE 306
AUSTIN, TX
ZIP 78745
BUTLER & BURNS EAR NOSE & THROAT ASSOCIATES
Otolaryngology
4207 JAMES CASEY ST
SUITE 301
AUSTIN, TX
ZIP 78745
PREMIER AMBULATORY SURGERY OF AUSTIN LLP
Clinic/Center
(Ambulatory Surgical)
4207 JAMES CASEY ST
SUITE 203
AUSTIN, TX
ZIP 78745
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467432880, enumerated as an "individual" on January 20, 2006.
The provider is located at 4207 JAMES CASEY ST SUITE 302 AUSTIN, TX 78745 and the phone number is (512) 445-9000.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc., Railroad Medicare,. Please consult your insurance carrier or call the provider to verify.
