DR. ERIN NICOLE GORANSON MD
NPI 1760707863
Pediatrics in Oklahoma City, OK
NPI Status: Active since March 31, 2010
Contact Information
13401 N WESTERN AVE
SUITE 200
OKLAHOMA CITY, OK
ZIP 73114
Phone: (405) 252-3450
Fax: (405) 252-3499
- Individual
- Female
- Years of Experience 16
- Pediatrics
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ERIN GORANSON
This page provides the complete NPI Profile along with additional information for Erin Goranson, a pediatrician established in Oklahoma City, Oklahoma with a medical specialization in Pediatrics and more than 16 years of experience. She graduated from Mayo Medical School in 2010. The healthcare provider is registered in the NPI registry with number 1760707863 assigned on March 2010. The practitioner's primary taxonomy code is 208000000X with license number 29724 (OK). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1760707863
- Provider Name
- DR. ERIN NICOLE GORANSON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13401 N WESTERN AVE SUITE 200 OKLAHOMA CITY, OK 73114
- Location Phone
- (405) 252-3450
- Location Fax
- (405) 252-3499
- Mailing Address
- 13401 N WESTERN AVE SUITE 200 OKLAHOMA CITY, OK 73114
- Mailing Phone
- (405) 252-3450
- Mailing Fax
- (405) 252-3499
- Medical School Name
- MAYO MEDICAL SCHOOL
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-31-2010
- Last Update Date
- 01-15-2015
- Code Navigator
A pediatrician like Erin Goranson 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.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 29724
- License State
- OK
- 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:
- Bronze Classic Standard - PPO
- Bronze Elite + PCP Saver Plus - PPO
- Bronze Simple - PPO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - PPO
- Bronze Simple Chronic Care CKM - PPO
- Bronze Simple Diabetes - PPO
- Gold Classic Standard - PPO
- Silver Classic Standard - PPO
- Silver Elite Saver Plus - PPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - PPO
- Silver Simple Chronic Care CKM - PPO
- Silver Simple Diabetes - PPO
- Silver Simple PCP Saver - PPO
- Silver Simple Women's Health with Menopause Benefits - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Erin Goranson 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.
Erin Goranson 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: 9234453895
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: I20240209001019
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
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.61 for a new patient copayment and $23.56 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 73114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.46
- Minimum New Patient Price $53
- Maximum New Patient Price $162.61
- Average New Patient Copayment $20.61
- Minimum New Patient Copayment $13.25
- Maximum New Patient Copayment $40.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.27
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $23.56
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.1
* 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Erin Goranson is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY | 1000 NORTH LEE AVENUE OKLAHOMA CITY, OK 73101 | (405) 272-7000 | Acute Care Hospitals | |
| O U MEDICAL CENTER | 700 NE 13TH STREET OKLAHOMA CITY, OK 73104 | (405) 271-5911 | Acute Care Hospitals | |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST | 2825 PARKLAWN DRIVE MIDWEST CITY, OK 73110 | (405) 610-8790 | Acute Care Hospitals | |
| SUMMIT MEDICAL CENTER, LLC | 1800 SOUTH RENAISSANCE BOULEVARD EDMOND, OK 73013 | (405) 359-2400 | Acute Care Hospitals |
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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 1760707863, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
OKLAHOMA CITY, OK 73114
OKLAHOMA CITY, OK 73114
OKLAHOMA CITY, OK 73114
OKLAHOMA CITY, OK 73114
OKLAHOMA CITY, OK 73114
OKLAHOMA CITY, OK 73114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760707863, enumerated as an "individual" on March 31, 2010.
The provider is located at 13401 N WESTERN AVE SUITE 200 OKLAHOMA CITY, OK 73114 and the phone number is (405) 252-3450.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.
Erin Goranson is affiliated with: SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY, O U MEDICAL CENTER, SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST and SUMMIT MEDICAL CENTER, LLC.
