PETER J REDEN MD
NPI 1528016359
Emergency Medicine in Jamestown, NY

NPI Status: Active since May 04, 2006

Contact Information

207 FOOTE AVE
JAMESTOWN, NY
ZIP 14701
Phone: (716) 487-0141

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  • Individual
  • Male
  • Emergency Medicine
  • PECOS Enrolled

About PETER REDEN

This page provides the complete NPI Profile along with additional information for Peter Reden, a provider established in Jamestown, New York with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1528016359 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X with license number A162458 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1528016359
Provider Name
PETER J REDEN MD
Gender
Male
Entity Type
Individual
Location Address
207 FOOTE AVE JAMESTOWN, NY 14701
Location Phone
(716) 487-0141
Mailing Address
PO BOX 1258 JAMESTOWN, NY 14702
Mailing Phone
(716) 664-8120
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
05-04-2006
Last Update Date
02-05-2021
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
A162458
License State
NY
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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
01159420MEDICAID (05)NY 

Medicare Participation & PECOS Enrollment Status

Peter Reden 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.

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 27 times for 26 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

This service was performed 840 times for 665 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

This service was performed 18 times for 17 patients

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 14701 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* 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 1528016359, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 2 → 4 0 → 0 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 4 + 8 + 0 + 1 + 1 + 2 + 3 + 1 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1528016359.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
207 FOOTE AVE
JAMESTOWN, NY 14701
Hospitalist
207 FOOTE AVE
JAMESTOWN, NY 14701
Dietitian, Registered
207 FOOTE AVE
JAMESTOWN, NY 14701
Registered Nurse (Diabetes Educator)
207 FOOTE AVE
JAMESTOWN, NY 14701
Anesthesiology
207 FOOTE AVE
JAMESTOWN, NY 14701
Emergency Medicine
207 FOOTE AVE
JAMESTOWN, NY 14701
Emergency Medicine
207 FOOTE AVE
JAMESTOWN, NY 14701
Internal Medicine (Cardiovascular Disease)
207 FOOTE AVE
JAMESTOWN, NY 14701
Internal Medicine
207 FOOTE AVE
JAMESTOWN, NY 14701
Internal Medicine
207 FOOTE AVE
JAMESTOWN, NY 14701
Family Medicine
207 FOOTE AVE
JAMESTOWN, NY 14701
Specialist
207 FOOTE AVE
JAMESTOWN, NY 14701
Audiologist
207 FOOTE AVE
JAMESTOWN, NY 14701
Audiologist
207 FOOTE AVE
JAMESTOWN, NY 14701
Physical Medicine & Rehabilitation (Sports Medicine)
207 FOOTE AVE, WCA HOSPITAL
JAMESTOWN, NY 14701
Audiologist
207 FOOTE AVE, DEPT. OF SPEECH AND HEARING
JAMESTOWN, NY 14701
Family Medicine
207 FOOTE AVE
JAMESTOWN, NY 14701
Surgery
207 FOOTE AVE
JAMESTOWN, NY 14701
Family Medicine
207 FOOTE AVE
JAMESTOWN, NY 14701
Dietitian, Registered
207 FOOTE AVE
JAMESTOWN, NY 14701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528016359, enumerated as an "individual" on May 04, 2006.

The provider is located at 207 FOOTE AVE JAMESTOWN, NY 14701 and the phone number is (716) 487-0141.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.