PAUL BENJAMIN WAKSMAN PA-C NPI 1679034003

Physician Assistant in Falmouth, MA

Individual Male Years of Experience 4 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment

About PAUL BENJAMIN WAKSMAN PA-C

Paul Waksman is a primary care provider established in Falmouth, Massachusetts and his medical specialization is Physician Assistant with more than 4 years of experience. He graduated from Eastern Virginia Medical School in 2019. The NPI number of Paul Waksman is 1679034003 and was assigned on March 2019. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated May 2022.

A primary care provider (PCP) like Paul Benjamin Waksman Pa-c 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

NPI

1679034003

Provider Name PAUL BENJAMIN WAKSMAN PA-C
Provider Location Address100 TER HEUN DR FALMOUTH, MA 02540
Provider Mailing Address456 PROSPECT AVE WEST ORANGE, NJ 07052
GenderMale
NPI Entity TypeIndividual
Medical School NameEASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year2019
Is Sole Proprietor?Yes
Enumeration Date03-28-2019
Last Update Date05-17-2022



Paul Waksman 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.

Paul Waksman is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $19.15 for an established patient copayment.



Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy DescriptionA 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.

Business Address

PAUL BENJAMIN WAKSMAN PA-C
100 TER HEUN DR
FALMOUTH, MA
ZIP 02540
Phone: (508) 548-5300

Get Directions


Mailing Address

PAUL BENJAMIN WAKSMAN PA-C
456 PROSPECT AVE
WEST ORANGE, NJ
ZIP 07052
Phone:


Secondary Locations

456 Prospect Ave
West Orange, NJ 07052
(908) 400-7731

PECOS Enrollment and Medicare Participation

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
PECOS PAC ID6800205535
PECOS Enrollment IDI20210511001015
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 02540 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.32 $185.12 $94.07
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.33 $46.28 $23.51
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.31 $151.47 $76.6
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.82 $37.86 $19.15

* 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.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine25MP00533400NJNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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.
1679034003
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2614903800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 0 + 3 + 8 + 0 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1679034003 is valid because the calculated check digit 3 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
1518967322 CYNTHIA A HINES MD
Individual
Anesthesiology100 TER HEUN DR
FALMOUTH, MA 02540
(508) 548-5300
1801860614 DAVID F GOUVEIA M.D.
Individual
Orthopaedic Surgery100 TER HEUN DR
FALMOUTH, MA 02540
(508) 548-3699
1528033065DR. LESLIE D MAX M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)100 TER HEUN DR FALMOUTH HOSPITAL, DEPT. OF PATHOLOGY
FALMOUTH, MA 02540
(508) 457-3536
1124093950 VLADIMIR KOREN MD
Individual
Hospitalist100 TER HEUN DR FALMOUTH HOSPITAL HOSPITALIST DEPARTMENT
FALMOUTH, MA 02540
(508) 457-3748
1821065244 JONATHAN COSTA DO
Individual
Hospitalist100 TER HEUN DR FALMOUTH HOSPITAL HOSPITALIST DEPARTMENT
FALMOUTH, MA 02540
(508) 457-3748
1144298084 MICHELLE SWEKLA MD
Individual
Hospitalist100 TER HEUN DR FALMOUTH HOSPITAL HOSPITALIST DEPARTMENT
FALMOUTH, MA 02540
(508) 457-3748
1760450258 JAMES M SCHERMERHORN PA
Individual
Physician Assistant100 TER HEUN DR
FALMOUTH, MA 02540
(508) 457-3929
1710955125 ARSHAD M MIAN MD
Individual
Hospitalist100 TER HEUN DR FALMOUTH HOSPITAL HOSPITALIST DEPARTMENT
FALMOUTH, MA 02540
(508) 457-3748
1861461246 JOHN E HILL JR. PA
Individual
Physician Assistant100 TER HEUN DR FALMOUTH HOSPITAL EMERGENCY DEPARTMENT
FALMOUTH, MA 02540
(508) 457-3929
1295794840 JONATHAN R PILCHER MD
Individual
Emergency Medicine100 TER HEUN DR FALMOUTH HOSPITAL - EMERGENCY DEPARTMENT
FALMOUTH, MA 02540
(508) 457-3929
1760446959DR. RAMON BLANCO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)100 TER HEUN DR
FALMOUTH, MA 02540
(508) 457-3536
1316901341DR. EUGENE FERRARO M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)100 TER HEUN DR FALMOUTH HOSPITAL, DEPT. OF PATHOLOGY
FALMOUTH, MA 02540
(508) 457-3536
1639137235 RYAN J BEMIS M.D.
Individual
Emergency Medicine100 TER HEUN DR
FALMOUTH, MA 02540
(508) 457-3660
1053379701CAPE COD HEALTHCARE INC
Organization
General Acute Care Hospital100 TER HEUN DR
FALMOUTH, MA 02540
(508) 548-5300
1033162201DR. BERTRAND STEVENS DUNCAN M.D.
Individual
Surgery100 TER HEUN DR FALMOUTH HOSPITAL
FALMOUTH, MA 02540
(508) 548-5300
1366497315 JULIE L. BEMIS N.P.
Individual
Nurse Practitioner (Family)100 TER HEUN DR
FALMOUTH, MA 02540
(508) 457-3748
1861431694 PENNY VIATOR MD
Individual
Anesthesiology100 TER HEUN DR
FALMOUTH, MA 02540
(508) 548-8989
1205877305 ANDREW SHAYNE MD
Individual
Anesthesiology100 TER HEUN DR
FALMOUTH, MA 02540
(508) 548-8989
1114968211 MARK STEPHEN KAMP MD
Individual
Anesthesiology100 TER HEUN DR
FALMOUTH, MA 02540
(508) 548-8989
1518997261 DIANE M. DADDARIO M.D.
Individual
Emergency Medicine100 TER HEUN DR EMERGENCY DEPARTMENT
FALMOUTH, MA 02540
(508) 457-3929

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Paul Benjamin Waksman Pa-c is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.