THEODORE SIN MBBS
NPI 1548657364
Emergency Medicine in Baton Rouge, LA

NPI Status: Active since April 20, 2015

Contact Information

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808
Phone: (225) 757-4140

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  • Individual
  • Male
  • Emergency Medicine
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About THEODORE SIN

This page provides the complete NPI Profile along with additional information for Theodore Sin, a provider established in Baton Rouge, Louisiana with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1548657364 assigned on April 2015. The practitioner's primary taxonomy code is 207P00000X with license number 58137 (TN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1548657364
Provider Name
THEODORE SIN MBBS
Gender
Male
Entity Type
Individual
Location Address
5246 BRITTANY DR BATON ROUGE, LA 70808
Location Phone
(225) 757-4140
Mailing Address
7865 VIA MONTEBELLO #4 SAN DIEGO, CA 92129
Mailing Phone
(801) 221-1365
Is Sole Proprietor?
No
Enumeration Date
04-20-2015
Last Update Date
08-25-2020
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
58137
License State
TN
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.

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)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

51950 (KY)
2207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

309548 (LA)

Insurance Plans Accepted

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

  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO

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

Medicare Participation & PECOS Enrollment Status

Theodore Sin 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 70808 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $83.6
  • Minimum New Patient Price $53.43
  • Maximum New Patient Price $164.73
  • Average New Patient Copayment $20.9
  • Minimum New Patient Copayment $13.35
  • Maximum New Patient Copayment $41.18

Established Patients Visit Costs *

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

  • Average Established Patient Price $95.09
  • Minimum Established Patient Price $16.64
  • Maximum Established Patient Price $133.62
  • Average Established Patient Copayment $23.77
  • Minimum Established Patient Copayment $4.16
  • Maximum Established Patient Copayment $33.4

* 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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Implementation of an ASPYesN/A
Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance
Implementation of formal quality improvement methods, practice changes, or other practice improvement processesYesN/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548657364
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258812514312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 5 + 1 + 4 + 3 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1548657364 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

KATIE WATSON

Dermatology

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4070

DILLON PAUL

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4140

HARRISON BROWN

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4140

DAVID LAWRENCE PIPER MD

Emergency Medicine

5246 BRITTANY DR
3RD FLOOR
BATON ROUGE, LA
ZIP 70808

(225) 757-4140

BROOKE RICHARD SCHLECHT M.D.

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4210

THOMAS STEPHEN BARRINEAU MD

Emergency Medicine

5246 BRITTANY DR
THIRD FLOOR
BATON ROUGE, LA
ZIP 70808

(225) 757-4140

BENJAMIN NGUYEN

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4142

DR. NICOLAS SCOTT DUCHAMP M.D.

Emergency Medicine

5246 BRITTANY DR
SUITE 304
BATON ROUGE, LA
ZIP 70808

(225) 757-4140

ISRAEL WOOTTON MD

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4142

DR. JEFFERY CARL LACROIX MD

Emergency Medicine

5246 BRITTANY DR
LSU EMERGENCY MEDICINE RESIDENCY PROGRAM
BATON ROUGE, LA
ZIP 70808

(225) 757-4142

MORGAN WALKER

Internal Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(337) 962-8526

DR. LINDSAY BLANCO HYMEL MD

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4142

MEREDITH PUGH ROUSE MD

Internal Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4300

JERIELLE LEIGH ADAMS

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4140

TIFFANY LE'SHANN DUGAS MD

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 387-7736

MRS. KELLY ELIZABETH SCOTT MENIER

Student in an Organized Health Care Education/Training Program

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4210

JARED CHAPMAN

Student in an Organized Health Care Education/Training Program

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4080

KODY ANDREW BLISS MD

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4142

ISABEL BARROS LOPES MD

Student in an Organized Health Care Education/Training Program

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4210

WILLIAM LABORDE

Emergency Medicine

5246 BRITTANY DR
BATON ROUGE, LA
ZIP 70808

(225) 757-4210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548657364, enumerated as an "individual" on April 20, 2015.

The provider is located at 5246 BRITTANY DR BATON ROUGE, LA 70808 and the phone number is (225) 757-4140.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.