CRAIG CLAYTON CARTIA MD
NPI 1578566766
Anesthesiology - Addiction Medicine in Danville, KY
NPI Status: Active since May 23, 2005
Contact Information
106 BELINDA BLVD
DANVILLE, KY
ZIP 40422
Phone: (859) 439-0340
Fax: (859) 209-4278
- Individual
- Male
- Anesthesiology
- Addiction Medicine
- Accepts Insurance
- PECOS Enrolled
About CRAIG CARTIA
This page provides the complete NPI Profile along with additional information for Craig Cartia, a provider established in Danville, Kentucky with a medical specialization in Anesthesiology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1578566766 assigned on May 2005. The practitioner's primary taxonomy code is 207LA0401X with license number 32838 (KY). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1578566766
- Provider Name
- CRAIG CLAYTON CARTIA MD
- Other Name
- DR. CRAIG C CARTIA MD
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 106 BELINDA BLVD DANVILLE, KY 40422
- Location Phone
- (859) 439-0340
- Location Fax
- (859) 209-4278
- Mailing Address
- PO BOX 73652 CLEVELAND, OH 44193
- Mailing Phone
- (859) 313-2758
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2005
- Last Update Date
- 11-08-2019
- Code Navigator
Location Map
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
Anesthesiology Addiction Medicine
- Taxonomy Code
- 207LA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 32838
- License State
- KY
- Taxonomy Description
- An anesthesiologist who specializes in the diagnosis and treatment of addictions.
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
- 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
- HSA Eligible Bronze 6000 - 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
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*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 |
|---|---|---|---|
| 259910400 | MEDICAID (05) | FL | |
| 51610 | OTHER (01) | FL | BCBS FLORIDA |
| P00397344 | OTHER (01) | FL | MEDICARE RAILROAD |
| 59193345 | OTHER (01) | AL | BCBS ALABAMA - PMR |
| B002 | OTHER (01) | FL | HEALTH FIRST |
| 1380902 | OTHER (01) | FL | UNITED HEALTHCARE |
| 51541862 | OTHER (01) | AL | BCBS ALABAMA - BREW |
| 59193342 | OTHER (01) | AL | BCBS ALABAMA - PACE |
| 59190701 | OTHER (01) | AL | BCBS ALABAMA - GBO |
| 59190259 | OTHER (01) | AL | BCBS ALABAMA |
| 510I090003 | OTHER (01) | AL | MEDICARE AL |
Medicare Participation & PECOS Enrollment Status
Craig Cartia 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
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 40422 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.77
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $30.69
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.94
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $23.48
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* 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 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 1578566766, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
DANVILLE, KY 40422
DANVILLE, KY 40422
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578566766, enumerated as an "individual" on May 23, 2005.
The provider is located at 106 BELINDA BLVD DANVILLE, KY 40422 and the phone number is (859) 439-0340.
Anesthesiology with taxonomy code 207LA0401X and a focus in Addiction Medicine.
The provider might be accepting Accepts: CareSource, Medicare, Medicaid, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
