DR. ANUJIT SINGH DO NPI 1881870905
Internal Medicine in Saint Marys, PA
About DR. ANUJIT SINGH DO
Anujit Singh is an internist established in Saint Marys, Pennsylvania and her medical specialization is Internal Medicine with more than 19 years of experience. She graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2005. The healthcare provider is registered in the NPI registry with number 1881870905 assigned on January 2008. The practitioner's primary taxonomy code is 207R00000X with license number OS014500 (PA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
| NPI | 1881870905 |
| Provider Name | DR. ANUJIT SINGH DO |
| Location Address | 761 JOHNSONBURG RD SUITE 220 SAINT MARYS, PA 15857 |
| Location Phone | (814) 788-8184 |
| Mailing Address | 100 HOSPITAL AVE DU BOIS, PA 15801 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE |
| Graduation Year | 2005 |
| Is Sole Proprietor? | No |
| Enumeration Date | 01-18-2008 |
| Last Update Date | 11-01-2016 |
An internist like Anujit Singh 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.Anujit Singh 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.
Anujit Singh 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 she has hospital affiliations with Penn Highlands Dubois, Highlands Hospital and Penn Highlands Elk.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.95, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.93 for a new patient copayment and $25.4 for an established patient copayment.
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.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | OS014500 |
| License State | PA |
| Taxonomy Description | A 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Blue Cross Blue Shield
- Highmark Blue Shield
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
761 JOHNSONBURG RD
SUITE 220
SAINT MARYS, PA
ZIP 15857
Phone: (814) 788-8184
Fax: (814) 788-8078
Mailing Address
100 HOSPITAL AVE
DU BOIS, PA
ZIP 15801
Phone: (814) 375-4200
Fax: (814) 342-4232
Location Map
PECOS Enrollment and Medicare Participation Status
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 Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 5890860233 |
| PECOS Enrollment ID | I20080819000494 |
| 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 or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r 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 15857 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 |
| $57.02 | $174.05 | $131.75 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.25 | $43.51 | $32.93 |
| 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 |
| $17.59 | $142.08 | $101.62 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.39 | $35.52 | $25.4 |
* 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.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 97.59 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 97.95 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
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.
- 177Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 71Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
- 30Removal of impact ear wax, one ear (HCPCS:69210)
- 15Physician 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 implem (HCPCS:G0180)
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. Anujit Singh is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| PENN HIGHLANDS DUBOIS | 100 HOSPITAL AVENUE DUBOIS, PA 15801 | (814) 371-2200 | Acute Care Hospitals | 390086 | |
| HIGHLANDS HOSPITAL | 401 EAST MURPHY AVENUE CONNELLSVILLE, PA 15425 | (724) 628-1500 | Acute Care Hospitals | 390184 | |
| PENN HIGHLANDS ELK | 763 JOHNSONBURG ROAD SAINT MARYS, PA 15857 | (814) 788-8000 | Critical Access Hospitals | 391315 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | OS014500 | PA | No | |
Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. | |||||||
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 |
|---|---|---|---|
| 102187565 0002 | MEDICAID (05) | PA | |
| 129357 | MEDICARE PIN (08) | PA | |
| 002060487 | OTHER (01) | PA | HIGHMARK BLUE SHIELD ID |
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 | 8 | 1 | 8 | 7 | 0 | 9 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 16 | 7 | 0 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 1 + 6 + 7 + 0 + 9 + 0 + 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 = 5 | 5 | ||||||||
The NPI number 1881870905 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740274729 | JOHN MICHAEL GORLOWSKI M.D. Individual | Pediatrics (Adolescent Medicine) | 761 JOHNSONBURG RD SUITE 360 ST MARYS, PA 15857 (814) 781-8677 |
| 1205823424 | ELK REGIONAL PROFESSIONAL GROUP, INC. Organization | Surgery | 761 JOHNSONBURG RD ERPG SPECIALTY SERVICES SAINT MARYS, PA 15857 (814) 788-8615 |
| 1205885944 | DR. DONALD HENRY RUDICK MD Individual | Specialist | 761 JOHNSONBURG RD SUITE 350 ST MARYS, PA 15857 (814) 781-8669 |
| 1699722231 | JOSEPH & SUBRAMANY, INC. Organization | Specialist | 761 JOHNSONBURG RD SUITE 130 ST MARYS, PA 15857 (814) 781-1188 |
| 1578628806 | LEI CHEN MD Individual | Obstetrics & Gynecology (Obstetrics) | 761 JOHNSONBURG RD ST MARYS, PA 15857 (814) 834-6139 |
| 1053509513 | TRI-COUNTY UROLOGY INC Organization | Urology | 761 JOHNSONBURG RD SUITE 350 SAINT MARYS, PA 15857 (814) 781-8669 |
| 1043477946 | JOHN M GORLOWSKI MD PC Organization | Pediatrics (Adolescent Medicine) | 761 JOHNSONBURG RD SUITE 360 SAINT MARYS, PA 15857 (814) 781-8677 |
| 1447231378 | DR. TED BRUBAKER ESHBACH M.D. Individual | Orthopaedic Surgery | 761 JOHNSONBURG RD SUITE 310 ST MARYS, PA 15857 (814) 834-1686 |
| 1609889583 | DAVID HOWARD JOHE MD Individual | Orthopaedic Surgery | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 781-8655 |
| 1336120146 | MS. MEGEN HANDLEY CRNP Individual | Nurse Practitioner | 761 JOHNSONBURG RD SUITE 310 ST MARYS, PA 15857 (814) 834-1686 |
| 1407858277 | ANNE M BREINDEL PA-C Individual | Physician Assistant (Medical) | 761 JOHNSONBURG RD SUITE 240 SAINT MARYS, PA 15857 (814) 834-6565 |
| 1861401424 | DR. STEVEN KOCH MD Individual | Obstetrics & Gynecology | 761 JOHNSONBURG RD SUITE 210 SAINT MARYS, PA 15857 (814) 788-8118 |
| 1124403035 | DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE Organization | Family Medicine | 761 JOHNSONBURG RD SUITE 240 SAINT MARYS, PA 15857 (814) 788-8183 |
| 1043687213 | DUBOIS REGIONAL MED CENTER - PENN HIGHLANDS FAMILY MED ST MARYS 94150 Organization | Family Medicine | 761 JOHNSONBURG RD SUITE 220 SAINT MARYS, PA 15857 (814) 834-2850 |
| 1831574375 | DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS MEDICAL ARTS BLDG ELK Organization | Family Medicine | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 371-2200 |
| 1952715914 | MRS. FRANCESCA WOELFEL PA-C Individual | Physician Assistant (Medical) | 761 JOHNSONBURG RD SUITE 240 SAINT MARYS, PA 15857 (814) 834-6565 |
| 1205849197 | MRS. ANDREA LEE INZANA PA-C Individual | Physician Assistant | 761 JOHNSONBURG RD SUITE 310 SAINT MARYS, PA 15857 (814) 834-1686 |
| 1700239068 | SARAH MEANS PA-C Individual | Physician Assistant | 761 JOHNSONBURG RD SUITE 210 SAINT MARYS, PA 15857 (814) 788-8118 |
| 1437693868 | MRS. NICOLE LYNN VILLELLA CRNP Individual | Nurse Practitioner | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 788-8777 |
| 1922648724 | ERIN MARY MCMAHON CRNP Individual | Nurse Practitioner (Women's Health) | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 788-8118 |
Frequently Asked Questions
What is Dr. Anujit Singh DO NPI number?
The NPI number assigned to this healthcare provider is 1881870905, enumerated in the NPI registry as an "individual" on January 18, 2008
Where is the provider located?
The provider is located at 761 Johnsonburg Rd Suite 220 Saint Marys, Pa 15857 and the phone number is (814) 788-8184
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
How many years of experience does Dr. Anujit Singh DO have?
The provider has more than 19 years of experience. She graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2005.
What insurance does Dr. Anujit Singh DO accept?
The provider might be accepting Blue Cross Blue Shield, Highmark Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Anujit Singh DO registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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 are Dr. Anujit Singh DO Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Dr. Anujit Singh DO?
Medicare beneficiaries should expect a typical cost of $131.75 with an average copayment of $32.93 for new patient appointments. Established patients should expect a typical charge of $101.62 and an average copayment of 25.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Anujit Singh DO?
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Aspiration and/or injection of large joint or joint capsule, Removal of impact ear wax, one ear and Physician 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 implem.
Is Dr. Anujit Singh DO affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: PENN HIGHLANDS DUBOIS, HIGHLANDS HOSPITAL and PENN HIGHLANDS ELK. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on January 18, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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