DAKOTA PRICE MD
NPI 1932513843
Family Medicine in Centreville, AL
About Dakota Price Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAKOTA PRICE MD (NPI 1932513843) is an individual family medicine provider in Centreville, Alabama, licensed in Alabama (MD.36770) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of University Of Oklahoma College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dakota Price Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.47 for a new patient copayment and $23.43 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 35042 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.9
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $20.47
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.4
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.72
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $23.43
- Minimum Established Patient Copayment $4.14
- Maximum Established Patient Copayment $32.91
* 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 |
|---|---|---|
| Breast Cancer Screening | 51% | 278 |
| Colorectal Cancer Screening | 56% | 691 |
| Diabetes: Eye Exam | 62% | 344 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 31% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 344 |
| Falls: Screening for Future Fall Risk | 70% | 165 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 39% | 989 |
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CENTREVILLE, AL 35042
CENTREVILLE, AL 35042
CENTREVILLE, AL 35042
CENTREVILLE, AL 35042
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932513843, enumerated as an "individual" on June 18, 2014.
The provider is located at 405 BELCHER ST CENTREVILLE, AL 35042 and the phone number is (205) 926-2992.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Ambetter from Magnolia Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.
