MR. DENNIS MICHAEL MCGOLDRICK RPA C
NPI 1588698203
Physician Assistant in Hamburg, NY

NPI Status: Active since July 10, 2006

Contact Information

4855 CAMP RD
SUITE 100
HAMBURG, NY
ZIP 14075
Phone: (716) 646-1084
Fax: (716) 646-0763

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  • Individual
  • Male
  • Physician Assistant
  • PECOS Enrolled

About DENNIS MCGOLDRICK

This page provides the complete NPI Profile along with additional information for Dennis Mcgoldrick, a primary care provider established in Hamburg, New York with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1588698203 assigned on July 2006. The practitioner's primary taxonomy code is 363A00000X with license number 003076 (NY). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1588698203
Provider Name
MR. DENNIS MICHAEL MCGOLDRICK RPA C
Gender
Male
Entity Type
Individual
Location Address
4855 CAMP RD SUITE 100 HAMBURG, NY 14075
Location Phone
(716) 646-1084
Location Fax
(716) 646-0763
Mailing Address
4855 CAMP RD SUITE 100 HAMBURG, NY 14075
Mailing Phone
(716) 646-1084
Mailing Fax
(716) 646-0763
Is Sole Proprietor?
No
Enumeration Date
07-10-2006
Last Update Date
07-21-2014
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A primary care provider (PCP) like Dennis Mcgoldrick sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
003076
License State
NY
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

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

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
P00427629MEDICARE PIN (08) 
00720810MEDICAID (05)NY 
CC8394MEDICARE PIN (08) 
R53938MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Dennis Mcgoldrick 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

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    5 DME suppliers used 12 Medicare Claims 33 Services Paid

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.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 15 times for 15 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

This service was performed 15 times for 14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 43 times for 43 patients

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 143 times for 103 patients

Hemoglobin a1c level

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

This service was performed 22 times for 18 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 12 times for 12 patients

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 14075 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.57
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $17.14
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* 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 1588698203, 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
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
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 8 → 16 → 7 6 → 12 → 3 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 1 + 2 + 9 + 1 + 6 + 2 + 0 + 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 1588698203.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Internal Medicine
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Massage Therapist
4855 CAMP RD, SUITE 400
HAMBURG, NY 14075
Durable Medical Equipment & Medical Supplies
4855 CAMP RD, SUITE 400
HAMBURG, NY 14075
Mechanotherapist
4855 CAMP RD
HAMBURG, NY 14075
Counselor (Mental Health)
4855 CAMP RD, SUITE 400
HAMBURG, NY 14075
Internal Medicine
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Physician Assistant
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Family Medicine
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Physician Assistant
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Nurse Practitioner (Family)
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Family Medicine
4855 CAMP RD, SUITE #100
HAMBURG, NY 14075
Family Medicine
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Family Medicine
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Nurse Practitioner (Family)
4855 CAMP RD, STE 100
HAMBURG, NY 14075
Nurse Practitioner (Family)
4855 CAMP RD, STE 100
HAMBURG, NY 14075
Emergency Medicine
4855 CAMP RD, STE 100
HAMBURG, NY 14075
Family Medicine
4855 CAMP RD, SUITE 100
HAMBURG, NY 14075
Physician Assistant
4855 CAMP RD, STE 100
HAMBURG, NY 14075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588698203, enumerated as an "individual" on July 10, 2006.

The provider is located at 4855 CAMP RD SUITE 100 HAMBURG, NY 14075 and the phone number is (716) 646-1084.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.