ALLEN S JOSEPH MD
NPI 1922097435
Neurological Surgery in Baton Rouge, LA

NPI Status: Active since October 18, 2005

Contact Information

10101 PARK ROWE AVE
SUITE 200
BATON ROUGE, LA
ZIP 70810
Phone: (225) 769-2200
Fax: (225) 768-2185

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

Individual
Male
Neurological Surgery
Accepts Insurance
PECOS Enrolled

About ALLEN JOSEPH

This page provides the complete NPI Profile along with additional information for Allen Joseph, a provider established in Baton Rouge, Louisiana with a medical specialization in Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1922097435 assigned on October 2005. The practitioner's primary taxonomy code is 207T00000X with license number 011849 (LA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1922097435
Provider Name: ALLEN S JOSEPH MD
Gender: Male
Entity Type: Individual
Location Address: 10101 PARK ROWE AVE SUITE 200 BATON ROUGE, LA 70810
Location Phone: (225) 769-2200
Location Fax: (225) 768-2185
Mailing Address: 5959 S SHERWOOD FOREST BLVD BATON ROUGE, LA 70816
Mailing Phone: (225) 765-5727
Mailing Fax: (225) 768-2185
Is Sole Proprietor?: No
Enumeration Date: 10-18-2005
Last Update Date: 05-26-2022
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Location Map

Secondary Locations

8200 Constantin Blvd Ste 210
Baton Rouge, LA 70809
(225) 765-5500

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: Neurological Surgery
Taxonomy Code: 207T00000X
Type: Allopathic & Osteopathic Physicians
License No.: 011849
License State: LA
Taxonomy Description: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Insurance Plans Accepted

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

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
Blue Saver 60/40 $6100 - PPO
Blue Saver 90/70 $3400 - PPO

HMO Louisiana

Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) - POS
Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N) - POS
Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S) - POS
Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible - POS
Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible - POS
Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible - POS
Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible - POS
Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) - POS
Blue Connect Copay (PCP) 60/40 $6000 Standardized (N) - POS
Blue Connect Copay (PCP) 60/40 $6000 Standardized (S) - POS
Blue Connect Copay (PCP) 75/55 $2000 Standardized (H) - POS
Blue Connect Copay (PCP) 75/55 $2000 Standardized (L) - POS
Blue Connect Copay (PCP) 75/55 $2000 Standardized (N) - POS
Blue Connect Copay (PCP) 75/55 $2000 Standardized (S) - POS
Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
Blue POS Copay (PCP) 75/55 $2000 Standardized - POS

UnitedHealthcare

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

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
1336173	MEDICAID (05)	LA

Medicare Participation & PECOS Enrollment Status

Allen Joseph 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
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 70810 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $124.6
Minimum New Patient Price $53.43
Maximum New Patient Price $164.73

Average New Patient Copayment $31.15
Minimum New Patient Copayment $13.35
Maximum New Patient Copayment $41.18

Established Patients Visit Costs *

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

Average Established Patient Price $67.06
Minimum Established Patient Price $16.64
Maximum Established Patient Price $133.62

Average Established Patient Copayment $16.76
Minimum Established Patient Copayment $4.16
Maximum Established Patient Copayment $33.4

* 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.

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 1922097435, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 4

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 14 → 1 + 4

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 0 → 0 7 → 14 → 5 3 → 6