DR. MICHAEL SCOTT ADRAGNA M.D.
NPI 1801020581
Psychiatry & Neurology - Child & Adolescent Psychiatry in Buffalo, NY

NPI Status: Active since May 08, 2009

Contact Information

1001 MAIN ST FL 4
BUFFALO, NY
ZIP 14203
Phone: (716) 835-1246
Fax: (716) 835-0396

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  • Individual
  • Male
  • Years of Experience 20
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MICHAEL ADRAGNA

This page provides the complete NPI Profile along with additional information for Michael Adragna, a provider established in Buffalo, New York with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 20 years of experience. He graduated from State University Of New York At Buffalo School Of Medicine in 2006. The healthcare provider is registered in the NPI registry with number 1801020581 assigned on May 2009. The practitioner's primary taxonomy code is 2084P0804X with license number MD13616 (RI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1801020581
Provider Name
DR. MICHAEL SCOTT ADRAGNA M.D.
Gender
Male
Entity Type
Individual
Location Address
1001 MAIN ST FL 4 BUFFALO, NY 14203
Location Phone
(716) 835-1246
Location Fax
(716) 835-0396
Mailing Address
462 GRIDER ST FL 11 BUFFALO, NY 14215
Mailing Phone
(716) 898-4857
Mailing Fax
(716) 835-0396
Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year
2006
Is Sole Proprietor?
Yes
Enumeration Date
05-08-2009
Last Update Date
07-21-2022
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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 Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
MD13616
License State
RI
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

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

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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

Medicare Participation & PECOS Enrollment Status

Michael Adragna 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.

Michael Adragna 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: 941457972

    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: I20120828000019

    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

Reviews for DR. MICHAEL SCOTT ADRAGNA M.D.

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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 1801020581, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
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 0 → 0 0 → 0 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 0 + 2 + 0 + 5 + 1 + 6 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1801020581.

Other Providers at the Same Location


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

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Obstetrics & Gynecology
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Internal Medicine
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Psychologist
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Nurse Practitioner (Pediatrics)
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Pediatrics
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Medical Genetics (Clinical Genetics (M.D.))
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BUFFALO, NY 14203
Pediatrics (Pediatric Gastroenterology)
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BUFFALO, NY 14203
Pediatrics (Neonatal-Perinatal Medicine)
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BUFFALO, NY 14203
Pediatrics (Pediatric Critical Care Medicine)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Nurse Practitioner (Pediatrics)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Pediatrics (Pediatric Emergency Medicine)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Pediatrics
1001 MAIN ST FL 4
BUFFALO, NY 14203
Nurse Practitioner (Pediatrics)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Pediatrics (Pediatric Endocrinology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Nurse Practitioner (Pediatrics)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Pediatrics (Sleep Medicine)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Pediatrics (Pediatric Endocrinology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Pediatrics
1001 MAIN ST FL 4
BUFFALO, NY 14203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801020581, enumerated as an "individual" on May 08, 2009.

The provider is located at 1001 MAIN ST FL 4 BUFFALO, NY 14203 and the phone number is (716) 835-1246.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

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