ROGER CASADY MD
NPI 1902862634
Surgery in Berryville, AR

NPI Status: Active since April 21, 2006

Contact Information

211 CARTER ST
BERRYVILLE, AR
ZIP 72616
Phone: (870) 423-3338
Fax: (870) 423-7330

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 30
  • Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ROGER CASADY

Roger Casady is a provider established in Berryville, Arkansas and his medical specialization is Surgery with more than 30 years of experience. He graduated from University Of Kansas School Of Med (kc/wich/sal) in 1994. The healthcare provider is registered in the NPI registry with number 1902862634 assigned on April 2006. The practitioner's primary taxonomy code is 208600000X with license number E-3204 (AR). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1902862634
Provider Name
ROGER CASADY MD
Gender
Male
Entity Type
Individual
Location Address
211 CARTER ST BERRYVILLE, AR 72616
Location Phone
(870) 423-3338
Location Fax
(870) 423-7330
Mailing Address
PO BOX 505164 SAINT LOUIS, MO 63150
Mailing Phone
(417) 829-4620
Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year
1994
Is Sole Proprietor?
No
Enumeration Date
04-21-2006
Last Update Date
10-02-2014
Code Navigator

A surgeon like Roger Casady treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Roger Casady 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $20.57 for a new patient copayment and $16.78 for an established patient copayment.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
E-3204
License State
AR
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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 Sheld

    • Anthem Bronze Blue Connection EPO 7000/50%/8000 w/HSA - EPO
    • Anthem Bronze Blue Connection EPO 8500/50%/9450 - EPO
    • Anthem Gold Blue Connection EPO 1000/20%/7500 - EPO
    • Anthem Gold Blue Connection EPO 2000/0%/6500 RxD - EPO
    • Anthem Gold Blue Connection EPO 2000/10%/4725 w/HSA - EPO
    • Anthem Gold Blue Connection EPO 2000/10%/8000 - EPO
    • Anthem Gold Blue Connection EPO 2000/10%/8000 WH - EPO
    • Anthem Gold Blue Connection EPO 2000/20%/4725 w/HSA - EPO
    • Anthem Gold Blue Connection EPO 3000/0%/5500 RxD - EPO
    • Anthem Gold Blue Connection EPO 500/25%/7500 - EPO
    • Anthem Platinum Blue Connection EPO 250/10%/3000 - EPO
    • Anthem Silver Blue Connection EPO 2000/30%/9450 Value - EPO
    • Anthem Silver Blue Connection EPO 3000/20%/8500 - EPO
    • Anthem Silver Blue Connection EPO 3000/30%/9000 Value - EPO
    • Anthem Silver Blue Connection EPO 3200/20%/7250 w/HSA - EPO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
    • Anthem Bronze Access Blue New England HMO 8500/50%/9450 - HMO
    • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
    • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/4725 w/HSA - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/8000 - HMO
    • Anthem Gold Access Blue New England HMO 2000/10%/8000 WH - HMO
    • Anthem Gold Access Blue New England HMO 2000/20%/4725 w/HSA - HMO
    • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
    • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
    • Anthem Platinum Access Blue New England HMO 250/10%/3000 - HMO
    • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
    • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
    • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
    • Anthem Silver Access Blue New England HMO 3200/20%/7250 w/HSA - HMO
  • Medicare

  • Medicaid

  • Railroad Medicare


*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
5M086C895OTHER (01)ARAR MCR GROUP #5C895
145897001MEDICAID (05)AR 
5M086MEDICARE ID-TYPE UNSPECIFIED (04)AR 
P00653981OTHER (01)RAILROAD MEDICARE
G91728MEDICARE UPIN (02)AR 
1902862634MEDICAID (05)MO 

PECOS Enrollment and Medicare Participation Status

Roger Casady 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: 7113910134

    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: I20180110000260

    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 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 72616 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $82.31
  • Minimum New Patient Price $53.13
  • Maximum New Patient Price $163.67
  • Average New Patient Copayment $20.57
  • Minimum New Patient Copayment $13.28
  • Maximum New Patient Copayment $40.91

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.14
  • Minimum Established Patient Price $16.26
  • Maximum Established Patient Price $133.84
  • Average Established Patient Copayment $16.78
  • Minimum Established Patient Copayment $4.06
  • Maximum Established Patient Copayment $33.46

* 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.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 47

    Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)

  • 15

    Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)

  • 12

    Diagnostic examination of large bowel using an endoscope (HCPCS:45378)

Hospital Affiliations

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. Roger Casady is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
A R GOULD HOSPITALPO BOX 151
PRESQUE ISLE, ME 4769
(207) 768-4000Acute Care Hospitals

Reviews for ROGER CASADY MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1902862634
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902166466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 6 + 6 + 4 + 6 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1902862634 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053346270MERCY CLINIC SPRINGFIELD COMMUNITIES
Organization
Surgery211 CARTER ST
BERRYVILLE, AR 72616
(870) 423-3338
1073548855MR. LAWRENCE MONROE GEORGE M.D.
Individual
Surgery211 CARTER ST
BERRYVILLE, AR 72616
(870) 423-3338
1235248220DR. WILLIAM K.. FLAKE MD
Individual
Surgery211 CARTER ST
BERRYVILLE, AR 72616
(870) 423-3338

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902862634, enumerated in the NPI registry as an "individual" on April 21, 2006

The provider is located at 211 Carter St Berryville, Ar 72616 and the phone number is (870) 423-3338

The provider's speciality is Surgery with taxonomy code 208600000X

The provider has more than 30 years of experience. He graduated from University Of Kansas School Of Med (kc/wich/sal) in 1994.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.

Medicare beneficiaries should expect a typical cost of $82.31 with an average copayment of $20.57 for new patient appointments. Established patients should expect a typical charge of $67.14 and an average copayment of 16.78. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope, Colorectal cancer screening; colonoscopy on individual at high risk and Diagnostic examination of large bowel using an endoscope.

The practitioner is affiliated to the following hospital(s): A R GOULD HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 21, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.