THEODORE H NICOL CRNA NPI 1730181371
Nurse Anesthetist, Certified Registered in Westerville, OH
About THEODORE H NICOL CRNA
Theodore Nicol is a provider established in Westerville, Ohio and his medical specialization is Nurse Anesthetist, Certified Registered with more than 34 years of experience. The NPI number of this provider is 1730181371 and was assigned on August 2005. The practitioner's primary taxonomy code is 367500000X with license number COA.01738-NA (OH). The provider is registered as an individual and his NPI record was last updated 13 years ago.
| NPI | 1730181371 |
| Provider Name | THEODORE H NICOL CRNA |
| Location Address | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 |
| Location Phone | (614) 898-6659 |
| Mailing Address | P O BOX 711052 CINCINNATI, OH 45271 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1989 |
| Is Sole Proprietor? | No |
| Enumeration Date | 08-12-2005 |
| Last Update Date | 07-28-2010 |
Theodore Nicol is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.93 for a new patient copayment and $25.3 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 367500000X |
| Classification | Nurse Anesthetist, Certified Registered |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | COA.01738-NA |
| License State | OH |
| Taxonomy Description | (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
500 S CLEVELAND AVE
WESTERVILLE, OH
ZIP 43081
Phone: (614) 898-6659
Fax: (614) 898-8631
Mailing Address
P O BOX 711052
CINCINNATI, OH
ZIP 45271
Phone: (614) 457-8180
Fax: (614) 583-3300
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 43081 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.74 | $173.94 | $87.72 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.18 | $43.48 | $21.93 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.31 | $141.66 | $101.2 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.32 | $35.41 | $25.3 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 73Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)
- 68Anesthesia for diagnostic examination of large bowel using an endoscope (HCPCS:00812)
- 30Anesthesia for procedure on large bowel using an endoscope (HCPCS:00811)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Theodore Nicol is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| MEMORIAL HOSPITAL | 500 LONDON AVENUE MARYSVILLE, OH 43040 | (937) 578-2289 | Acute Care Hospitals | 360092 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| S08133 | MEDICARE UPIN (02) | OH | |
| 430040270 | OTHER (01) | OH | RAILROAD MEDICARE |
| 0690999 | MEDICAID (05) | OH | |
| NI8200593 | MEDICARE PIN (08) | OH |
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 | 7 | 3 | 0 | 1 | 8 | 1 | 3 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 2 | 8 | 2 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 2 + 8 + 2 + 3 + 1 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1730181371 is valid because the calculated check digit 1 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386647204 | MS. JEANNE ELIZABETH BAUER CNM Individual | Advanced Practice Midwife | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-4605 |
| 1366441586 | CENTRAL OHIO ANESTHESIA INC Organization | Anesthesiology | 500 S CLEVELAND AVE ST. ANN'S HOSPITAL ANESTHESIA DEPT WESTERVILLE, OH 43081 (614) 898-6659 |
| 1396745709 | LORNA J GRIM CRNA Individual | Nurse Anesthetist, Certified Registered | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-6659 |
| 1568462968 | MR. WILLIAM D CALHOON CRNA Individual | Nurse Anesthetist, Certified Registered | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-6659 |
| 1528068780 | ROSANN R MALENFANT CRNA Individual | Nurse Anesthetist, Certified Registered | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-6659 |
| 1336141043 | MICHAEL F CARTER MD Individual | Anesthesiology | 500 S CLEVELAND AVE ST. ANN'S HOSPITAL ANESTHESIA DEPT WESTERVILLE, OH 43081 (614) 898-6659 |
| 1699769679 | MARY PATRICIA MCHUGH MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 500 S CLEVELAND AVE ST. ANN'S HOSPITAL PATHOLOGY DEPT WESTERVILLE, OH 43081 (614) 898-5568 |
| 1699733170 | HOSPITALIST ASSOCIATES Organization | Internal Medicine (Critical Care Medicine) | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (740) 323-0272 |
| 1942268107 | GEOFFREY M POLEN MD Individual | Internal Medicine (Critical Care Medicine) | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (740) 323-0272 |
| 1245298843 | EMAL SHERZAI M.D. Individual | Internal Medicine | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 235-2326 |
| 1639123193 | IMMEDIATE HEALTH ASSOCIATES Organization | Emergency Medicine | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 839-5233 |
| 1063467462 | GERALD J GIRARDI MD Individual | Obstetrics & Gynecology | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-4000 |
| 1770538951 | PHILLIP JOSEPH SHUBERT MD Individual | Obstetrics & Gynecology | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-4000 |
| 1447205562 | KIMBERLY JO CULL MD Individual | Obstetrics & Gynecology | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-4000 |
| 1528014461 | DR. EDWARD DAVID BOUDREAU D.O. Individual | Emergency Medicine | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 794-0481 |
| 1477509099 | J.KEVIN KINGTON MD Individual | Obstetrics & Gynecology | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-4000 |
| 1538108840 | HILARY LEIGH VAUGHN MD Individual | Internal Medicine | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-4000 |
| 1871532911 | ROBERT J THOMAS DO Individual | Obstetrics & Gynecology | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-4000 |
| 1225077712 | DR. CYNTHIA CURL D.O. Individual | Emergency Medicine | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 794-0481 |
| 1083653877 | ELIZABETH ANN CUMMINS MD Individual | Obstetrics & Gynecology | 500 S CLEVELAND AVE WESTERVILLE, OH 43081 (614) 898-4000 |
Frequently Asked Questions
What is Theodore Nicol CRNA NPI number?
The NPI number assigned to this healthcare provider is 1730181371, registered as an "individual" on August 12, 2005
Where is Theodore Nicol CRNA located?
The provider is located at 500 S Cleveland Ave Westerville, Oh 43081 and the phone number is (614) 898-6659
Which is Theodore Nicol CRNA specialty?
The provider's speciality is Nurse Anesthetist, Certified Registered
How many years of experience does Theodore Nicol CRNA have?
The provider has more than 34 years of experience.
What insurance does Theodore Nicol CRNA accept?
The provider might be accepting Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
How much is a visit to Theodore Nicol CRNA?
Medicare beneficiaries should expect a typical cost of $87.72 with an average copayment of $21.93 for new patient appointments. Established patients should expect a typical charge of $101.2 and an average copayment of 25.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Theodore Nicol CRNA?
The most common procedures or services performed by this practitioner are: Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, Anesthesia for diagnostic examination of large bowel using an endoscope and Anesthesia for procedure on large bowel using an endoscope.
Is Theodore Nicol CRNA affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Theodore Nicol CRNA was last updated on August 12, 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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