PAUL S ERBA MD
NPI 1619050622
Radiology - Radiation Oncology in Enid, OK

NPI Status: Active since October 23, 2006

Contact Information

600 S MONROE ST
ENID, OK
ZIP 73701
Phone: (580) 233-3843
Fax: (580) 548-1484

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  • Individual
  • Male
  • Radiology
  • Radiation Oncology
  • Accepts Insurance
  • PECOS Enrolled

About PAUL ERBA

This page provides the complete NPI Profile along with additional information for Paul Erba, a provider established in Enid, Oklahoma with a medical specialization in Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1619050622 assigned on October 2006. The practitioner's primary taxonomy code is 2085R0001X with license number 16411 (OK). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1619050622
Provider Name
PAUL S ERBA MD
Gender
Male
Entity Type
Individual
Location Address
600 S MONROE ST ENID, OK 73701
Location Phone
(580) 233-3843
Location Fax
(580) 548-1484
Mailing Address
PO BOX 5096 ENID, OK 73702
Mailing Phone
(580) 233-3843
Mailing Fax
(580) 548-1484
Is Sole Proprietor?
Yes
Enumeration Date
10-23-2006
Last Update Date
10-06-2011
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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

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
16411
License State
OK
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Insurance Plans Accepted

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

  • Harmony by Medica Bronze $0 Copay PCP Visits - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO
  • Harmony by Medica Bronze Premier - PPO
  • Harmony by Medica Bronze Premier + Adult Eye Exam - PPO
  • Harmony by Medica Expanded Bronze Standard - PPO
  • Harmony by Medica Expanded Bronze Standard + Adult Eye Exam - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam - PPO
  • Harmony by Medica Gold Share - PPO
  • Harmony by Medica Gold Share + Adult Eye Exam - PPO
  • Harmony by Medica Gold Standard - PPO
  • Harmony by Medica Gold Standard + Adult Eye Exam - PPO
  • Harmony by Medica Silver $0 Copay PCP Visits - PPO
  • Harmony by Medica Silver $0 Copay PCP Visits + Adult Eye Exam - PPO
  • Harmony by Medica Silver Share - PPO
  • Harmony by Medica Silver Share + Adult Eye Exam - PPO
  • Harmony by Medica Silver Standard - PPO
  • Harmony by Medica Silver Standard + Adult Eye Exam - PPO
  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - 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.

*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
731440959OTHER (01)OKTAX PAYER ID NUMBER
100003480AMEDICAID (05)OK 
A0001OTHER (01)OKTRICARE
300006050OTHER (01)OKRAILROAD MC
D 34618MEDICARE UPIN (02)OK 
788007OTHER (01)OKFIRST HEALTH

Medicare Participation & PECOS Enrollment Status

Paul Erba 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

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.

3d radiation therapy planning

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

This service was performed 53 times for 52 patients

Calculation of radiation therapy dose

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

This service was performed 971 times for 99 patients

Complex radiation therapy planning

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

This service was performed 93 times for 90 patients

Complex radiation therapy planning for delivery of external radiation

Complex radiation therapy planning involves creating a detailed plan to deliver targeted radiation doses. The process includes imaging scans to identify the area needing treatment, and designing a specific radiation plan to protect healthy tissue while effectively treating the disease.

This service was performed 67 times for 57 patients

Ct guidance for insertion of radiation therapy fields

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

This service was performed 765 times for 32 patients

Design and construction of complex radiation treatment device

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

This service was performed 1,033 times for 99 patients

Design and construction of radiation treatment device for high precision radiation therapy

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

This service was performed 24 times for 24 patients

Design and construction of simple radiation treatment device

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

This service was performed 315 times for 88 patients

High precision radiation therapy planning

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

This service was performed 24 times for 24 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 69 times for 69 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

This service was performed 217 times for 95 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

This service was performed 179 times for 94 patients

Radiation treatment management, 5 treatment sessions

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

This service was performed 477 times for 97 patients

Special radiation therapy planning for delivery of external radiation

Special radiation therapy planning involves mapping your body's needs for external radiation treatment. This process uses advanced imaging techniques to pinpoint the exact area requiring treatment, ensuring the radiation is delivered accurately and effectively, while minimizing exposure to healthy tissues.

This service was performed 47 times for 42 patients

Special radiation treatment

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

This service was performed 94 times for 92 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

This service was performed 361 times for 26 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 73701 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $162.61
  • Minimum New Patient Price $53
  • Maximum New Patient Price $162.61
  • Average New Patient Copayment $40.65
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

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

  • Average Established Patient Price $66.48
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $132.4
  • Average Established Patient Copayment $16.62
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.1

* 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 1619050622, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
2
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 1 → 2 0 → 0 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 0 + 5 + 0 + 6 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1619050622.

Other Providers at the Same Location


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

Anesthesiology
600 S MONROE ST
ENID, OK 73701
Radiology (Diagnostic Radiology)
600 S MONROE ST
ENID, OK 73701
Radiology (Diagnostic Radiology)
600 S MONROE ST
ENID, OK 73701
Radiology (Diagnostic Radiology)
600 S MONROE ST
ENID, OK 73701
Radiology (Diagnostic Radiology)
600 S MONROE ST
ENID, OK 73701
Clinic/Center (Medical Specialty)
600 S MONROE ST, ER DEPT.
ENID, OK 73701
Anesthesiology
600 S MONROE ST
ENID, OK 73701
Anesthesiology
600 S MONROE ST
ENID, OK 73701
Nurse Anesthetist, Certified Registered
600 S MONROE ST
ENID, OK 73701
Medicare Defined Swing Bed Unit
600 S MONROE ST
ENID, OK 73701
Psychiatric Unit
600 S MONROE ST
ENID, OK 73701
Anesthesiology
600 S MONROE ST
ENID, OK 73701
Dietitian, Registered
600 S MONROE ST
ENID, OK 73701
Nurse Anesthetist, Certified Registered
600 S MONROE ST
ENID, OK 73701
Radiology (Radiation Oncology)
600 S MONROE ST, RAD ONC DEPT.
ENID, OK 73701
Family Medicine
600 S MONROE ST, ER DEPT.
ENID, OK 73701
Registered Nurse (Lactation Consultant)
600 S MONROE ST
ENID, OK 73701
Clinic/Center
600 S MONROE ST
ENID, OK 73701
Lactation Consultant, Non-RN
600 S MONROE ST
ENID, OK 73701
Nurse Anesthetist, Certified Registered
600 S MONROE ST
ENID, OK 73701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619050622, enumerated as an "individual" on October 23, 2006.

The provider is located at 600 S MONROE ST ENID, OK 73701 and the phone number is (580) 233-3843.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

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