PETRA URSEL NEUES MD
NPI 1568411676
Hospitalist in West Palm Beach, FL

NPI Status: Active since May 08, 2006

Contact Information

1309 N FLAGLER DR
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 482-4541

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  • Individual
  • Female
  • Years of Experience 28
  • Hospitalist
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About PETRA NEUES

Petra Neues is a provider established in West Palm Beach, Florida and her medical specialization is Hospitalist with more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1568411676 assigned on May 2006. The practitioner's primary taxonomy code is 208M00000X with license number ME79873 (FL). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1568411676
Provider Name
PETRA URSEL NEUES MD
Gender
Female
Entity Type
Individual
Location Address
1309 N FLAGLER DR WEST PALM BEACH, FL 33401
Location Phone
(561) 482-4541
Mailing Address
1309 N FLAGLER DR WEST PALM BEACH, FL 33401
Mailing Phone
(561) 882-4541
Mailing Fax
Medical School Name
OTHER
Graduation Year
1996
Is Sole Proprietor?
No
Enumeration Date
05-08-2006
Last Update Date
05-11-2016
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Petra Neues 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.38 for a new patient copayment and $27.09 for an established patient copayment.

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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME79873
License State
FL
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

ME79873 (FL)

Insurance Plans Accepted

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

  • AmeriHealth Caritas Next

    • AmeriHealth Caritas Next Bronze Classic + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals - HMO
    • AmeriHealth Caritas Next Expanded Bronze Classic + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals - HMO
    • AmeriHealth Caritas Next Expanded Bronze Premier + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals Plan - HMO
    • AmeriHealth Caritas Next Gold Classic + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals - HMO
    • AmeriHealth Caritas Next Silver Classic + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals - HMO
    • AmeriHealth Caritas Next Silver Premier + $0 Virtual Care 24/7 + $0 Preventive Care + No-Referrals Plan - HMO
  • Molina Healthcare

    • Bronze 4 - HMO
    • Bronze 8 - HMO
    • 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
    • Silver 9 - HMO
  • Medicare

  • Medicaid

  • Blue Cross Blue Shield


*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
U8140XMEDICARE PIN (08)FL 
H14977MEDICARE UPIN (02)FL 
35583OTHER (01)FLBCBS
U8140SMEDICARE PIN (08)FL 
U8140YMEDICARE PIN (08)FL 
275127500MEDICAID (05)FL 

PECOS Enrollment and Medicare Participation Status

Petra Neues 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: 1557344967

    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: I20061017000079

    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

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 33401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $141.52
  • Minimum New Patient Price $61.36
  • Maximum New Patient Price $187
  • Average New Patient Copayment $35.38
  • Minimum New Patient Copayment $15.34
  • Maximum New Patient Copayment $46.75

Established Patients Visit Costs *

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

  • Average Established Patient Price $108.36
  • Minimum Established Patient Price $18.68
  • Maximum Established Patient Price $151.65
  • Average Established Patient Copayment $27.09
  • Minimum Established Patient Copayment $4.67
  • Maximum Established Patient Copayment $37.91

* 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.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Petra Neues is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HCA FLORIDA JFK HOSPITAL5301 S CONGRESS AVE
ATLANTIS, FL 33462
(561) 965-7300Acute Care Hospitals

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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.
1568411676
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128812614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 1 + 2 + 6 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1568411676 is valid because the calculated check digit 6 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
1366447880 DAVID JOSEPH AHR M.D.
Individual
Internal Medicine (Hematology & Oncology)1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 366-4100
1316943202DR. NEIL PIWOVAR MD
Individual
Emergency Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 650-6309
1588659536STERLING EMERGENCY SERVICES OF FLORIDA PA
Organization
Emergency Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1619945136 MARGERY VICTORIA CASKER MD
Individual
Emergency Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1619945144 WILLIAM KIRBY EDGE PA
Individual
Physician Assistant1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1619945169 JASON SEVALD MD
Individual
Emergency Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1811965338 JENNIFER ABNET PA
Individual
Physician Assistant1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1649249798 JOSEPH AVERBACH MD
Individual
Emergency Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1174592224 CHRISTINE MURRAY NP
Individual
Nurse Practitioner1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1215906342 LAWRENCE SMITH DO
Individual
Emergency Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1821067927 AMRATLAL PATEL MD
Individual
Emergency Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1467421560 CAROL REIVE NP
Individual
Nurse Practitioner1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1578532164 HELEN HEMBREE PA
Individual
Physician Assistant1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1588615470STERLING HOSPITALISTS OF FLORIDA PA
Organization
Internal Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1639114408PALM BEACH CANCER INSTITUTE LLC
Organization
Internal Medicine (Hematology & Oncology)1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 366-4100
1649284548GOLD COAST EKG CONSULTANTS LLC
Organization
Internal Medicine (Cardiovascular Disease)1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 736-1200
1548469612FLAGLER EMERGENCY PHYSICIANS
Organization
Emergency Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1619157625FLORIDA EM-I MEDICAL SERVICES, PA
Organization
Emergency Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1710167721INPATIENT SERVICES OF FLORIDA, PA
Organization
Internal Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511
1154503787EVERGLADES INPATIENT PHYSICIANS
Organization
Internal Medicine1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568411676, enumerated in the NPI registry as an "individual" on May 08, 2006

The provider is located at 1309 N Flagler Dr West Palm Beach, Fl 33401 and the phone number is (561) 482-4541

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider has more than 28 years of experience.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Molina Healthcare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 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 $141.52 with an average copayment of $35.38 for new patient appointments. Established patients should expect a typical charge of $108.36 and an average copayment of 27.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): HCA FLORIDA JFK HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 08, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.