CHARLES D MCGRATH MD
NPI 1760421887
Emergency Medicine in Albuquerque, NM
NPI Status: Active since June 05, 2006
Contact Information
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
Phone: (904) 805-1300
Fax: (904) 805-1302
- Individual
- Male
- Emergency Medicine
- PECOS Enrolled
About CHARLES MCGRATH
This page provides the complete NPI Profile along with additional information for Charles Mcgrath, a provider established in Albuquerque, New Mexico with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1760421887 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X with license number 90-79 (NM). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1760421887
- Provider Name
- CHARLES D MCGRATH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5400 GIBSON BLVD SE ALBUQUERQUE, NM 87108
- Location Phone
- (904) 805-1300
- Location Fax
- (904) 805-1302
- Mailing Address
- PO BOX 676065 DALLAS, TX 75267
- Mailing Phone
- (904) 805-1300
- Mailing Fax
- (904) 805-1302
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 90-79
- License State
- NM
- 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.
*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 |
|---|---|---|---|
| 27763 | MEDICAID (05) | NM | |
| A024 | OTHER (01) | NM | TRICARE |
| E71566 | MEDICARE UPIN (02) | NM |
Medicare Participation & PECOS Enrollment Status
Charles Mcgrath 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 87108 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.79
- Minimum New Patient Price $54.26
- Maximum New Patient Price $166.8
- Average New Patient Copayment $21.19
- Minimum New Patient Copayment $13.56
- Maximum New Patient Copayment $41.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.38
- Minimum Established Patient Price $17
- Maximum Established Patient Price $135.35
- Average Established Patient Copayment $24.09
- Minimum Established Patient Copayment $4.25
- Maximum Established Patient Copayment $33.83
* 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 | 6 | 0 | 4 | 2 | 1 | 8 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 2 | 2 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 2 + 2 + 8 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1760421887 is valid because the calculated check digit 7 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.
MATTHEW D POAGE MD
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
STEPHEN A WOLFE DO
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
TERRENCE M CALLAHAN DO
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
PAMELA V CUTLER MD
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
JANE HABLE MD
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
JAMES B HALL MD
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
TRISH G MURA NP
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
MARQUE D BROUSSARD MD
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
WILLARD MICHAEL GARRETT MD
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
GILLIAN BUDDINGTON PA
Physician Assistant
(Medical)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
CLAUDIA J ANISON MD
Hospitalist
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
AJIT S TIPIRNENI
Otolaryngology
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
TERESA MARROQUIN-ELIZONDO RD LD CDE
Registered Nurse
(Diabetes Educator)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
VIJAYALAKSHMI KUMAR MD
Internal Medicine
(Rheumatology)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
BONNIE CLARK PA C
Physician Assistant
(Medical)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
JEREMY M GLEESON MD
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
SUSAN R JOHNSON OD
Optometrist
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
JOHN E GRAHAM MD
Ophthalmology
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
VIRGINIA SIGLER CNP
Internal Medicine
(Cardiovascular Disease)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
DENNIS LUCERO
Hospitalist
5400 GIBSON BLVD SE
ALBURQUERQUE, NM
ZIP 87108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760421887, enumerated as an "individual" on June 05, 2006.
The provider is located at 5400 GIBSON BLVD SE ALBUQUERQUE, NM 87108 and the phone number is (904) 805-1300.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Tricare. Please consult your insurance carrier or call the provider to verify.
