DR. DENNIS E MURPHY MD NPI 1841266848

Internal Medicine in Auburn, MA

Individual Male Years of Experience 38 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About DR. DENNIS E MURPHY MD

Dennis Murphy is an internist established in Auburn, Massachusetts and his medical specialization is Internal Medicine with more than 38 years of experience. He graduated from University Of Massachusetts Medical School in 1985. The NPI number of Dennis Murphy is 1841266848 and was assigned on February 2006. The practitioner's primary taxonomy code is 207R00000X with license number 57332 (MA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

An internist like Dr. Dennis E Murphy Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1841266848

Provider NameDR. DENNIS E MURPHY MD
Provider Location Address250 HAMPTON ST AUBURN, MA 01501
Provider Mailing Address250 HAMPTON ST AUBURN, MA 01501
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year1985
Is Sole Proprietor?No
Enumeration Date02-28-2006
Last Update Date04-14-2011



Dennis Murphy 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.

Dennis Murphy is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Umass Memorial Medical Center/university Campus, St Vincent Hospital, Florida Hospital Flagler, Adventhealth Daytona Beach and Harrington Memorial Hospital-1.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.07 for a new patient copayment and $27.15 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.57332
License StateMA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. DENNIS E MURPHY MD
250 HAMPTON ST
AUBURN, MA
ZIP 01501
Phone: (508) 753-2060
Fax: (508) 752-4244

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Mailing Address

DR. DENNIS E MURPHY MD
250 HAMPTON ST
AUBURN, MA
ZIP 01501
Phone: (508) 753-2060
Fax: (508) 752-4244


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9436106937
PECOS Enrollment IDI20050406001112
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 01501 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.32 $185.12 $140.28
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.33 $46.28 $35.07
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.31 $151.47 $108.63
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.82 $37.86 $27.15

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 295Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 252Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 173Administration of influenza virus vaccine (HCPCS:G0008)
  • 86Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
  • 27Administration of pneumococcal vaccine (HCPCS:G0009)
  • 25Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 17Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Dennis Murphy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS55 LAKE AVENUE NORTH
WORCESTER, MA 1655
(508) 334-1000Acute Care Hospitals220163
ST VINCENT HOSPITAL123 SUMMER STREET
WORCESTER, MA 1608
(508) 363-5000Acute Care Hospitals220176
FLORIDA HOSPITAL FLAGLER60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
(386) 586-2000Acute Care Hospitals100118
ADVENTHEALTH DAYTONA BEACH301 MEMORIAL MEDICAL PARKWAY
DAYTONA BEACH, FL 32117
(386) 676-6000Acute Care Hospitals100068
HARRINGTON MEMORIAL HOSPITAL-1100 SOUTH STREET
SOUTHBRIDGE, MA 1550
(508) 765-9771Acute Care Hospitals220019

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
98523101OTHER (01)MANETWORK HEALTH INS
64118OTHER (01)MAHARVARD PILGRIM HEALTH
J07314MEDICARE PIN (08)
25394OTHER (01)MAFALLON HEALTH INS
110045636AMEDICAID (05)MA
J07314OTHER (01)MABLUE SHIELD ID #
B74993MEDICARE UPIN (02)MA

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.
1841266848
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881461288
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 + 2 + 8 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1841266848 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447226659DR. DAVID E. WEINSTOCK DO
Individual
Internal Medicine250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1669448890MR. ANDREW F MORING P.A.
Individual
Physician Assistant (Medical)250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1174599211DR. JOHN E KELLY M.D.
Individual
Internal Medicine250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1790716199GROVE MEDICAL ASSOCIATES, PC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1275698102 KERRY ANN FAGAN MSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 832-4101
1467505495MRS. SUSAN M. MONTVILLE MSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 832-4101
1801942677MS. DORIS J WORCESTER LICSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 987-2005
1700920089MS. KATHRYN L DAVENPORT LICSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 832-4101
1750503058 SUSAN SMITH-SCOTT LICSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 832-4101
1811298052CMIPA FOUNDATION, INC.
Organization
Dietitian, Registered250 HAMPTON ST
AUBURN, MA 01501
(508) 438-1100
1790202885 HILARY MARIE DULIN SAUTA CNP
Individual
Nurse Practitioner250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1023605953 CALI PEFFER PA-C
Individual
Physician Assistant250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1528111556MR. THOMAS F. MONTVILLE MSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 832-4101

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Dennis E Murphy Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.