DR. MARY PAT FRANCISCO MD
NPI 1801899521
Pediatrics - Pediatric Gastroenterology in Kingsport, TN
NPI Status: Active since May 27, 2005
Contact Information
105 W STONE DR
STE 2A
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-3375
Fax: (423) 378-5940
- Individual
- Female
- Pediatrics
- Pediatric Gastroenterology
- Accepts Insurance
- PECOS Enrolled
About MARY FRANCISCO
This page provides the complete NPI Profile along with additional information for Mary Francisco, a pediatrician established in Kingsport, Tennessee with a medical specialization in Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1801899521 assigned on May 2005. The practitioner's primary taxonomy code is 2080P0206X with license number MD 28096 (TN). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1801899521
- Provider Name
- DR. MARY PAT FRANCISCO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 105 W STONE DR STE 2A KINGSPORT, TN 37660
- Location Phone
- (423) 224-3375
- Location Fax
- (423) 378-5940
- Mailing Address
- PO BOX 9 KINGSPORT, TN 37662
- Mailing Phone
- (423) 857-2066
- Mailing Fax
- (423) 378-5940
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-27-2005
- Last Update Date
- 09-16-2009
- Code Navigator
A pediatrician like Mary Francisco 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 Pediatric Gastroenterology
- Taxonomy Code
- 2080P0206X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD 28096
- License State
- TN
- Taxonomy Description
- A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Essential (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Gold Advantage (Virtual Urgent Care, No Referrals) - EPO
- UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus (Virtual Urgent Care, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage (Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus (Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
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 |
|---|---|---|---|
| F26026 | MEDICARE UPIN (02) | ||
| 64110612 | MEDICAID (05) | KY | |
| 103I086169 | MEDICARE UPIN (02) | TN | |
| 3803956 | MEDICAID (05) | TN | |
| 6715184 | MEDICAID (05) | VA | |
| 0281780003 | MEDICARE PIN (08) | ||
| 3803959 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | |
| 0281780001 | MEDICARE PIN (08) |
Medicare Participation & PECOS Enrollment Status
Mary Francisco 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
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.
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
Injection of drug or substance under skin or into muscle
Injection, denosumab, 1 mg
Injection, ferric carboxymaltose, 1 mg
Injection, inclisiran, 1 mg
Injection, zoledronic acid, 1 mg
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring
Intravenous injection, bebtelovimab, includes injection and post administration monitoring
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
This service was performed 255 times for 163 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 166 times for 88 patientsDenosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
This service was performed 6,060 times for 67 patientsFerric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
This service was performed 37,500 times for 26 patientsInclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
This service was performed 5,112 times for 15 patientsZoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.
This service was performed 575 times for 115 patientsCasirivimab and imdevimab are medications given through an IV infusion or subcutaneous injection. This procedure involves delivering the drugs into your body to help fight off infection. After administration, your health status will be monitored to ensure the treatment is working effectively and safely.
This service was performed 13 times for 13 patientsIntravenous injection of Bebtelovimab involves injecting this medication into your vein. It's used to treat specific health conditions. After the injection, your health status will be closely monitored to ensure the medication is working effectively and to check for any side effects.
This service was performed 14 times for 14 patientsPhysician 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 37660 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.8
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $30.45
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* 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 1801899521, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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.
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 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801899521, enumerated as an "individual" on May 27, 2005.
The provider is located at 105 W STONE DR STE 2A KINGSPORT, TN 37660 and the phone number is (423) 224-3375.
Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee,. Please consult your insurance carrier or call the provider to verify.