DRAGANA DORAN MD
NPI 1750451795
Internal Medicine in Haverhill, MA
NPI Status: Active since November 08, 2006
Contact Information
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
Phone: (978) 469-1480
- Individual
- Female
- Years of Experience 48
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DRAGANA DORAN
This page provides the complete NPI Profile along with additional information for Dragana Doran, an internist established in Haverhill, Massachusetts with a medical specialization in Internal Medicine and more than 48 years of experience. The healthcare provider is registered in the NPI registry with number 1750451795 assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number 76364 (MA). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1750451795
- Provider Name
- DRAGANA DORAN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 76 SUMMER ST HAVERHILL, MA 01830
- Location Phone
- (978) 469-1480
- Mailing Address
- 38 FAIRFIELD ST CAMBRIDGE, MA 02140
- Mailing Phone
- (617) 492-2420
- Medical School Name
- OTHER
- Graduation Year
- 1978
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-08-2006
- Last Update Date
- 06-04-2008
- Code Navigator
An internist like Dragana Doran is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 76364
- License State
- MA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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
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 |
|---|---|---|---|
| 2134039 | MEDICAID (05) | MA | |
| J13711 | OTHER (01) | BCBS | |
| 30206739 | MEDICAID (05) | NH | |
| F54878 | MEDICARE UPIN (02) | ||
| J13711 | MEDICARE PIN (08) | MA | |
| 1750451795 | OTHER (01) | NETWORK | |
| 9708086 | OTHER (01) | AETNA | |
| 1750451795 | OTHER (01) | TUFTS | |
| 204685284 | OTHER (01) | JHC | |
| AA89167 | OTHER (01) | HPHC | |
| P00369071 | OTHER (01) | RAILROAD |
Medicare Participation & PECOS Enrollment Status
Dragana Doran 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.
Dragana Doran 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: 7517909450
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: I20050601000565
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.
Follow-up nursing facility visit per day, typically 10 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Initial nursing facility visit per day, typically 45 minutes
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
This service was performed 80 times for 37 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 549 times for 195 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 473 times for 204 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 69 times for 66 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.61 for a new patient copayment and $25.87 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 01830 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.47
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.61
- 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 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- 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.
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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 | 7 | 5 | 0 | 4 | 5 | 1 | 7 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 5 | 2 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 5 + 2 + 7 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1750451795 is valid because the calculated check digit 5 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.
JANICE FUNK PH.D.
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HAVERHILL, MA
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CATHERINE JEAN LICSW
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HAVERHILL, MA
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EMILIA SEMENOV M.D.
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HAVERHILL, MA
ZIP 01830
MRS. MARIA JACKSON LICSW
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HAVERHILL, MA
ZIP 01830
HVL CORPORATION
Psychiatric Hospital
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
RECOVERY SOLUTIONS AND WELLNESS
Community/Behavioral Health
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
MR. JONATHAN CARL HOLMES LICSW
Social Worker
(Clinical)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
SARAH NOBREGA LICSW
Social Worker
(Clinical)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
MRS. JODIANNE LYNNE INGERSOLL PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
KIMBERLY ANN TORNBERG LMHC
Counselor
(Mental Health)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
WHITTIER PAVILION INPATIENT SPECIALISTS PLLC
Internal Medicine
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
MARISA WEGENER MCCORMACK LICSW
Social Worker
(Clinical)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
KIMBERLY SHANA SEGAL
Social Worker
(Clinical)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
JESSICA AMY ENNERS
Social Worker
(Clinical)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
KERI A BERGMAN LICSW
Social Worker
(Clinical)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
MELISSA CARLA PROVOST LCSW
Social Worker
(Clinical)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
LORI DIAS
Nurse Practitioner
(Psychiatric/Mental Health)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
ARBOR INPATIENT PHYSICIANS, PC
Internal Medicine
76 SUMMER ST
ARBOR INPATIENT PHYSICIANS, PC
HAVERHILL, MA
ZIP 01830
KELSEY FRANCES SHIBILIA LICSW
Social Worker
(Clinical)
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
ERIN LAFLAMME LCSW
Social Worker
76 SUMMER ST
HAVERHILL, MA
ZIP 01830
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750451795, enumerated as an "individual" on November 08, 2006.
The provider is located at 76 SUMMER ST HAVERHILL, MA 01830 and the phone number is (978) 469-1480.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.
