DR. SCOTT ALAN FRANKFORTER M.D.
NPI 1487627931
Pathology - Anatomic Pathology & Clinical Pathology in Grand Island, NE
NPI Status: Active since February 07, 2006
Contact Information
2620 W FAIDLEY AVE
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 398-5424
Fax: (308) 398-5429
- Individual
- Male
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
- PECOS Enrolled
About SCOTT FRANKFORTER
This page provides the complete NPI Profile along with additional information for Scott Frankforter, a provider established in Grand Island, Nebraska with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1487627931 assigned on February 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 18756 (NE). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1487627931
- Provider Name
- DR. SCOTT ALAN FRANKFORTER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2620 W FAIDLEY AVE GRAND ISLAND, NE 68803
- Location Phone
- (308) 398-5424
- Location Fax
- (308) 398-5429
- Mailing Address
- 2620 W FAIDLEY AVE GRAND ISLAND, NE 68803
- Mailing Phone
- (308) 398-5424
- Mailing Fax
- (308) 398-5429
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-07-2006
- Last Update Date
- 07-08-2007
- Code Navigator
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
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 18756
- License State
- NE
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - 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
- Medica with CHI Health Bronze $0 Copay PCP Visits - EPO
- Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam - EPO
- Medica with CHI Health Bronze Premier - EPO
- Medica with CHI Health Bronze Premier + Adult Eye Exam - EPO
- Medica with CHI Health Bronze Share - EPO
- Medica with CHI Health Bronze Share + Adult Eye Exam - EPO
- Medica with CHI Health Expanded Bronze Standard - EPO
- Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam - EPO
- Medica with CHI Health Gold $0 Copay PCP Visits - EPO
- Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam - EPO
- Bronze Classic - EPO
- Bronze Classic | with Bryan Health - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | with Bryan Health - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
- Bronze Simple Diabetes - EPO
- Bronze Simple Diabetes | with Bryan Health - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | with Bryan Health - EPO
- Gold Elite - EPO
- Gold Elite | with Bryan Health - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | with Bryan Health - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | with Bryan Health - EPO
- Silver Simple PCP Saver - 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.
*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 |
|---|---|---|---|
| G64889 | MEDICARE UPIN (02) | ||
| 270136FR | MEDICARE ID-TYPE UNSPECIFIED (04) | INDIVIDUAL MEDICARE # |
Medicare Participation & PECOS Enrollment Status
Scott Frankforter 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 68803 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.35
- Minimum New Patient Price $52.69
- Maximum New Patient Price $160.21
- Average New Patient Copayment $30.33
- Minimum New Patient Copayment $13.17
- Maximum New Patient Copayment $40.05
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.55
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $131.25
- Average Established Patient Copayment $23.38
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.81
* 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 1487627931, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
GRAND ISLAND, NE 68803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487627931, enumerated as an "individual" on February 07, 2006.
The provider is located at 2620 W FAIDLEY AVE GRAND ISLAND, NE 68803 and the phone number is (308) 398-5424.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medica,. Please consult your insurance carrier or call the provider to verify.
