DR. THOMAS J. ALLRED MD
NPI 1639288855
Pathology - Anatomic Pathology & Clinical Pathology in Fort Duchesne, UT

NPI Status: Active since August 30, 2006

Contact Information

6822 EAST 1000 SOUTH
FORT DUCHESNE, UT
ZIP 84026
Phone: (435) 725-6874

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  • Individual
  • Male
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • PECOS Enrolled

About THOMAS ALLRED

This page provides the complete NPI Profile along with additional information for Thomas Allred, a provider established in Fort Duchesne, Utah with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1639288855 assigned on August 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 051616 (GA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1639288855
Provider Name
DR. THOMAS J. ALLRED MD
Gender
Male
Entity Type
Individual
Location Address
6822 EAST 1000 SOUTH FORT DUCHESNE, UT 84026
Location Phone
(435) 725-6874
Mailing Address
6822 EAST 1000 SOUTH FORT DUCHESNE, UT 84026
Mailing Phone
(435) 725-6874
Is Sole Proprietor?
No
Enumeration Date
08-30-2006
Last Update Date
04-05-2013
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
051616
License State
GA
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

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

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
D07808MEDICARE UPIN (02)UT 
320057MEDICARE OSCAR/CERTIFICATION (06)NM 
HSZ178MEDICARE PIN (08)NM 
HSZ216MEDICARE PIN (08)UT 
700000000009MEDICAID (05)UT 
H1232MEDICAID (05)NM 

Medicare Participation & PECOS Enrollment Status

Thomas Allred 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

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-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    1 DME suppliers used 12 Medicare Claims 12 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)

    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.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 15 times for 15 patients

Established patient office or other outpatient visit, 20-29 minutes

This 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 40 times for 28 patients

Established patient office or other outpatient visit, 30-39 minutes

This 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 102 times for 60 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 33 times for 25 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 84026 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $125.7
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.03
  • Average New Patient Copayment $31.42
  • 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 99214

  • Average Established Patient Price $96.35
  • Minimum Established Patient Price $17.23
  • Maximum Established Patient Price $135.2
  • Average Established Patient Copayment $24.08
  • 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 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 1639288855, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

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
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 3 → 6 2 → 4 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 4 + 8 + 1 + 6 + 8 + 1 + 0 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1639288855.

Other Providers at the Same Location


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

Dietitian, Registered
6822 EAST 1000 SOUTH
FT. DUCHESNE, UT 84026
Registered Nurse (Diabetes Educator)
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Pharmacist
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Dentist
6822 EAST 1000 SOUTH
FT. DUCHESNE, UT 84026
Clinic/Center (Public Health, Federal)
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Optometrist
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Physician Assistant
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Clinic/Center (Public Health, Federal)
6822 EAST 1000 SOUTH, FORT DUCHESNE PHS INDIAN HEALTH CENTER
FORT DUCHESNE, UT 84026
Dentist (General Practice)
6822 EAST 1000 SOUTH, FORT DUCHESNE PHS INDIAN HEALTH CENTER
FORT DUCHESNE, UT 84026
Durable Medical Equipment & Medical Supplies
6822 EAST 1000 SOUTH, FT DUCHESNE INDIAN HEALTH CENTER DME
FORT DUCHESNE, UT 84026
Clinical Medical Laboratory
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Clinic/Center (Radiology)
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Physician Assistant
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Family Medicine
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Pharmacist (Pharmacotherapy)
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Family Medicine
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Pharmacist
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Registered Nurse
6822 EAST 1000 SOUTH
FT. DUCHESNE, UT 84026
Registered Nurse (Diabetes Educator)
6822 EAST 1000 SOUTH
FT . DUCHESNE, UT 84026
Dentist (General Practice)
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639288855, enumerated as an "individual" on August 30, 2006.

The provider is located at 6822 EAST 1000 SOUTH FORT DUCHESNE, UT 84026 and the phone number is (435) 725-6874.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

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