JONATHON WEBER MD
NPI 1538541164
Radiology - Pediatric Radiology in Lexington, KY

NPI Status: Active since June 19, 2015

Contact Information

800 ROSE ST
LEXINGTON, KY
ZIP 40536
Phone: (859) 323-2222
Fax: (859) 323-5090

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  • Individual
  • Male
  • Years of Experience 12
  • Radiology
  • Pediatric Radiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JONATHON WEBER

This page provides the complete NPI Profile along with additional information for Jonathon Weber, a provider established in Lexington, Kentucky with a medical specialization in Radiology, focusing in pediatric radiology and more than 12 years of experience. He graduated from University Of Cincinnati College Of Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1538541164 assigned on June 2015. The practitioner's primary taxonomy code is 2085P0229X with license number 55206 (KY). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1538541164
Provider Name
JONATHON WEBER MD
Gender
Male
Entity Type
Individual
Location Address
800 ROSE ST LEXINGTON, KY 40536
Location Phone
(859) 323-2222
Location Fax
(859) 323-5090
Mailing Address
1404 E MCMILLAN ST APT 10 CINCINNATI, OH 45206
Mailing Phone
(330) 671-7647
Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year
2015
Is Sole Proprietor?
Yes
Enumeration Date
06-19-2015
Last Update Date
02-19-2024
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Location Map

Secondary Locations

  • 4777 E Galbraith Rd
    Cincinnati, OH 45236
    (513) 686-5446

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

Radiology Pediatric Radiology

Taxonomy Code
2085P0229X
Type
Allopathic & Osteopathic Physicians
License No.
55206
License State
KY
Taxonomy Description
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085P0229XAllopathic & Osteopathic Physicians

Radiology
Pediatric Radiology

35.138489 (OH)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
  • Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR) - POS
  • Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (M) - POS
  • Precision Blue 90/70 $9900 with 2 $0 PCP Virtual Visits (M) HSA Eligible - POS
  • Precision Blue Copay (PCP) 50/50 $7500 Standardized (BR) HSA Eligible - POS
  • Precision Blue Copay (PCP) 50/50 $7500 Standardized (M) HSA Eligible - POS
  • Precision Blue Copay (PCP) 60/40 $6000 Standardized (BR) - POS
  • Precision Blue Copay (PCP) 60/40 $6000 Standardized (M) - POS
  • Precision Blue Copay (PCP) 75/55 $2000 Standardized (BR) - POS
  • Precision Blue Copay (PCP) 75/55 $2000 Standardized (M) - POS
  • Signature Blue 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Signature Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Signature Blue Copay (PCP) 60/40 $6000 Standardized - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jonathon Weber is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jonathon Weber 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

  • PECOS PAC ID: 8325347065

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210120003165, I20240312001312

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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.

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 14 times for 14 patients

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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 1538541164, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 1 + 0 + 4 + 2 + 1 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1538541164.

Other Providers at the Same Location


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

Internal Medicine (Nephrology)
800 ROSE ST, MN 564
LEXINGTON, KY 40536
Nurse Practitioner (Pediatrics)
800 ROSE ST, MN-109
LEXINGTON, KY 40536
Obstetrics & Gynecology (Maternal & Fetal Medicine)
800 ROSE ST, C358
LEXINGTON, KY 40536
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Emergency Medicine
800 ROSE ST
LEXINGTON, KY 40536
Emergency Medicine
800 ROSE ST
LEXINGTON, KY 40536
Radiology (Radiation Oncology)
800 ROSE ST
LEXINGTON, KY 40536
Physician Assistant (Medical)
800 ROSE ST, ROOM CC407 ROACH BUILDING
LEXINGTON, KY 40536
Emergency Medicine
800 ROSE ST
LEXINGTON, KY 40536
Emergency Medicine
800 ROSE ST
LEXINGTON, KY 40536
Radiology (Diagnostic Radiology)
800 ROSE ST, DEPT. DIAGNOSTIC RADIOLOGY, UNIV. OF KY. HOSPITAL
LEXINGTON, KY 40536
Radiology (Radiation Oncology)
800 ROSE ST
LEXINGTON, KY 40536
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Anesthesiology
800 ROSE ST, DEPARTMENT OF ANESTHESIOLOGY, N200 UKMC
LEXINGTON, KY 40536
Dentist (Oral and Maxillofacial Pathology)
800 ROSE ST, UK ORAL PATHOLOGY LAB, UKMC RM. MN 530
LEXINGTON, KY 40536
Dentist (Pediatric Dentistry)
800 ROSE ST, D104
LEXINGTON, KY 40536
Dentist (General Practice)
800 ROSE ST
LEXINGTON, KY 40536
Dentist
800 ROSE ST
LEXINGTON, KY 40536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538541164, enumerated as an "individual" on June 19, 2015.

The provider is located at 800 ROSE ST LEXINGTON, KY 40536 and the phone number is (859) 323-2222.

Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.

The provider might be accepting Accepts: CareSource and HMO Louisiana. Please consult your insurance carrier or call the provider to verify.