DR. JOHN E WHITCOMB M.D.
NPI 1558325191
Emergency Medicine in Milwaukee, WI
NPI Status: Active since April 12, 2006
- Individual
- Male
- Emergency Medicine
- PECOS Enrolled
- Opted-Out Medicare
About JOHN WHITCOMB
John Whitcomb is a provider established in Milwaukee, Wisconsin and his medical specialization is Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1558325191 assigned on April 2006. The practitioner's primary taxonomy code is 207P00000X with license number 25743-020 (WI). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1558325191
- Provider Name
- DR. JOHN E WHITCOMB M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 945 N 12TH ST MILWAUKEE, WI 53233
- Location Phone
- (414) 219-7880
- Mailing Address
- 7071 S 13TH ST STE 104 OAK CREEK, WI 53154
- Mailing Phone
- (414) 570-7106
- Mailing Fax
- Is Sole Proprietor?
- N/A
- Enumeration Date
- 04-12-2006
- Last Update Date
- 07-08-2007
- Code Navigator
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. John Whitcomb opted out of Medicare effective on 06-03-2011 until 06-03-2023. 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.
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.
- 25743-020
- License State
- WI
- 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:
Molina Healthcare
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Medicare
Medicaid
*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 |
|---|---|---|---|
| B57592 | MEDICARE UPIN (02) | WI | |
| 30531100 | MEDICAID (05) | WI |
PECOS Enrollment and Medicare Participation Status
John Whitcomb 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: 06-03-2011
Opt-Out End Date: 06-03-2023
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
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 53233 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.6
- Minimum New Patient Price $55.63
- Maximum New Patient Price $169.16
- Average New Patient Copayment $21.4
- Minimum New Patient Copayment $13.9
- Maximum New Patient Copayment $42.29
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.45
- Minimum Established Patient Price $17.46
- Maximum Established Patient Price $138.8
- Average Established Patient Copayment $24.86
- Minimum Established Patient Copayment $4.36
- Maximum Established Patient Copayment $34.7
* 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 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. | |||||||||
| 1 | 5 | 5 | 8 | 3 | 2 | 5 | 1 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 6 | 2 | 10 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 6 + 2 + 1 + 0 + 1 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1558325191 is valid because the calculated check digit 1 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750343497 | DR. CHERYL A JEANPIERRE D.O. Individual | Emergency Medicine | 945 N 12TH ST EMERGENCY MEDICINE MILWAUKEE, WI 53233 (414) 647-6326 |
| 1568425783 | JODY R BIRLIK PA Individual | Physician Assistant | 945 N 12TH ST MILWAUKEE, WI 53233 (414) 219-7880 |
| 1649233313 | JEANETTE M WADE NP Individual | Nurse Practitioner | 945 N 12TH ST EMERGENCY MED MILWAUKEE, WI 53233 (414) 219-7880 |
| 1730143389 | DR. PHILIP F TROIANO MD Individual | Emergency Medicine | 945 N 12TH ST EMERGENCY MED MILWAUKEE, WI 53233 (414) 219-7880 |
| 1982655866 | NEIL SJULSON MD Individual | Anesthesiology | 945 N 12TH ST SUITE 3858 MILWAUKEE, WI 53233 (414) 219-2000 |
| 1396798062 | JOSEPH M KIM MD Individual | Anesthesiology | 945 N 12TH ST SUITE 3858 MILWAUKEE, WI 53233 (414) 219-2000 |
| 1811941263 | AURORA SINAI MEDICAL CENTER, INC. Organization | General Acute Care Hospital | 945 N 12TH ST MILWAUKEE, WI 53233 (414) 219-2000 |
| 1982641452 | TREVOR F HYDE PHD Individual | Clinical Neuropsychologist | 945 N 12TH ST SUITE 4602 MILWAUKEE, WI 53233 (414) 219-7450 |
| 1427098474 | GREGORY A FELSHEIM MD Individual | Anesthesiology | 945 N 12TH ST SUITE 3858 MILWAUKEE, WI 53233 (414) 219-2000 |
| 1265474241 | THOMAS L LAWSON MD Individual | Radiology (Diagnostic Radiology) | 945 N 12TH ST RADIOLOGY MILWAUKEE, WI 53233 (414) 219-7200 |
| 1073555157 | RICHARD G WEEKES MD Individual | Radiology (Diagnostic Radiology) | 945 N 12TH ST RADIOLOGY MILWAUKEE, WI 53233 (414) 219-7200 |
| 1396788295 | PAUL W MAMEROW PA-C Individual | Physician Assistant (Medical) | 945 N 12TH ST SUITE 4602 MILWAUKEE, WI 53233 (414) 219-7450 |
| 1730116468 | DR. ALBERT S YEE MD Individual | Emergency Medicine | 945 N 12TH ST EMERGENCY MEDICINE MILWAUKEE, WI 53233 (414) 219-7880 |
| 1558386284 | AURORA HEALTH CARE METRO INC Organization | Pharmacy (Institutional Pharmacy) | 945 N 12TH ST MILWAUKEE, WI 53233 (414) 219-3100 |
| 1033120126 | DR. JAIME K BUTLER MD Individual | Emergency Medicine | 945 N 12TH ST MILWAUKEE, WI 53233 (414) 219-7880 |
| 1467569756 | MS. MARSHA SCHNEIDER APNP Individual | Nurse Practitioner | 945 N 12TH ST MILWAUKEE, WI 53233 (414) 219-5800 |
| 1457468563 | MS. BARBARA ANN TORGERSON CRNA Individual | Nurse Anesthetist, Certified Registered | 945 N 12TH ST MILWAUKEE, WI 53233 (414) 219-2000 |
| 1013024900 | MS. ANN M YOCKEY APNP Individual | Nurse Practitioner | 945 N 12TH ST MILWAUKEE, WI 53233 (414) 219-5800 |
| 1144392077 | JANET L MITTELSTADT MNT Individual | Dietitian, Registered | 945 N 12TH ST A320 MILWAUKEE, WI 53233 (414) 219-7956 |
| 1881768174 | KATHLEEN K GLAASER MNT Individual | Dietitian, Registered | 945 N 12TH ST A320 MILWAUKEE, WI 53233 (414) 219-7656 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558325191, enumerated in the NPI registry as an "individual" on April 12, 2006
The provider is located at 945 N 12th St Milwaukee, Wi 53233 and the phone number is (414) 219-7880
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
Medicare beneficiaries should expect a typical cost of $85.6 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $99.45 and an average copayment of 24.86. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on June 03, 2011 to opt-out of the Medicare program. The provider is excluded from the Medicare program until June 03, 2023.
This NPI record was last updated on April 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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