MR. ANDREW WILLIAM BAUKOL PA-C
NPI 1578808333
Physician Assistant - Surgical in Laramie, WY

NPI Status: Active since December 05, 2012

Contact Information

1909 VISTA DR
LARAMIE, WY
ZIP 82070
Phone: (307) 745-8851
Fax: (307) 742-0961

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  • Individual
  • Male
  • Years of Experience 15
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANDREW BAUKOL

This page provides the complete NPI Profile along with additional information for Andrew Baukol, a provider established in Laramie, Wyoming with a medical specialization in Physician Assistant, focusing in surgical and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1578808333 assigned on December 2012. The practitioner's primary taxonomy code is 363AS0400X with license number PT925 (WY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1578808333
Provider Name
MR. ANDREW WILLIAM BAUKOL PA-C
Gender
Male
Entity Type
Individual
Location Address
1909 VISTA DR LARAMIE, WY 82070
Location Phone
(307) 745-8851
Location Fax
(307) 742-0961
Mailing Address
1909 VISTA DR LARAMIE, WY 82070
Mailing Phone
(307) 745-8851
Mailing Fax
(307) 742-0961
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
12-05-2012
Last Update Date
04-15-2021
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PT925
License State
WY

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)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PT925 (WY)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

5322 (AZ)
3363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

(SC)
4363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

PA-1379 (ID)

Insurance Plans Accepted

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

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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

Medicare Participation & PECOS Enrollment Status

Andrew Baukol 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.

Andrew Baukol 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: 2961656533

    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: I20210421002675

    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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 33 times for 32 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 13 times for 13 patients

Reviews for MR. ANDREW WILLIAM BAUKOL PA-C

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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 1578808333, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 8 → 16 → 7 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 6 + 0 + 1 + 6 + 3 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1578808333.

Other Providers at the Same Location


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

Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1909 VISTA DR
LARAMIE, WY 82070
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Orthopaedic Surgery
1909 VISTA DR
LARAMIE, WY 82070
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Orthopaedic Surgery (Hand Surgery)
1909 VISTA DR
LARAMIE, WY 82070
Physical Medicine & Rehabilitation (Pain Medicine)
1909 VISTA DR
LARAMIE, WY 82070
Physician Assistant (Surgical)
1909 VISTA DR
LARAMIE, WY 82070
Physician Assistant
1909 VISTA DR
LARAMIE, WY 82070
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Specialist/Technologist (Athletic Trainer)
1909 VISTA DR
LARAMIE, WY 82070
Orthopaedic Surgery (Sports Medicine)
1909 VISTA DR
LARAMIE, WY 82070
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Radiologic Technologist
1909 VISTA DR
LARAMIE, WY 82070
Registered Nurse (Registered Nurse First Assistant)
1909 VISTA DR
LARAMIE, WY 82070
Registered Nurse (Registered Nurse First Assistant)
1909 VISTA DR
LARAMIE, WY 82070
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578808333, enumerated as an "individual" on December 05, 2012.

The provider is located at 1909 VISTA DR LARAMIE, WY 82070 and the phone number is (307) 745-8851.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming and Providence. Please consult your insurance carrier or call the provider to verify.