THOMAS LANGAN MD NPI 1578539243
Psychiatry & Neurology - Neurology in Buffalo, NY
About THOMAS LANGAN MD
Thomas Langan is a provider established in Buffalo, New York and his medical specialization is Psychiatry & Neurology with a focus in neurology with more than 45 years of experience. He graduated from Warren Alpert Medical School Of Brown University in 1979. The healthcare provider is registered in the NPI registry with number 1578539243 and was assigned on February 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 166390 (NY). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1578539243 |
| Provider Name | THOMAS LANGAN MD |
| Location Address | 219 BRYANT ST BUFFALO, NY 14222 |
| Location Phone | (716) 878-7848 |
| Mailing Address | 219 BRYANT ST BUFFALO, NY 14222 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY |
| Graduation Year | 1979 |
| Is Sole Proprietor? | N/A |
| Enumeration Date | 02-23-2006 |
| Last Update Date | 07-08-2007 |
Thomas Langan 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.
Thomas Langan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.11, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.94 for a new patient copayment and $25.46 for an established patient copayment.
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.
| Taxonomy Code | 2084N0400X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Neurology |
| License No. | 166390 |
| License State | NY |
| Taxonomy Description | A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
219 BRYANT ST
BUFFALO, NY
ZIP 14222
Phone: (716) 878-7848
Mailing Address
219 BRYANT ST
BUFFALO, NY
ZIP 14222
Phone: (716) 878-7848
Location Map
PECOS Enrollment and Medicare Participation Status
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 Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1951485184 |
| PECOS Enrollment ID | I20080227000347 |
| 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 order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 14222 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $57.17 | $174.05 | $131.79 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.29 | $43.51 | $32.94 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.76 | $142.28 | $101.85 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.44 | $35.57 | $25.46 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 96.6 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 97.11 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
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 |
|---|---|---|
| F44831 | MEDICARE UPIN (02) | NY |
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 | 7 | 8 | 5 | 3 | 9 | 2 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 3 | 18 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 3 + 1 + 8 + 2 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1578539243 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1609870963 | DR. HIRAN PERINPANAYAGAM D.D.S., PH.D. Individual | Dentist (Endodontics) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7514 |
| 1013913425 | DR. PHILOMENA M BEHAR M.D. Individual | Otolaryngology (Pediatric Otolaryngology) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7569 |
| 1912992116 | MRS. KATHLEEN F COURTNEY C.F.N.P. Individual | Nurse Practitioner (Family) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7000 |
| 1134117203 | VINCENT P CALLANAN MD Individual | Otolaryngology | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7368 |
| 1003804949 | DR. TOM MAZUR PSY.D. Individual | Psychologist (Clinical) | 219 BRYANT ST BUFFALO BUFFALO, NY 14222 (716) 878-7093 |
| 1235110230 | KOFI S AMANKWAH M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7509 |
| 1295712362 | JOANNE R DENZ PNP Individual | Nurse Practitioner (Pediatrics) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7000 |
| 1366422446 | DEAN YACOBUCCI MD Individual | Radiology (Pediatric Radiology) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7502 |
| 1326028408 | ELUEN ANN YEH MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7848 |
| 1952371346 | ARIE L. WEINSTOCK MD Individual | Psychiatry & Neurology (Neurology) | 219 BRYANT ST BUFFALO, NY 14222 (716) 689-1901 |
| 1942271960 | PATRICIA DUFFNER MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-8000 |
| 1801867775 | MICHAEL COHEN MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 219 BRYANT ST CHILDREN'S HOSPITAL BUFFALO, NY 14222 (716) 878-7840 |
| 1275505463 | MICHAEL G ADRAGNA MD Individual | Anesthesiology | 219 BRYANT ST CGF ANESTHESIA BUFFALO, NY 14222 (716) 878-7444 |
| 1457325300 | SUSAN KERR MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 219 BRYANT ST WOMENS AND CHILDRENS HOSPITAL BUFFALO, NY 14222 (716) 878-7840 |
| 1285601716 | MR. DAVID R REHRAUER NP Individual | Nurse Practitioner (Neonatal) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7481 |
| 1043288426 | SARAH FINNEGAN MD Individual | Psychiatry & Neurology (Neurology) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7848 |
| 1376507228 | SARAH A. JUDKIEWICZ PNP Individual | Nurse Practitioner (Pediatrics) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7330 |
| 1760447288 | DR. THEODORE INMAN PUTNAM MD Individual | Pediatrics | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7109 |
| 1861457848 | DRUCY SARETTE BOROWITZ M.D. Individual | Pediatrics (Pediatric Pulmonology) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-7524 |
| 1265498158 | MRS. SUSAN MARIE PFALZER NNP Individual | Nurse Practitioner (Neonatal, Critical Care) | 219 BRYANT ST BUFFALO, NY 14222 (716) 878-1942 |
Frequently Asked Questions
What is Thomas Langan MD NPI number?
The NPI number assigned to this healthcare provider is 1578539243, registered as an "individual" on February 23, 2006
Where is the provider located?
The provider is located at 219 Bryant St Buffalo, Ny 14222 and the phone number is (716) 878-7848
What is the provider specialty code?
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
How many years of experience does Thomas Langan MD have?
The provider has more than 45 years of experience. He graduated from Warren Alpert Medical School Of Brown University in 1979.
What insurance does Thomas Langan MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Thomas Langan MD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are Thomas Langan MD Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Thomas Langan MD?
Medicare beneficiaries should expect a typical cost of $131.79 with an average copayment of $32.94 for new patient appointments. Established patients should expect a typical charge of $101.85 and an average copayment of 25.46. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
This NPI record was last updated on February 23, 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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