CYNTHIA LEE PAPADOPOULOS PAC
NPI 1639234016
Physician Assistant in Murray, UT
NPI Status: Active since December 26, 2006
Contact Information
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
Phone: (801) 413-4300
- Individual
- Female
- Years of Experience 13
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CYNTHIA PAPADOPOULOS
This page provides the complete NPI Profile along with additional information for Cynthia Papadopoulos, a primary care provider established in Murray, Utah with a medical specialization in Physician Assistant and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1639234016 assigned on December 2006. The practitioner's primary taxonomy code is 363A00000X with license number 8983549-1206 (UT). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1639234016
- Provider Name
- CYNTHIA LEE PAPADOPOULOS PAC
- Other Name
- CYNTHIA L GLASGOW
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 181 E MEDICAL TOWER DR MURRAY, UT 84107
- Location Phone
- (801) 413-4300
- Mailing Address
- PO BOX 27128 SALT LAKE CITY, UT 84127
- Mailing Phone
- (801) 314-4300
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-26-2006
- Last Update Date
- 06-28-2016
- Code Navigator
A primary care provider (PCP) like Cynthia Papadopoulos sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 8983549-1206
- License State
- UT
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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) |
---|---|---|---|---|
1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 8983549-1206 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Cynthia Papadopoulos 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.
Cynthia Papadopoulos 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: 4587643309
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: I20140917000315
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
13 DME suppliers used 26 Medicare Claims 71 Services Paid
DME-Other DME (DE001N)
Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)
7 DME suppliers used 21 Medicare Claims 21 Services Paid
DME-Other DME (DE001N)
Face mask interface, replacement for full face mask, each (HCPCS:A7031)
4 DME suppliers used 12 Medicare Claims 25 Services Paid
DME-Other DME (DE001N)
Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)
5 DME suppliers used 13 Medicare Claims 58 Services Paid
DME-Other DME (DE001N)
Headgear used with positive airway pressure device (HCPCS:A7035)
6 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
7 DME suppliers used 20 Medicare Claims 90 Services Paid
DME-Other DME (DE001N)
Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)
3 DME suppliers used 27 Medicare Claims 27 Services Paid
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
4 DME suppliers used 46 Medicare Claims 46 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
3 DME suppliers used 25 Medicare Claims 25 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
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.
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hemoglobin a1c level
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 28 times for 28 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 36 times for 35 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 67 times for 60 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 18 times for 18 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.1 for a new patient copayment and $17 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 84107 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.41
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.03
- Average New Patient Copayment $21.1
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.01
- Minimum Established Patient Price $17.23
- Maximum Established Patient Price $135.2
- Average Established Patient Copayment $17
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.8
* 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 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 | 2 | 3 | 4 | 0 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 4 | 3 | 8 | 0 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 4 + 3 + 8 + 0 + 2 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1639234016 is valid because the calculated check digit 6 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.
IHC HEALTH SERVICES INC
Otolaryngology
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
IHC HEALTH SERVICES INC
Podiatrist
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
IHC HEALTH SERVICES INC
Family Medicine
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
IHC HEALTH SERVICES INC
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
181 E MEDICAL TOWER DR
SUITE 310
MURRAY, UT
ZIP 84107
IHC HEALTH SERVICES INC
Internal Medicine
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
IHC HEALTH SERVICES INC
Emergency Medicine
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
IHC HEALTH SERVICES INC
Internal Medicine
(Geriatric Medicine)
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
IHC HEALTH SERVICES INC
Internal Medicine
(Rheumatology)
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
NICHOLAS JAMES DUNCAN M.D.
Family Medicine
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
DR. FRANZ MEDINA MONROY M.D.
Family Medicine
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
SALLY M TRAN M.D.
Family Medicine
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
BRAYDEN PAUL YELLMAN M.D.
Internal Medicine
(Rheumatology)
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
IHC HEALTH SERVICES INC
Otolaryngology
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
CONSUELO GALLEGOS APRN
Nurse Practitioner
(Acute Care)
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
KELLEY FULGHUM M.D.
Internal Medicine
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
CRAIG FREEMAN SPIEL PH.D.
Psychologist
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
IHC HEALTH SERVICES INC
Pharmacy
(Community/Retail Pharmacy)
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
LAUREN WOOD MD
Family Medicine
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
BROOKE MILLER
Pharmacist
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
DANETTE KO MD
Internal Medicine
(Rheumatology)
181 E MEDICAL TOWER DR
MURRAY, UT
ZIP 84107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639234016, enumerated as an "individual" on December 26, 2006.
The provider is located at 181 E MEDICAL TOWER DR MURRAY, UT 84107 and the phone number is (801) 413-4300.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.