CHARLES H LOUCRAFT JR. PA
NPI 1699865899
Physician Assistant in Leominster, MA
NPI Status: Active since October 16, 2006
Contact Information
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
Phone: (978) 466-2994
Fax: (978) 466-2993
- Individual
- Male
- Years of Experience 32
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CHARLES LOUCRAFT
This page provides the complete NPI Profile along with additional information for Charles Loucraft, a primary care provider established in Leominster, Massachusetts with a medical specialization in Physician Assistant and more than 32 years of experience. The healthcare provider is registered in the NPI registry with number 1699865899 assigned on October 2006. The practitioner's primary taxonomy code is 363A00000X with license number 639 (MA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1699865899
- Provider Name
- CHARLES H LOUCRAFT JR. PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 60 HOSPITAL RD LEOMINSTER, MA 01453
- Location Phone
- (978) 466-2994
- Location Fax
- (978) 466-2993
- Mailing Address
- 60 HOSPITAL RD LEOMINSTER, MA 01453
- Mailing Phone
- (978) 466-2994
- Mailing Fax
- (978) 466-2993
- Medical School Name
- OTHER
- Graduation Year
- 1994
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-16-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Charles Loucraft 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.
- 639
- License State
- MA
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
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 |
|---|---|---|---|
| AP0868 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
| S60963 | MEDICARE UPIN (02) | MA |
Medicare Participation & PECOS Enrollment Status
Charles Loucraft 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.
Charles Loucraft 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: 8224098272
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: I20041013001240
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
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.
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
Urinalysis, manual test
X-ray of chest, 2 views
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
This service was performed 53 times for 52 patientsThis test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
This service was performed 15 times for 15 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 37 times for 37 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 107 times for 102 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 99 times for 98 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 23 times for 22 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 12 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $18.3 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 01453 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Charles Loucraft is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LOWELL GENERAL HOSPITAL | 295 VARNUM AVENUE LOWELL, MA 01854 | (978) 937-6000 | Acute Care Hospitals |
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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 | 9 | 9 | 8 | 6 | 5 | 8 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 16 | 6 | 10 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 6 + 6 + 1 + 0 + 8 + 1 + 8 + 24 = 81 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 81 = 9 | 9 | ||||||||
The NPI number 1699865899 is valid because the calculated check digit 9 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.
DR. JAN C ROCKWOOD MD
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LEOMINSTER, MA
ZIP 01453
DR. LEEWOOD L LANE JR. MD
Emergency Medicine
60 HOSPITAL RD
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DR. ANTHONY G. DRAPPI MD
Emergency Medicine
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
DR. GLENN ALLISON M.D.
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
COORDINATED PRIMARY CARE INC
Hospitalist
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
VAL W SLAYTON MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
SERGEY FUZAYLOV M.D.
Anesthesiology
60 HOSPITAL RD
LEOMINSTER HOSPITAL
LEOMINSTER, MA
ZIP 01453
MICHAEL G POPIK MD
Radiology
(Diagnostic Radiology)
60 HOSPITAL RD
RADIOLOGY DEPARTMENT
LEOMINSTER, MA
ZIP 01453
WACHUSETT EMERGENCY PHYSICIANS, PC
Emergency Medicine
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
ROBERT STRAUBE HARPER M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
60 HOSPITAL RD
PATHOLOGY DEPT.
LEOMINSTER, MA
ZIP 01453
LILLIAN RICH M.D.
Emergency Medicine
60 HOSPITAL RD
WACHUSETT EMERGENCY PHYSICIANS
LEOMINSTER, MA
ZIP 01453
LINDA BRISEBOIS NP
Nurse Practitioner
(Family)
60 HOSPITAL RD
DEPARTMENT TAKE CHARGE
LEOMINSTER, MA
ZIP 01453
GERMAINE EARLE-CRUICKSHANKS D.O
Obstetrics & Gynecology
(Hospice and Palliative Medicine)
60 HOSPITAL RD
HEALTH ALLIANCE HOSPITAL
LEOMINSTER, MA
ZIP 01453
HEALTHALLIANCE PATHOLOGY, LLC
Pathology
(Anatomic Pathology & Clinical Pathology)
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
COORDINATED PRIMARY CARE, INC.
Hospitalist
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
DR. CHARLENE LYN STIRLING MD
Pediatrics
60 HOSPITAL RD
PEDIATRIC HOSPITAL MEDICINE
LEOMINSTER, MA
ZIP 01453
JOHN B LATIMER MD
Emergency Medicine
60 HOSPITAL RD
WACHUSETT EMERGENCY PHYSICIANS PC
LEOMINSTER, MA
ZIP 01453
KESHAV PARTHASARATHY M.D.
Internal Medicine
(Critical Care Medicine)
60 HOSPITAL RD
HOSPITAL MEDICINE
LEOMINSTER, MA
ZIP 01453
MCCALL BARRICK PNP
Nurse Practitioner
(Pediatrics)
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
DR. RASHMI BHOPI M.D
Pediatrics
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699865899, enumerated as an "individual" on October 16, 2006.
The provider is located at 60 HOSPITAL RD LEOMINSTER, MA 01453 and the phone number is (978) 466-2994.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
Charles Loucraft is affiliated with: LOWELL GENERAL HOSPITAL.
