DR. TANYA DEANNE CAMPUS M.D.
NPI 1932175049
Family Medicine - Geriatric Medicine in Lawrence, MA
NPI Status: Active since February 28, 2006
Contact Information
150 PARK ST
LAWRENCE, MA
ZIP 01841
Phone: (978) 685-1770
Fax: (978) 682-5787
- Individual
- Female
- Years of Experience 26
- Family Medicine
- Geriatric Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About TANYA CAMPUS
This page provides the complete NPI Profile along with additional information for Tanya Campus, a primary care provider established in Lawrence, Massachusetts with a medical specialization in Family Medicine, focusing in geriatric medicine and more than 26 years of experience. She graduated from Jefferson Medical College Of Thomas Jefferson University in 2000. The healthcare provider is registered in the NPI registry with number 1932175049 assigned on February 2006. The practitioner's primary taxonomy code is 207QG0300X with license number 238352 (MA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1932175049
- Provider Name
- DR. TANYA DEANNE CAMPUS M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 150 PARK ST LAWRENCE, MA 01841
- Location Phone
- (978) 685-1770
- Location Fax
- (978) 682-5787
- Mailing Address
- 150 PARK ST LAWRENCE, MA 01841
- Mailing Phone
- (978) 685-1770
- Mailing Fax
- (978) 682-5787
- Medical School Name
- JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-28-2006
- Last Update Date
- 10-09-2018
- Code Navigator
A primary care provider (PCP) like Tanya Campus sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine Geriatric Medicine
- Taxonomy Code
- 207QG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 238352
- License State
- MA
- Taxonomy Description
- A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - 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%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 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%/3500 - 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 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
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 |
|---|---|---|---|
| 0967149005 | OTHER (01) | ME | CIGNA |
| 003968 | OTHER (01) | ME | ANTHEM |
| 290810099 | MEDICAID (05) | ME |
Medicare Participation & PECOS Enrollment Status
Tanya Campus 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.
Tanya Campus 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: 1951371228
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: I20040727000080, I20180730000250
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
6 DME suppliers used 26 Medicare Claims 64 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
5 DME suppliers used 12 Medicare Claims 16 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Hemoglobin a1c level, by device for home use
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
This service was performed 19 times for 18 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $25.87 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 01841 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
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. Tanya Campus is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LAWRENCE GENERAL HOSPITAL | ONE GENERAL STREET LAWRENCE, MA 01842 | (978) 683-4000 | Acute Care Hospitals |
Reviews for DR. TANYA DEANNE CAMPUS M.D.
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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 | 9 | 3 | 2 | 1 | 7 | 5 | 0 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 2 | 7 | 10 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 2 + 7 + 1 + 0 + 0 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1932175049 is valid because the calculated check digit 9 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.
SHIVA SABOORI MD
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
MR. ROBERT M GLADSTONE RPH
Pharmacist
150 PARK ST
LAWRENCE, MA
ZIP 01841
TRINH K HUYNH RPH
Pharmacist
150 PARK ST
LAWRENCE, MA
ZIP 01841
DR. ROBERT CROSIER MCKERSIE M.D.
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
MRS. AFSANEH AMIR MOZAFARI M.D.
Pediatrics
150 PARK ST
LAWRENCE, MA
ZIP 01841
DR. LYNN KIM MD
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
DR. MIA DEANE SORCINELLI SMITH MD
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
MARGARET ANN FITZGERALD N.P.
Nurse Practitioner
(Family)
150 PARK ST
GREATER LAWRENCE FAMILY HEALTH CENTER
LAWRENCE, MA
ZIP 01841
KATRIN SCHNECK MD
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
MRS. CAREN G JACOBSON MD
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
STEPHEN D OZAROFF PA
Physician Assistant
150 PARK ST
LAWRENCE, MA
ZIP 01841
ELOISE EDGINGS-PRYCE MD
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
AINEX MARIE BAEZ M.D.
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
INNOKENTIY BAKAEV M.D.
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
RYAN DONO MD
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
LAUREL A RUZICKA MD
Family Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
MARIA E DIAZ M.D.
Internal Medicine
150 PARK ST
LAWRENCE, MA
ZIP 01841
GREATER LAWRENCE FAMILY HEALTH CENTER INC
Pharmacy
150 PARK ST
LAWRENCE, MA
ZIP 01841
LINDY ROMANOVSKY MD
Family Medicine
(Geriatric Medicine)
150 PARK ST
LAWRENCE, MA
ZIP 01841
MRS. LISA PASCAL MACK F.N.P.
Nurse Practitioner
(Family)
150 PARK ST
LAWRENCE, MA
ZIP 01841
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932175049, enumerated as an "individual" on February 28, 2006.
The provider is located at 150 PARK ST LAWRENCE, MA 01841 and the phone number is (978) 685-1770.
Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Cigna,. Please consult your insurance carrier or call the provider to verify.
Tanya Campus is affiliated with: LAWRENCE GENERAL HOSPITAL.
