ADAM R COHEN MD NPI 1851319222
Emergency Medicine in Bennington, VT
About ADAM R COHEN MD
Adam Cohen is a provider established in Bennington, Vermont and his medical specialization is Emergency Medicine with more than 24 years of experience. The NPI number of Adam Cohen is 1851319222 and was assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number 042-0010792 (VT). The provider is registered as an individual and his NPI record was last updated 12 years ago.
| NPI | 1851319222 |
| Provider Name | ADAM R COHEN MD |
| Provider Location Address | 100 HOSPITAL DR BENNINGTON, VT 05201 |
| Provider Mailing Address | 100 HOSPITAL DR BENNINGTON, VT 05201 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-17-2006 |
| Last Update Date | 10-13-2010 |
Adam Cohen 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.
Adam Cohen 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 Southwestern Vermont Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.31 for a new patient copayment and $25.83 for an established patient copayment.
Primary Taxonomy
| Taxonomy Code | 207P00000X |
| Classification | Emergency Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 042-0010792 |
| License State | VT |
| Taxonomy Description | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Business Address
ADAM R COHEN MD
100 HOSPITAL DR
BENNINGTON, VT
ZIP 05201
Phone: (802) 442-6361
Fax: (802) 447-2469
Mailing Address
ADAM R COHEN MD
100 HOSPITAL DR
BENNINGTON, VT
ZIP 05201
Phone: (802) 442-6361
Fax: (802) 447-2469
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 ID | 1456324060 |
| PECOS Enrollment ID | I20040812001312 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 05201 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.12 | $175.83 | $89.24 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.53 | $43.95 | $22.31 |
| 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 |
| $18.32 | $144.08 | $103.32 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.58 | $36.02 | $25.83 |
* 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.
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. Adam Cohen is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| SOUTHWESTERN VERMONT MEDICAL CENTER | 100 HOSPITAL DRIVE BENNINGTON, VT 5201 | (802) 442-6361 | Acute Care Hospitals | 470012 |
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 |
|---|---|---|
| I11373 | MEDICARE UPIN (02) | |
| VN3450 | MEDICARE ID-TYPE UNSPECIFIED (04) | VT |
| 1010730 | MEDICAID (05) | VT |
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 | 5 | 1 | 3 | 1 | 9 | 2 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 6 | 1 | 18 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 6 + 1 + 1 + 8 + 2 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1851319222 is valid because the calculated check digit 2 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194772558 | WILLIAM KELLEY M.D. Individual | Anesthesiology | 100 HOSPITAL DR ANESTHESIA DEPARTMENT BENNINGTON, VT 05201 (802) 447-5590 |
| 1477581841 | BARRY S MAYER MD Individual | Radiology (Diagnostic Radiology) | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 447-5112 |
| 1891728846 | CHRISTOPHER E BARSOTTI MD Individual | Emergency Medicine | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1104846641 | DANIEL E PERREGAUX MD Individual | Emergency Medicine | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1952322737 | JANE L UVA MD Individual | Emergency Medicine | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1710908538 | JEFFERY A YUCHT MD Individual | Emergency Medicine | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1932120755 | MARK J ZIMPFER MD Individual | Emergency Medicine | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1326069592 | FRANK FAMIANO MD Individual | Hospitalist | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1770505190 | MARTIN B HAMMOND MD Individual | Emergency Medicine | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1497779318 | NANCY SCHUSTER MD Individual | Internal Medicine | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1831112242 | WILLIAM R TOCK MD Individual | Hospitalist | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1376566786 | ELIZABETH A WHATELEY MD Individual | Hospitalist | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1831113331 | SOUTHWESTERN VERMONT HEALTH CARE Organization | Clinic/Center (Oncology) | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1164446407 | ANN MARIE SWANN MD Individual | Hospitalist | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1619981727 | MARIANNE I DEMARCO MD Individual | Pathology (Clinical Pathology/Laboratory Medicine) | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1700988367 | JEANNIE TARAZI CRNA Individual | Clinical Nurse Specialist | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 447-4535 |
| 1225130883 | JOANNE YANKURA CRNA Individual | Clinical Nurse Specialist | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 447-4535 |
| 1881722031 | TIMOTHY SCOTT SNYDER AA-C Individual | Anesthesiologist Assistant | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 442-6361 |
| 1730300955 | PATRICIA CARPENTER RN Individual | Registered Nurse (Diabetes Educator) | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 447-5315 |
| 1871714170 | PAULA HAYTKO RN Individual | Registered Nurse (Diabetes Educator) | 100 HOSPITAL DR BENNINGTON, VT 05201 (802) 447-5315 |
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
Adam R Cohen 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.