DR. JAMES LAWRENCE DOLPH M.D.
NPI 1811086614
Plastic Surgery in Albany, NY
NPI Status: Active since October 12, 2006
Contact Information
319 S MANNING BLVD
SUITE 103
ALBANY, NY
ZIP 12208
Phone: (518) 482-7874
Fax: (518) 482-7987
- Individual
- Male
- Plastic Surgery
- PECOS Enrolled
About JAMES DOLPH
This page provides the complete NPI Profile along with additional information for James Dolph, a provider established in Albany, New York with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1811086614 assigned on October 2006. The practitioner's primary taxonomy code is 208200000X with license number 172323-1 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1811086614
- Provider Name
- DR. JAMES LAWRENCE DOLPH M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 319 S MANNING BLVD SUITE 103 ALBANY, NY 12208
- Location Phone
- (518) 482-7874
- Location Fax
- (518) 482-7987
- Mailing Address
- 319 S MANNING BLVD SUITE 103 ALBANY, NY 12208
- Mailing Phone
- (518) 482-7874
- Mailing Fax
- (518) 482-7987
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-12-2006
- Last Update Date
- 07-08-2007
- Code Navigator
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
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 172323-1
- License State
- NY
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 19200 | OTHER (01) | NY | MVP |
| 89E321 | OTHER (01) | NY | EMPIRE BCBS |
| 10000502 | OTHER (01) | NY | CDPHP |
| 01048746 | MEDICAID (05) | NY | |
| 000405145001 | OTHER (01) | NY | BLUE SHIELD NENY |
| A57789 | MEDICARE UPIN (02) | ||
| 53529B | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 040426005318 | OTHER (01) | NY | FIDELIS |
Medicare Participation & PECOS Enrollment Status
James Dolph 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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 12208 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.93
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.57
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $17.14
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* 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 1811086614, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. 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.
ALBANY, NY 12208
ALBANY, NY 12208
ALBANY, NY 12208
ALBANY, NY 12208
ALBANY, NY 12208
ALBANY, NY 12208
ALBANY, NY 12208
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811086614, enumerated as an "individual" on October 12, 2006.
The provider is located at 319 S MANNING BLVD SUITE 103 ALBANY, NY 12208 and the phone number is (518) 482-7874.
Plastic Surgery with taxonomy code 208200000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
