DR. RUSSELL D DEIDIKER MD
NPI 1841265345
Pathology - Anatomic Pathology & Clinical Pathology in Farmington, MO

NPI Status: Active since February 20, 2006

Contact Information

1212 WEBER RD
SUITE 205
FARMINGTON, MO
ZIP 63640
Phone: (573) 756-4581
Fax: (573) 756-7197

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  • Individual
  • Male
  • Years of Experience 35
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RUSSELL DEIDIKER

This page provides the complete NPI Profile along with additional information for Russell Deidiker, a provider established in Farmington, Missouri with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 35 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 1991. The healthcare provider is registered in the NPI registry with number 1841265345 assigned on February 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 113238 (MO). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1841265345
Provider Name
DR. RUSSELL D DEIDIKER MD
Gender
Male
Entity Type
Individual
Location Address
1212 WEBER RD SUITE 205 FARMINGTON, MO 63640
Location Phone
(573) 756-4581
Location Fax
(573) 756-7197
Mailing Address
312 LOUISE ST FARMINGTON, MO 63640
Mailing Phone
(573) 756-4581
Mailing Fax
(573) 756-7197
Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year
1991
Is Sole Proprietor?
Yes
Enumeration Date
02-20-2006
Last Update Date
07-08-2007
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
113238
License State
MO
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

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

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Standard | UnityPoint Health - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Primary Care | UnityPoint Health - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Primary Care | UnityPoint Health - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

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
G80093MEDICARE UPIN (02)MO 

Medicare Participation & PECOS Enrollment Status

Russell Deidiker 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.

Russell Deidiker 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: 547384224

    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: I20100901000907

    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

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.

Pathology examination of tissue using a microscope

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

This service was performed 35 times for 32 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 834 times for 468 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 19 times for 16 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 192 times for 158 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 127 times for 101 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 54 times for 12 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 86 times for 85 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.49 for a new patient copayment and $23.31 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 63640 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $121.96
  • Minimum New Patient Price $52.28
  • Maximum New Patient Price $161.24
  • Average New Patient Copayment $30.49
  • Minimum New Patient Copayment $13.07
  • Maximum New Patient Copayment $40.31

Established Patients Visit Costs *

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

  • Average Established Patient Price $93.24
  • Minimum Established Patient Price $16.3
  • Maximum Established Patient Price $131.05
  • Average Established Patient Copayment $23.31
  • Minimum Established Patient Copayment $4.07
  • Maximum Established Patient Copayment $32.76

* 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. Russell Deidiker is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MISSOURI DELTA MEDICAL CENTER1008 NORTH MAIN ST
SIKESTON, MO 63801
(573) 471-1600Acute Care Hospitals
PARKLAND HEALTH CENTER1101 W LIBERTY
FARMINGTON, MO 63640
(573) 431-6005Acute Care Hospitals

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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.
1841265345
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881461038
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 4 + 6 + 1 + 0 + 3 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1841265345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

FARMINGTON MISSOURI HOSPITAL COMPANY, LLC

Medicare Defined Swing Bed Unit

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

MARK A HASSEN MD

Emergency Medicine

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 701-7215

RICHARD C DORE' RN, CRNA

Nurse Anesthetist, Certified Registered

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

BARBARA J ANDERSON RN, CRNA

Nurse Anesthetist, Certified Registered

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

FARMINGTON MISSOURI HOSPITAL COMPANY, LLC

Home Health

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(576) 756-6199

FARMINGTON MISSOURI HOSPITAL COMPANY, LLC

Emergency Medicine

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

MR. BLAINE G ELSENRAAT MPT

Physical Therapist

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 701-7237

JAMES CHRISTOPHER PTA

Physical Therapy Assistant

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 701-7397

DR. VICTOR BEAU BAILEY DO

Emergency Medicine

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

MINERAL AREA LABORATORIES LLC

Pathology

(Anatomic Pathology & Clinical Pathology)

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

KELLY ANNE BEAVER NP

Nurse Practitioner

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(800) 893-9698

KIMBERLY D COMBS NP

Nurse Practitioner

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(800) 893-9698

FARMINGTON PHYSICIAN SERVICES LLC

Hospitalist

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

MARY FRANCES DAHMM NP

Nurse Practitioner

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(800) 893-9698

DWAYNE NATHAN DAMBA DO

Family Medicine

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 701-7215

FARMINGTON CLINIC COMPANY LLC

Surgery

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-3662

FARMINGTON MISSOURI HOSPITAL COMPANY, LLC

General Acute Care Hospital

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

PARKLAND HEALTH CENTER - WEBER ROAD

General Acute Care Hospital

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

PARKLAND HEALTH CENTER - WEBER ROAD

Psychiatric Unit

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

PARKLAND HEALTH CENTER - WEBER ROAD

Home Health

1212 WEBER RD
FARMINGTON, MO
ZIP 63640

(573) 756-4581

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841265345, enumerated as an "individual" on February 20, 2006.

The provider is located at 1212 WEBER RD SUITE 205 FARMINGTON, MO 63640 and the phone number is (573) 756-4581.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medica, Molina Healthcare, Wellmark Health Plan of. Please consult your insurance carrier or call the provider to verify.

Russell Deidiker is affiliated with: MISSOURI DELTA MEDICAL CENTER and PARKLAND HEALTH CENTER.