MS. DEBORAH K EKSTROM MD
NPI 1518916188
Specialist in Worcester, MA
NPI Status: Active since May 09, 2006
Contact Information
39 SALISBURY ST
WORCESTER, MA
ZIP 01609
Phone: (508) 755-4825
Fax: (508) 797-0167
- Individual
- Female
- Specialist
- Accepts Insurance
- PECOS Enrolled
About DEBORAH EKSTROM
This page provides the complete NPI Profile along with additional information for Deborah Ekstrom, a provider established in Worcester, Massachusetts with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1518916188 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number 55916 (MA). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1518916188
- Provider Name
- MS. DEBORAH K EKSTROM MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 39 SALISBURY ST WORCESTER, MA 01609
- Location Phone
- (508) 755-4825
- Location Fax
- (508) 797-0167
- Mailing Address
- 39 SALISBURY ST WORCESTER, MA 01609
- Mailing Phone
- (508) 755-4825
- Mailing Fax
- (508) 797-0167
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-09-2006
- Last Update Date
- 07-09-2007
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 55916
- License State
- MA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
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.
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 |
|---|---|---|---|
| 117238 | OTHER (01) | MA | AETNA |
| A58658 | MEDICARE UPIN (02) | MA | |
| M14797 | OTHER (01) | MA | BLUE SHIELD OF MA |
| 320430 | OTHER (01) | MA | CIGNA HEALTH |
| 1300139 | OTHER (01) | MA | UNITED HEALTHCARE |
| 61333 | OTHER (01) | MA | FALLON HEALTHCARE |
| M14797 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | MEDICARE GROUP NUMBER |
| 711234 | OTHER (01) | MA | TUFTS |
| 21055 | OTHER (01) | MA | HARVARD PILGRIM |
| 99165001 | OTHER (01) | MA | NETWORK HEALTH |
Medicare Participation & PECOS Enrollment Status
Deborah Ekstrom 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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Melanoma (skin cancer) excision
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 19 patientsReviews for MS. DEBORAH K EKSTROM MD
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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 1518916188, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
WORCESTER, MA 01609
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518916188, enumerated as an "individual" on May 09, 2006.
The provider is located at 39 SALISBURY ST WORCESTER, MA 01609 and the phone number is (508) 755-4825.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aetna,. Please consult your insurance carrier or call the provider to verify.
