DR. JOHN O'BRIEN JOERNS MD NPI 1598020489

Internal Medicine - Pulmonary Disease in Dallas, TX

Individual Male Years of Experience 11 Internal Medicine Pulmonary Disease PECOS Enrolled Accepts Medicare Approved Payment

About DR. JOHN O'BRIEN JOERNS MD

John Joerns is an internist established in Dallas, Texas and his medical specialization is Internal Medicine with a focus in pulmonary disease with more than 11 years of experience. He graduated from University Of Texas Medical School At Houston in 2012. The NPI number of John Joerns is 1598020489 and was assigned on July 2012. The practitioner's primary taxonomy code is 207RP1001X with license number R6581 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.

An internist like Dr. John O'brien Joerns Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1598020489

Provider NameDR. JOHN O'BRIEN JOERNS MD
Provider Location Address6201 HARRY HINES BLVD DALLAS, TX 75390
Provider Mailing AddressPO BOX 845347 DALLAS, TX 75284
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year2012
Is Sole Proprietor?Yes
Enumeration Date07-07-2012
Last Update Date11-05-2018



John Joerns 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.

John Joerns 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. According to Medicare claims data he has hospital affiliations with Ut Southwestern University Hospital - William P. Clements Jr..

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.04 for a new patient copayment and $26.41 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207RP1001X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationPulmonary Disease
License No.R6581
License StateTX
Taxonomy DescriptionAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Business Address

DR. JOHN O'BRIEN JOERNS MD
6201 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 645-1678

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Mailing Address

DR. JOHN O'BRIEN JOERNS MD
PO BOX 845347
DALLAS, TX
ZIP 75284
Phone: (214) 645-1678


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6204065527
PECOS Enrollment IDI20180927000276
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 75390 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
$59.43 $179.71 $136.17
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.85 $44.92 $34.04
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
$18.75 $147.31 $105.64
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.68 $36.82 $26.41

* 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.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. John Joerns is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555Acute Care Hospitals450044

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine2012018714MONo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.
1598020489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25188020416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 0 + 2 + 0 + 4 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1598020489 is valid because the calculated check digit 9 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
1619267317 JULIE ANN BUCHL PT, DPT, MBA, CSCS
Individual
Physical Therapist6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-4780
1891227161 CHRISTINA DIANE KIM MPAS, PA-C
Individual
Physician Assistant6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8590
1982100087 AUSTIN JEFFREY PUCYLOWSKI MD
Individual
Student in an Organized Health Care Education/Training Program6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555
1740782762 MELISSA SCOTT AGACNP
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-6590
1982193645 BILAL ASHRAF
Individual
Student in an Organized Health Care Education/Training Program6201 HARRY HINES BLVD
DALLAS, TX 75390
(603) 401-9657
1285020487 NICHOLAS KEISUKE BROWNELL M.D.
Individual
Hospitalist6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555
1407866932 SARAH ELIZABETH ROCHFORT ACNP, FNP
Individual
Nurse Practitioner (Acute Care)6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-9720
1306889340DR. WILLIAM JAY HYMAN MD
Individual
Internal Medicine (Medical Oncology)6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-4180
1164816062 VATSALA GOYAL
Individual
Hospitalist6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-3597
1619440583 KATHERINE WILLIS BIENHOFF CRNA
Individual
Nurse Anesthetist, Certified Registered6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555
1811187354 MOHEB NABIL BOKTOR
Individual
Internal Medicine (Gastroenterology)6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-6355
1033408182 NICOLE ELIZABETH RICH M.D.
Individual
Internal Medicine (Gastroenterology)6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555
1336582758 MALLORY MULROY CASH M.D.
Individual
Psychiatry & Neurology (Psychiatry)6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-5555
1245702836 PRASENJEET MOTGHARE PA-C
Individual
Physician Assistant6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-2395
1225165681DR. STEPHEN SHIU-WAH CHUNG MD
Individual
Internal Medicine (Hematology & Oncology)6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555
1053707570DR. RICHARD MILLS M.D.
Individual
Hospitalist6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555
1790247294MRS. DENSEY ANN VARGHESE FNP
Individual
Nurse Practitioner6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555
1386006930 NAGENDRA POKALA
Individual
Hospitalist6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555
1265877245 GRACE Y LIU
Individual
Hospitalist6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555
1669756664 JUDY MINA KIM
Individual
Pharmacist6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-4122

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. John O'brien Joerns Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.