MEGAN LORA DUNOVAN PA
NPI 1699243915
Physician Assistant in Aztec, NM

NPI Status: Active since November 05, 2018

Contact Information

604 S RIO GRANDE AVE
AZTEC, NM
ZIP 87410
Phone: (505) 334-2664
Fax: (505) 259-4403

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

Individual
Female
Years of Experience 8
Physician Assistant
Accepts Insurance
May Accept Medicare Approved Payment
PECOS Enrolled

About MEGAN DUNOVAN

This page provides the complete NPI Profile along with additional information for Megan Dunovan, a primary care provider established in Aztec, New Mexico with a medical specialization in Physician Assistant and more than 8 years of experience. She graduated from University Of Utah School Of Medicine in 2018. The healthcare provider is registered in the NPI registry with number 1699243915 assigned on November 2018. The practitioner's primary taxonomy code is 363A00000X with license number PA2018-0092 (NM). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1699243915
Provider Name: MEGAN LORA DUNOVAN PA
Gender: Female
Entity Type: Individual
Location Address: 604 S RIO GRANDE AVE AZTEC, NM 87410
Location Phone: (505) 334-2664
Location Fax: (505) 259-4403
Mailing Address: 2577 MAIN AVE DURANGO, CO 81301
Mailing Phone: (970) 247-8382
Mailing Fax: (505) 259-4403
Medical School Name: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year: 2018
Is Sole Proprietor?: No
Enumeration Date: 11-05-2018
Last Update Date: 10-22-2024
Code Navigator

A primary care provider (PCP) like Megan Dunovan 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

Secondary Locations

2577 Main Ave
Durango, CO 81301
(970) 247-8382

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.: PA2018-0092
License State: NM
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	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	PA.0008548 (CO)

Insurance Plans Accepted

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

Blue Cross Blue Shield of Arizona

Blue ACA StandardHealth Silver with Health Choice - HMO

Cigna HealthCare of Arizona, Inc

Connect Bronze 6800 Indiv Med Deductible - HMO
Connect Bronze 8900 Indiv Med Deductible - HMO
Connect Bronze CMS Standard - HMO
Connect Gold 2500 Indiv Med Deductible - HMO
Connect Gold CMS Standard - HMO
Connect Silver 4000 Indiv Med Deductible - HMO
Connect Silver 5000 Indiv Med Deductible - HMO
Connect Silver CMS Standard - HMO

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

Medicare Participation & PECOS Enrollment Status

Megan Dunovan is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Megan Dunovan 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: 143568113
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: I20241002000016
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? Maybe
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-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
2 DME suppliers used 21 Medicare Claims 21 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 29 Medicare Claims 33 Services Paid

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 87410 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $84.79
Minimum New Patient Price $54.26
Maximum New Patient Price $166.8

Average New Patient Copayment $21.19
Minimum New Patient Copayment $13.56
Maximum New Patient Copayment $41.7

Established Patients Visit Costs *

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

Average Established Patient Price $68
Minimum Established Patient Price $17
Maximum Established Patient Price $135.35

Average Established Patient Copayment $17
Minimum Established Patient Copayment $4.25
Maximum Established Patient Copayment $33.83

* 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	9	9	2	4	3	9	1	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	18	9	4	4	6	9	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 4 + 4 + 6 + 9 + 2 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 5									5

The NPI number 1699243915 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.