MR. QIAOCHU GU MD
NPI 1629607809
Emergency Medicine in Toccoa, GA

NPI Status: Active since April 08, 2020

Contact Information

163 HOSPITAL DR
TOCCOA, GA
ZIP 30577
Phone: (706) 282-4200

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  • Individual
  • Male
  • Years of Experience 6
  • Emergency Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About QIAOCHU GU

This page provides the complete NPI Profile along with additional information for Qiaochu Gu, a provider established in Toccoa, Georgia with a medical specialization in Emergency Medicine and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1629607809 assigned on April 2020. The practitioner's primary taxonomy code is 207P00000X with license number 94998 (GA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1629607809
Provider Name
MR. QIAOCHU GU MD
Gender
Male
Entity Type
Individual
Location Address
163 HOSPITAL DR TOCCOA, GA 30577
Location Phone
(706) 282-4200
Mailing Address
163 HOSPITAL DR TOCCOA, GA 30577
Mailing Phone
(423) 778-7628
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
04-08-2020
Last Update Date
06-11-2023
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
94998
License State
GA
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

0000064963 (TN)

Insurance Plans Accepted

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

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO

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

Medicare Participation & PECOS Enrollment Status

Qiaochu Gu 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.

Qiaochu Gu 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: 7012394208

    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: I20230720003184, I20240109002539

    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

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.8 for a new patient copayment and $23.71 for an established patient copayment.

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 30577 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $83.23
  • Minimum New Patient Price $53.31
  • Maximum New Patient Price $164.04
  • Average New Patient Copayment $20.8
  • Minimum New Patient Copayment $13.32
  • Maximum New Patient Copayment $41.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.84
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $133.24
  • Average Established Patient Copayment $23.71
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.31

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Qiaochu Gu is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
STEPHENS COUNTY HOSPITAL163 HOSPITAL DRIVE
TOCCOA, GA 30577
(706) 282-4250Acute Care Hospitals
MOUNTAIN LAKES MEDICAL CENTER162 LEGACY POINT
CLAYTON, GA 30525
(706) 782-3100Critical Access Hospitals

Reviews for MR. QIAOCHU GU MD

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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 1629607809, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 2 → 4 6 → 12 → 3 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 1 + 2 + 0 + 1 + 4 + 8 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1629607809.

Other Providers at the Same Location


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

Nurse Anesthetist, Certified Registered
163 HOSPITAL DR
TOCCOA, GA 30577
Emergency Medicine
163 HOSPITAL DR
TOCCOA, GA 30577
Emergency Medicine
163 HOSPITAL DR
TOCCOA, GA 30577
General Acute Care Hospital (Rural)
163 HOSPITAL DR
TOCCOA, GA 30577
Anesthesiology
163 HOSPITAL DR
TOCCOA, GA 30577
Pharmacist
163 HOSPITAL DR
TOCCOA, GA 30577
Pharmacist
163 HOSPITAL DR
TOCCOA, GA 30577
Occupational Therapist
163 HOSPITAL DR
TOCCOA, GA 30577
Nurse Practitioner (Family)
163 HOSPITAL DR
TOCCOA, GA 30577
Emergency Medicine
163 HOSPITAL DR
TOCCOA, GA 30577
Hospitalist
163 HOSPITAL DR
TOCCOA, GA 30577
Nurse Practitioner (Family)
163 HOSPITAL DR
TOCCOA, GA 30577
General Acute Care Hospital (Rural)
163 HOSPITAL DR
TOCCOA, GA 30577
Ambulance
163 HOSPITAL DR
TOCCOA, GA 30577
Medicare Defined Swing Bed Unit
163 HOSPITAL DR
TOCCOA, GA 30577
Internal Medicine
163 HOSPITAL DR
TOCCOA, GA 30577
Nurse Anesthetist, Certified Registered
163 HOSPITAL DR
TOCCOA, GA 30577
Psychiatric Unit
163 HOSPITAL DR
TOCCOA, GA 30577
Nurse Anesthetist, Certified Registered
163 HOSPITAL DR, STEPHENS COUNTY HOSPITAL
TOCCOA, GA 30577
Pharmacist
163 HOSPITAL DR
TOCCOA, GA 30577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629607809, enumerated as an "individual" on April 08, 2020.

The provider is located at 163 HOSPITAL DR TOCCOA, GA 30577 and the phone number is (706) 282-4200.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.

Qiaochu Gu is affiliated with: STEPHENS COUNTY HOSPITAL and MOUNTAIN LAKES MEDICAL CENTER.