ALLEN DESENA MD
NPI 1770764060
Psychiatry & Neurology - Neurology in Charlotte, NC

NPI Status: Active since November 15, 2007

Contact Information

1225 HARDING PL
STE 4200
CHARLOTTE, NC
ZIP 28204
Phone: (704) 446-1900

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology
  • Accepts Insurance
  • PECOS Enrolled

About ALLEN DESENA

This page provides the complete NPI Profile along with additional information for Allen Desena, a provider established in Charlotte, North Carolina with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1770764060 assigned on November 2007. The practitioner's primary taxonomy code is 2084N0400X with license number 2018-02756 (NC). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1770764060
Provider Name
ALLEN DESENA MD
Gender
Male
Entity Type
Individual
Location Address
1225 HARDING PL STE 4200 CHARLOTTE, NC 28204
Location Phone
(704) 446-1900
Mailing Address
PO BOX 19305 CHARLOTTE, NC 28219
Is Sole Proprietor?
No
Enumeration Date
11-15-2007
Last Update Date
12-10-2021
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Location Map

Secondary Locations

  • 441 McAlister Rd Ste 2200
    Lincolnton, NC 28092
    (980) 212-6652
  • 9625 Northcross Center Ct Ste 102
    Huntersville, NC 28078
    (704) 801-1260
  • 101 E W T Harris Blvd Ste 5202
    Charlotte, NC 28262
    (704) 863-8700
  • 315 Medical Park Dr Ste 202
    Concord, NC 28025
    (704) 403-1911

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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
2018-02756
License State
NC
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Allen Desena 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Hospital Beds (DB000N)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Wheelchairs (DD009N)

    Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds (HCPCS:K0821)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

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.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 35 times for 30 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 86 times for 68 patients

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 28204 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $125.01
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $31.25
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

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

  • Average Established Patient Price $95.94
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $23.98
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* 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 1770764060, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 7 → 14 → 5 7 → 14 → 5 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 1 + 4 + 6 + 8 + 0 + 1 + 2 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1770764060.

Other Providers at the Same Location


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

Durable Medical Equipment & Medical Supplies
1225 HARDING PL, SUITE 100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Nurse Practitioner (Family)
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Internal Medicine (Infectious Disease)
1225 HARDING PL, STE 2100
CHARLOTTE, NC 28204
Internal Medicine
1225 HARDING PL, STE 2100
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
1225 HARDING PL, STE 4100
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
1225 HARDING PL, STE 4200
CHARLOTTE, NC 28204
Nurse Practitioner (Family)
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Urology
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
1225 HARDING PL, STE 4100
CHARLOTTE, NC 28204
Physician Assistant
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Internal Medicine (Infectious Disease)
1225 HARDING PL, STE 2100
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 2100
CHARLOTTE, NC 28204
Physician Assistant
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Internal Medicine
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770764060, enumerated as an "individual" on November 15, 2007.

The provider is located at 1225 HARDING PL STE 4200 CHARLOTTE, NC 28204 and the phone number is (704) 446-1900.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.