WILLIAM J. STEINOUR M.D.
NPI 1730120403
Emergency Medicine in Gettysburg, PA

NPI Status: Active since June 10, 2006

Contact Information

147 GETTYS ST
GETTYSBURG, PA
ZIP 17325
Phone: (717) 337-4216
Fax: (717) 337-4249

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  • Individual
  • Male
  • Emergency Medicine
  • PECOS Enrolled

About WILLIAM STEINOUR

This page provides the complete NPI Profile along with additional information for William Steinour, a provider established in Gettysburg, Pennsylvania with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1730120403 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X with license number MD024902E (PA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1730120403
Provider Name
WILLIAM J. STEINOUR M.D.
Gender
Male
Entity Type
Individual
Location Address
147 GETTYS ST GETTYSBURG, PA 17325
Location Phone
(717) 337-4216
Location Fax
(717) 337-4249
Mailing Address
1803 MOUNT ROSE AVE STE B3 YORK, PA 17403
Mailing Phone
(717) 337-4216
Mailing Fax
(717) 337-4249
Is Sole Proprietor?
No
Enumeration Date
06-10-2006
Last Update Date
02-26-2014
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD024902E
License State
PA
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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.

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
0044956000OTHER (01)PAAMERIHEALTH 65 PA-GH
414541OTHER (01)PAHIGHMARK GH
414541GVQMEDICARE PIN (08)PA 
145609OTHER (01)PAUNISON GH
20016359OTHER (01)PAAMERIHEALTH MERCY-GH
37536OTHER (01)PAGEISINGER GH
B41411MEDICARE UPIN (02) 
50067138OTHER (01)PACAPITAL BLUE CROSS GH
1521178OTHER (01)PAGATEWAY GH
000953157MEDICAID (05)PA 

Medicare Participation & PECOS Enrollment Status

William Steinour 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 17325 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $84.88
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $21.22
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

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

  • Average Established Patient Price $96.82
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $24.2
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* 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 1730120403, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 2 + 2 + 0 + 4 + 0 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1730120403.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
147 GETTYS ST
GETTYSBURG, PA 17325
Emergency Medicine
147 GETTYS ST
GETTYSBURG, PA 17325
Emergency Medicine
147 GETTYS ST
GETTYSBURG, PA 17325
Nurse Anesthetist, Certified Registered
147 GETTYS ST
GETTYSBURG, PA 17325
Anesthesiology
147 GETTYS ST
GETTYSBURG, PA 17325
Nurse Anesthetist, Certified Registered
147 GETTYS ST
GETTYSBURG, PA 17325
Emergency Medicine
147 GETTYS ST
GETTYSBURG, PA 17325
Family Medicine
147 GETTYS ST, 3786
GETTYSBURG, PA 17325
Hospitalist
147 GETTYS ST
GETTYSBURG, PA 17325
Internal Medicine (Clinical Cardiac Electrophysiology)
147 GETTYS ST
GETTYSBURG, PA 17325
Nurse Practitioner (Family)
147 GETTYS ST
GETTYSBURG, PA 17325
Emergency Medicine
147 GETTYS ST
GETTYSBURG, PA 17325
Emergency Medicine
147 GETTYS ST
GETTYSBURG, PA 17325
Internal Medicine
147 GETTYS ST
GETTYSBURG, PA 17325
Pathology (Anatomic Pathology & Clinical Pathology)
147 GETTYS ST
GETTYSBURG, PA 17325
Hospitalist
147 GETTYS ST
GETTYSBURG, PA 17325
Physician Assistant
147 GETTYS ST
GETTYSBURG, PA 17325
Radiology (Diagnostic Radiology)
147 GETTYS ST
GETTYSBURG, PA 17325
Nurse Anesthetist, Certified Registered
147 GETTYS ST
GETTYSBURG, PA 17325
Emergency Medicine
147 GETTYS ST
GETTYSBURG, PA 17325

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730120403, enumerated as an "individual" on June 10, 2006.

The provider is located at 147 GETTYS ST GETTYSBURG, PA 17325 and the phone number is (717) 337-4216.

Emergency Medicine with taxonomy code 207P00000X.

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