PAUL T AKERS DDS
NPI 1639149909
Dentist - Oral and Maxillofacial Surgery in Evanston, IL

NPI Status: Active since January 26, 2006

Contact Information

500 DAVIS ST
#509
EVANSTON, IL
ZIP 60201
Phone: (847) 869-9303
Fax: (847) 869-9323

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Dentist
Oral and Maxillofacial Surgery
PECOS Enrolled
Opted-Out Medicare

About PAUL AKERS

This page provides the complete NPI Profile along with additional information for Paul Akers, a provider established in Evanston, Illinois with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1639149909 assigned on January 2006. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1639149909
Provider Name: PAUL T AKERS DDS
Gender: Male
Entity Type: Individual
Location Address: 500 DAVIS ST #509 EVANSTON, IL 60201
Location Phone: (847) 869-9303
Location Fax: (847) 869-9323
Mailing Address: 500 DAVIS ST #509 EVANSTON, IL 60201
Mailing Phone: (847) 869-9303
Mailing Fax: (847) 869-9323
Is Sole Proprietor?: No
Enumeration Date: 01-26-2006
Last Update Date: 07-08-2007
Code Navigator

A dentist like Paul Akers is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Paul Akers opted out of Medicare effective on 08-01-2008 until 08-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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: Dentist Oral and Maxillofacial Surgery
Taxonomy Code: 1223S0112X
Type: Dental Providers
License State: IL
Taxonomy Description: An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Insurance Plans Accepted

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

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
T37150	MEDICARE UPIN (02)
525690	MEDICARE ID-TYPE UNSPECIFIED (04)

Medicare Participation & PECOS Enrollment Status

Paul Akers 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) and a Home Health Agency (HHA).

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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-01-2008
Opt-Out End Date: 08-01-2026
Eligible to Order and Refer? 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: No

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 60201 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $94.06
Minimum New Patient Price $60.08
Maximum New Patient Price $183.39

Average New Patient Copayment $23.51
Minimum New Patient Copayment $15.02
Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

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

Average Established Patient Price $74.8
Minimum Established Patient Price $18.97
Maximum Established Patient Price $148.12

Average Established Patient Copayment $18.7
Minimum Established Patient Copayment $4.74
Maximum Established Patient Copayment $37.03

* 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.

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	3	9	1	4	9	9	0	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	6	9	2	4	18	9	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 4 + 1 + 8 + 9 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1639149909 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.

DR. MICHAEL R STOHLE DDS, MS

Oral & Maxillofacial Surgery

500 DAVIS ST
STE 509
EVANSTON, IL
ZIP 60201

About PAUL AKERS

Location Map

Specialty - Primary Taxonomy

Dentist Oral and Maxillofacial Surgery

Insurance Plans Accepted

Medicare

Medicaid

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Opted-Out of Medicare? Yes

Opt-Out Effective Date: 08-01-2008

Opt-Out End Date: 08-01-2026

Eligible to Order and Refer? 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: No

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for PAUL T AKERS DDS

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Paul Akers's NPI number?

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What insurance does Paul Akers accept?