DR. TRICIA R CROSBY DDS,MS
NPI 1912152034
Dentist - Periodontics in St Charles, IL
NPI Status: Active since November 18, 2008
Contact Information
525 TYLER RD
SUITE E
ST CHARLES, IL
ZIP 60174
Phone: (630) 377-4677
Fax: (630) 377-5025
- Individual
- Female
- Dentist
- Periodontics
- PECOS Enrolled
- Opted-Out Medicare
About TRICIA CROSBY
This page provides the complete NPI Profile along with additional information for Tricia Crosby, a provider established in St Charles, Illinois with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1912152034 assigned on November 2008. The practitioner's primary taxonomy code is 1223P0300X with license number 019.026479 (IL). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1912152034
- Provider Name
- DR. TRICIA R CROSBY DDS,MS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 525 TYLER RD SUITE E ST CHARLES, IL 60174
- Location Phone
- (630) 377-4677
- Location Fax
- (630) 377-5025
- Mailing Address
- 525 TYLER RD SUITE E ST CHARLES, IL 60174
- Mailing Phone
- (630) 377-4677
- Mailing Fax
- (630) 377-5025
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-18-2008
- Last Update Date
- 11-18-2008
- Code Navigator
A dentist like Tricia Crosby is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Tricia Crosby opted out of Medicare effective on 05-31-2016 until 05-31-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- 019.026479
- License State
- IL
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Medicare Participation & PECOS Enrollment Status
Tricia Crosby 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) and a Home Health Agency (HHA).
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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-31-2016
Opt-Out End Date: 05-31-2026
Eligible to Order and Refer? 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: No
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 60174 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.02
- Minimum New Patient Price $59.81
- Maximum New Patient Price $181.38
- Average New Patient Copayment $23.25
- Minimum New Patient Copayment $14.95
- Maximum New Patient Copayment $45.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.38
- Minimum Established Patient Price $19.15
- Maximum Established Patient Price $147.12
- Average Established Patient Copayment $18.59
- Minimum Established Patient Copayment $4.78
- Maximum Established Patient Copayment $36.78
* 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1912152034, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SAINT CHARLES, IL 60174
ST CHARLES, IL 60174
ST CHARLES, IL 60174
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912152034, enumerated as an "individual" on November 18, 2008.
The provider is located at 525 TYLER RD SUITE E ST CHARLES, IL 60174 and the phone number is (630) 377-4677.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.
