BOYD ERIC ERDMAN M.D.
NPI 1508989716
Phlebology in Waunakee, WI

NPI Status: Active since April 10, 2007

Contact Information

114 E MAIN ST STE 115
WAUNAKEE, WI
ZIP 53597
Phone: (608) 831-7003
Fax: (608) 831-7044

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  • Individual
  • Male
  • Phlebology
  • PECOS Enrolled
  • Opted-Out Medicare

About BOYD ERDMAN

This page provides the complete NPI Profile along with additional information for Boyd Erdman, a provider established in Waunakee, Wisconsin with a medical specialization in Phlebology. The healthcare provider is registered in the NPI registry with number 1508989716 assigned on April 2007. The practitioner's primary taxonomy code is 202K00000X with license number 40938-020 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1508989716
Provider Name
BOYD ERIC ERDMAN M.D.
Gender
Male
Entity Type
Individual
Location Address
114 E MAIN ST STE 115 WAUNAKEE, WI 53597
Location Phone
(608) 831-7003
Location Fax
(608) 831-7044
Mailing Address
114 E MAIN ST STE 115 WAUNAKEE, WI 53597
Mailing Phone
(608) 831-7003
Mailing Fax
(608) 831-7044
Is Sole Proprietor?
Yes
Enumeration Date
04-10-2007
Last Update Date
11-19-2024
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Boyd Erdman opted out of Medicare effective on 01-01-2013 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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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

Phlebology

Taxonomy Code
202K00000X
Type
Allopathic & Osteopathic Physicians
License No.
40938-020
License State
WI
Taxonomy Description
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

Medicare Participation & PECOS Enrollment Status

Boyd Erdman 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2013

  • Opt-Out End Date: 01-01-2027

  • Eligible to Order and Refer? 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

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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 1508989716, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 0 → 0 9 → 18 → 9 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 8 + 8 + 1 + 8 + 7 + 2 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1508989716.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508989716, enumerated as an "individual" on April 10, 2007.

The provider is located at 114 E MAIN ST STE 115 WAUNAKEE, WI 53597 and the phone number is (608) 831-7003.

Phlebology with taxonomy code 202K00000X.