PAIGE DANIELLE BEVERS PA
NPI 1801471941
Surgery in Neenah, WI

NPI Status: Active since March 10, 2021

Contact Information

100 THEDA CLARK MEDICAL PLZ STE 400
NEENAH, WI
ZIP 54956
Phone: (920) 725-4527

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 5
Surgery
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About PAIGE BEVERS

This page provides the complete NPI Profile along with additional information for Paige Bevers, a provider established in Neenah, Wisconsin with a medical specialization in Surgery and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1801471941 assigned on March 2021. The practitioner's primary taxonomy code is 208600000X with license number 5461-23 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI: 1801471941
Provider Name: PAIGE DANIELLE BEVERS PA
Other Name: PAIGE DANIELLE REYNEBEAU PA
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 100 THEDA CLARK MEDICAL PLZ STE 400 NEENAH, WI 54956
Location Phone: (920) 725-4527
Mailing Address: 100 THEDA CLARK MEDICAL PLZ STE 400 NEENAH, WI 54956
Mailing Phone: (920) 725-4527
Medical School Name: OTHER
Graduation Year: 2021
Is Sole Proprietor?: Yes
Enumeration Date: 03-10-2021
Last Update Date: 04-11-2023
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A surgeon like Paige Bevers treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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: Surgery
Taxonomy Code: 208600000X
Type: Allopathic & Osteopathic Physicians
License No.: 5461-23
License State: WI
Taxonomy Description: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Insurance Plans Accepted

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

Anthem Blue Cross and Blue Shield

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Aspirus Health Plan

HMO Bronze $0 Medical Deductible - HMO
HMO Bronze 7500 - HMO
HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
HMO Gold 1500 - HMO
HMO Gold 2400 - HMO
HMO HDHP Bronze 7200 - HMO
HMO HDHP Silver 5400 - HMO
HMO Silver 5000 - HMO
HMO Silver 6600 - HMO
POS Bronze 7500 - POS

Common Ground Healthcare Cooperative

CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
CGHC Bronze Standard $7500 - Envision Network - EPO
CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
CGHC Catastrophic $9200 - Envision Network - EPO
CGHC Gold $0 Ded - Envision Network - EPO
CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
CGHC Gold $3000 - Envision Network - EPO

HealthPartners

Robin Oak $1,000 Gold - PPO
Robin Oak $1,500 Standard Gold - PPO
Robin Select $2,800 Plus Silver - PPO
Robin Select $3,500 HSA Silver - PPO
Robin Select $5,000 Standard Silver - PPO
Robin Select $6,500 Plus Bronze - PPO
Robin Select $7,500 Standard Bronze - PPO
Robin Select $8,200 HSA Bronze - PPO
Robin Select $9,200 Catastrophic - PPO

Network Health

Prestige Bronze Essential + 3 Free PCP Visits - HMO
Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
Prestige Bronze Plus - HMO
Prestige Gold - HMO
Prestige Gold 50 + 1 Free PCP Visit - HMO
Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
Prestige Gold Essential + 3Free PCP Visits - HMO
Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
Prestige Silver - HMO
Prestige Silver Essential + 3 Free PCP Visits - HMO

Quartz

QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO

Security Health Plan

Premier $1,500 - 25% - HMO
Premier $3,500 - 30% - HMO
Premier $4,100 HDHP - HMO
Premier $5,000 - 40% - HMO
Premier $6,200 HDHP - HMO
Premier $7,500 - HMO
Premier $9,200 - HMO
Premier Protection - HMO
Premier HMO $1,500 - 30% - HMO
Premier HMO $2,500 - 20% Copay - HMO

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

Medicare Participation & PECOS Enrollment Status

Paige Bevers 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.

Paige Bevers 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: 446642961
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: I20220113000758
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: $20.73 for a new patient copayment and $16.84 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 54956 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $82.92
Minimum New Patient Price $53.9
Maximum New Patient Price $163.24

Average New Patient Copayment $20.73
Minimum New Patient Copayment $13.47
Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $67.37
Minimum Established Patient Price $17.4
Maximum Established Patient Price $133.76

Average Established Patient Copayment $16.84
Minimum Established Patient Copayment $4.35
Maximum Established Patient Copayment $33.44

* 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. Paige Bevers is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type	Overall Rating
THEDACARE MEDICAL CENTER - NEW LONDON	1405 MILL ST NEW LONDON, WI 54961	(920) 531-2000	Critical Access Hospitals

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	8	0	1	4	7	1	9	4	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	0	1	8	7	2	9	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 7 + 2 + 9 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1801471941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.