DR. MELVIN J SILVERSTEIN MD
NPI 1699707372
Surgery - Surgical Oncology in Newport Beach, CA

NPI Status: Active since July 06, 2006

Contact Information

ONE HOAG DRIVE
HOAG HOSPITAL
NEWPORT BEACH, CA
ZIP 92658
Phone: (310) 488-9510
Fax: (949) 764-8236

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  • Individual
  • Male
  • Surgery
  • Surgical Oncology
  • PECOS Enrolled

About MELVIN SILVERSTEIN

This page provides the complete NPI Profile along with additional information for Melvin Silverstein, a provider established in Newport Beach, California with a medical specialization in Surgery, focusing in surgical oncology . The healthcare provider is registered in the NPI registry with number 1699707372 assigned on July 2006. The practitioner's primary taxonomy code is 2086X0206X with license number G23100 (CA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1699707372
Provider Name
DR. MELVIN J SILVERSTEIN MD
Gender
Male
Entity Type
Individual
Location Address
ONE HOAG DRIVE HOAG HOSPITAL NEWPORT BEACH, CA 92658
Location Phone
(310) 488-9510
Location Fax
(949) 764-8236
Mailing Address
3334 E COAST HWY #363 CORONA DEL MAR, CA 92625
Mailing Phone
(310) 488-9510
Mailing Fax
(949) 764-8236
Is Sole Proprietor?
No
Enumeration Date
07-06-2006
Last Update Date
05-04-2017
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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

Surgery Surgical Oncology

Taxonomy Code
2086X0206X
Type
Allopathic & Osteopathic Physicians
License No.
G23100
License State
CA
Taxonomy Description
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

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)
1208600000XAllopathic & Osteopathic Physicians

Surgery

A41853 (CA)

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.

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
00G231000MEDICAID (05)CA 
00G231000C29OTHER (01)CACAL OPTIMA PIN
A41853MEDICARE UPIN (02)CA 
00G231000OTHER (01)CABLUE SHIELD PIN
020039593OTHER (01)CAMEDICARE RAILROAD PIN
WG23100CMEDICARE PIN (08)CA 

Medicare Participation & PECOS Enrollment Status

Melvin Silverstein 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: Durable Medical Equipment (DME) 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: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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.

Biopsy or removal of deep lymph nodes of underarm

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

This service was performed 18 times for 18 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 187 times for 176 patients

Imaging of lymph nodes during surgery

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

This service was performed 17 times for 17 patients

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 33 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 31 times for 31 patients

Partial removal of breast

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

This service was performed 20 times for 20 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 92658 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $187.6
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $46.9
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

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

  • Average Established Patient Price $77.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $19.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* 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 1699707372, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 1 + 4 + 0 + 1 + 4 + 3 + 1 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1699707372.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92658
Pathology (Anatomic Pathology & Clinical Pathology)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92658
Family Medicine (Addiction Medicine)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92658
Internal Medicine (Hematology & Oncology)
ONE HOAG DRIVE, BLDG 41 HOAG CANCER CENTER
NEWPORT BEACH, CA 92658
Registered Nurse (Registered Nurse First Assistant)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92658
Radiology (Diagnostic Radiology)
ONE HOAG DRIVE, HOAG MEMORIAL HOSPITAL PRESBYTERIAN
NEWPORT BEACH, CA 92658
Pathology (Anatomic Pathology & Clinical Pathology)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92658

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699707372, enumerated as an "individual" on July 06, 2006.

The provider is located at ONE HOAG DRIVE HOAG HOSPITAL NEWPORT BEACH, CA 92658 and the phone number is (310) 488-9510.

Surgery with taxonomy code 2086X0206X and a focus in Surgical Oncology.

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