LAURA BARNHART ALBERG M.D.
NPI 1720075393
Pediatrics in Columbia, SC

NPI Status: Active since September 29, 2005

Contact Information

601 CLEMSON RD
COLUMBIA, SC
ZIP 29229
Phone: (803) 788-6146
Fax: (803) 462-0312

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  • Individual
  • Female
  • Pediatrics
  • PECOS Enrolled

About LAURA ALBERG

Laura Alberg is a pediatrician established in Columbia, South Carolina and her medical specialization is Pediatrics. The healthcare provider is registered in the NPI registry with number 1720075393 assigned on September 2005. The practitioner's primary taxonomy code is 208000000X with license number 29466 (SC). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1720075393
Provider Name
LAURA BARNHART ALBERG M.D.
Gender
Female
Entity Type
Individual
Location Address
601 CLEMSON RD COLUMBIA, SC 29229
Location Phone
(803) 788-6146
Location Fax
(803) 462-0312
Mailing Address
601 CLEMSON RD COLUMBIA, SC 29229
Mailing Phone
(803) 788-6146
Mailing Fax
(803) 462-0312
Is Sole Proprietor?
No
Enumeration Date
09-29-2005
Last Update Date
07-19-2019
Code Navigator

A pediatrician like Laura Alberg is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
29466
License State
SC
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

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

  • BlueCross BlueShield of South Carolina

    • Blue Congaree Bronze 1 - HMO
    • Blue Congaree Gold 1 - HMO
    • Blue Congaree HD Silver 3 - HMO
    • Blue Congaree Silver 1 - HMO
    • Blue Congaree Silver 2 - HMO
    • Blue Congaree Standard Expanded Bronze - HMO
    • Blue Congaree Standard Gold - HMO
    • Blue Congaree Standard Silver - HMO
    • Blue VirtuConnect Bronze 1 - EPO
    • Blue VirtuConnect Gold 1 - EPO
    • Blue VirtuConnect Silver 1 - EPO
    • BlueEssentials Bronze 4 - EPO
    • BlueEssentials Bronze 6 - EPO
    • BlueEssentials Catastrophic 1 - EPO
    • BlueEssentials Gold 1 - EPO
  • First Choice Next

    • First Choice Next Bronze Classic 9450 + No-Referrals - HMO
    • First Choice Next Expanded Bronze Classic 7500 + No-Referrals - HMO
    • First Choice Next Expanded Bronze Premier 3500 + No-Referrals - HMO
    • First Choice Next Gold Classic 1500 + No-Referrals - HMO
    • First Choice Next Silver Classic 5900 + No-Referrals - HMO
    • First Choice Next Silver Premier 0 + No-Referrals - HMO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
    • UHC Bronze Essential - HMO
    • UHC Bronze Standard - HMO
    • UHC Bronze Value - HMO
    • UHC Bronze Value HSA - HMO
    • UHC Gold Advantage - HMO
    • UHC Gold Advantage+ (Dental + Vision) - HMO
    • UHC Gold Copay Focus $0 Indiv Med Ded - HMO
    • UHC Gold Standard - HMO
    • UHC Silver Advantage - HMO
    • UHC Silver Copay Focus $0 Indiv Med Ded - HMO
    • UHC Silver Standard - HMO
    • UHC Silver Value - HMO

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

PECOS Enrollment and Medicare Participation Status

Laura Alberg 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

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 29229 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $85.63
  • Minimum New Patient Price $55.43
  • Maximum New Patient Price $169.76
  • Average New Patient Copayment $21.4
  • Minimum New Patient Copayment $13.85
  • Maximum New Patient Copayment $42.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.06
  • Maximum Established Patient Price $138.69
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.26
  • Maximum Established Patient Copayment $34.67

* 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.

Reviews for LAURA BARNHART ALBERG M.D.

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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.
1720075393
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27400710318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 7 + 1 + 0 + 3 + 1 + 8 + 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 1720075393 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376651943 RICHARD D SHROUDS MD
Individual
Pediatrics601 CLEMSON RD
COLUMBIA, SC 29229
(803) 788-6146
1598719700 JENNIFER M SOROOS MD
Individual
Pediatrics601 CLEMSON RD
COLUMBIA, SC 29229
(803) 788-4886
1184634081DR. BARRY W CABINESS MD
Individual
Pediatrics601 CLEMSON RD
COLUMBIA, SC 29229
(803) 788-4886
1740397918 NADA J HAMZY MD
Individual
Pediatrics601 CLEMSON RD
COLUMBIA, SC 29229
(803) 788-6146
1932232212 KIERSTEN LEIGH LOFTON M.D.
Individual
Pediatrics601 CLEMSON RD
COLUMBIA, SC 29229
(803) 788-4886
1184016941SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC
Organization
Pediatrics (Adolescent Medicine)601 CLEMSON RD
COLUMBIA, SC 29229
(803) 788-6146
1942659073 BRITTANY WATSON PAGE M.D.
Individual
Pediatrics601 CLEMSON RD
COLUMBIA, SC 29229
(803) 886-1467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720075393, enumerated in the NPI registry as an "individual" on September 29, 2005

The provider is located at 601 Clemson Rd Columbia, Sc 29229 and the phone number is (803) 788-6146

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, First. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $85.63 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on September 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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