TERRANCE W SLOAN M.D. NPI 1629009998
Internal Medicine in Gallup, NM
About TERRANCE W SLOAN M.D.
Terrance Sloan is an internist established in Gallup, New Mexico and his medical specialization is Internal Medicine. The NPI number of this provider is 1629009998 and was assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number 76-270 (NM). The provider is registered as an individual and his NPI record was last updated 12 years ago.
| NPI | 1629009998 |
| Provider Name | TERRANCE W SLOAN M.D. |
| Location Address | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 |
| Location Phone | (505) 722-1000 |
| Mailing Address | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-05-2006 |
| Last Update Date | 10-31-2011 |
An internist like Terrance Sloan 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.Terrance Sloan 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..
Primary Taxonomy
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.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 76-270 |
| License State | NM |
| 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
516 E. NIZHONI BLVD
BOX 1337
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Fax: (505) 726-8557
Mailing Address
516 E. NIZHONI BLVD
BOX 1337
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Fax: (505) 726-8557
Location Map
PECOS Enrollment and Medicare Participation Status
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 |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 87301 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 |
| $56.4 | $173.32 | $131.08 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.1 | $43.33 | $32.77 |
| 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 |
| $17.1 | $141.02 | $100.67 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.27 | $35.25 | $25.16 |
* 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.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8HZ447 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | HSZ003 |
| 8HZ92A | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | HSZ006 |
| 8HBW98 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | HSZ197 |
| 419483 | MEDICAID (05) | AZ | |
| 8HZ31A | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | HSZ005 |
| 000S0878 | MEDICAID (05) | NM | |
| H45150 | MEDICARE UPIN (02) | ||
| 8HZ41A | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | HSZ002 |
| 8HZ896 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | HSZ001 |
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. | |||||||||
| 1 | 6 | 2 | 9 | 0 | 0 | 9 | 9 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 0 | 18 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 0 + 1 + 8 + 9 + 1 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1629009998 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1366427650 | DR. GIENIA LYNCH MD Individual | Obstetrics & Gynecology | 516 E. NIZHONI BLVD GALLUP INDIAN MEDICAL CENTER GALLUP, NM 87301 (505) 722-1000 |
| 1366420747 | EILEEN BIUNNO MD Individual | Radiology (Diagnostic Radiology) | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1376511485 | UMA D DUGGIRALA MD Individual | Family Medicine | 516 E. NIZHONI BLVD GALLUP INDIAN MEDICAL CENTER GALLUP, NM 87301 (505) 722-1000 |
| 1619910080 | EDWARD ROBLES MEDINA MD Individual | Anesthesiology | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1740217793 | KEVIN DON GAINES MD Individual | Family Medicine | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1902833973 | SEYED HESHMAT MORTAZAVI DMD Individual | Dentist | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1063449577 | JOVITO G SABAL D.D.S Individual | Dentist | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1740218874 | ANTHONY VITALI DMD Individual | Dentist | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1891723748 | STEVEN DEWAYNE FLORER DDS Individual | Dentist | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1184653941 | JEANMAIRE RENE OFFNER M.D. Individual | Internal Medicine | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1262 |
| 1023048840 | GERI A GOFFE CNM Individual | Registered Nurse | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1497785224 | BARBARA A SHEBALA CNP Individual | Nurse Practitioner | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1205867603 | GARY A ESCUDERO M.D. Individual | Pediatrics | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1942230610 | BRIAN CULLIGAN O.D. Individual | Optometrist | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1902830037 | DEBORA J RUSSELL M.D. Individual | Obstetrics & Gynecology | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1528169950 | CHRISTINE CASTILLO RPH Individual | Pharmacist | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1185 |
| 1821136573 | DENISE A. NORMAN RPH Individual | Pharmacist | 516 E. NIZHONI BLVD GALLUP INDIAN MEDICAL CENTER (GIMC) GALLUP, NM 87301 (505) 722-1185 |
| 1205960044 | EDWARD T HUI MD Individual | Neurological Surgery | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1003009945 | MRS. SANDRA L SKEETS RN Individual | Registered Nurse (Ambulatory Care) | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1285803577 | MS. DEVON AURORA MCCABE RN Individual | Registered Nurse | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
Frequently Asked Questions
What is Terrance Sloan M.D. NPI number?
The NPI number assigned to this healthcare provider is 1629009998, registered as an "individual" on July 05, 2006
Where is Terrance Sloan M.D. located?
The provider is located at 516 E. Nizhoni Blvd Box 1337 Gallup, Nm 87301 and the phone number is (505) 722-1000
Which is Terrance Sloan M.D. specialty?
The provider's speciality is Internal Medicine
What insurance does Terrance Sloan M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Terrance Sloan M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
How much is a visit to Terrance Sloan M.D.?
Medicare beneficiaries should expect a typical cost of $131.08 with an average copayment of $32.77 for new patient appointments. Established patients should expect a typical charge of $100.67 and an average copayment of 25.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Terrance Sloan M.D. was last updated on July 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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