JOYCE MARIE BEVINGTON M.D., PH.D.
NPI 1891923611
Pediatrics in Toledo, OH

NPI Status: Active since July 01, 2009

Contact Information

3125 TRANSVERSE DR
TOLEDO, OH
ZIP 43614
Phone: (419) 383-3771
Fax: (419) 383-3162

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
Quality Measures
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 17
Pediatrics
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled
Medicare Quality Reporting

About JOYCE BEVINGTON

This page provides the complete NPI Profile along with additional information for Joyce Bevington, a pediatrician established in Toledo, Ohio with a medical specialization in Pediatrics and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1891923611 assigned on July 2009. The practitioner's primary taxonomy code is 208000000X with license number 35.099375 (OH). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI: 1891923611
Provider Name: JOYCE MARIE BEVINGTON M.D., PH.D.
Gender: Female
Entity Type: Individual
Location Address: 3125 TRANSVERSE DR TOLEDO, OH 43614
Location Phone: (419) 383-3771
Location Fax: (419) 383-3162
Mailing Address: 3355 GLENDALE AVE FL 3 TOLEDO, OH 43614
Mailing Phone: (419) 383-3771
Mailing Fax: (419) 383-3162
Medical School Name: OTHER
Graduation Year: 2009
Is Sole Proprietor?: No
Enumeration Date: 07-01-2009
Last Update Date: 06-22-2018
Code Navigator

A pediatrician like Joyce Bevington is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
License No.: 35.099375
License State: OH
Taxonomy Description: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

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

Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway HMO 7450 for HSA - HMO
Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Catastrophic Pathway HMO 9200 - HMO
Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO

CareSource

Bronze First 7500 $25 Generic Drugs - HMO
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
Core Gold 1500 $10 Generic Drugs - HMO
Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Gold 1500 $15 Generic Drugs - HMO
Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO

McLaren Health Plan Community

MHP Bronze - HMO
MHP Bronze Saver (Expanded) - HMO
MHP Expanded Bronze Standard - HMO
MHP Gold - HMO
MHP Gold Standard - HMO
MHP Silver Exchange - HMO
MHP Silver Exchange Rewards - HMO
MHP Silver Standard - HMO
MHP Young Adult/Catastrophic - HMO

Molina Healthcare

Bronze 10 - HMO
Bronze 8 - HMO
Bronze 9 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with first 4 free PCP or MH visits - HMO
Silver 8 - HMO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
UHC Bronze Standard (No Referrals) - HMO
UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
0087861	MEDICAID (05)	OH

Medicare Participation & PECOS Enrollment Status

Joyce Bevington 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.

Joyce Bevington 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: 9638311350
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: I20130808000944
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

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.11 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 43614 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $84.72
Minimum New Patient Price $54.34
Maximum New Patient Price $166.65

Average New Patient Copayment $21.18
Minimum New Patient Copayment $13.58
Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

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

Average Established Patient Price $96.44
Minimum Established Patient Price $17.1
Maximum Established Patient Price $135.4

Average Established Patient Copayment $24.11
Minimum Established Patient Copayment $4.27
Maximum Established Patient Copayment $33.85

* 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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure	Performance	Number of Patients
Documentation of Current Medications in the Medical Record	94%	33
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	55%	38
Preventive Care and Screening: Influenza Immunization	34%	650
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	23%	22
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	23%	22

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	9	1	9	2	3	6	1	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	18	1	18	2	6	6	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 1 + 8 + 2 + 6 + 6 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1891923611 is valid because the calculated check digit 1 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.

DR. FOIQA ASGHAR CHAUDHRY M.D

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

3125 TRANSVERSE DR
RUPPERT HEATLH CENTER
TOLEDO, OH
ZIP 43614

About JOYCE BEVINGTON

Location Map

Specialty - Primary Taxonomy

Pediatrics

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 9638311350

PECOS Enrollment ID: I20130808000944

Accepts Medicare Assignment? Yes

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

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

MIPS Quality Measures

Reviews for JOYCE MARIE BEVINGTON M.D., PH.D.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions