GERALD FRANCIS CAMBRIA M.D.
NPI 1942239165
Orthopaedic Surgery in Shelton, CT
NPI Status: Active since July 01, 2006
Contact Information
2 TRAP FALLS RD STE 404
SHELTON, CT
ZIP 06484
Phone: (203) 734-7900
Fax: (203) 513-3269
- Individual
- Male
- Orthopaedic Surgery
- PECOS Enrolled
About GERALD CAMBRIA
Gerald Cambria is a provider established in Shelton, Connecticut and his medical specialization is Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1942239165 assigned on July 2006. The practitioner's primary taxonomy code is 207X00000X with license number 028177 (CT). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1942239165
- Provider Name
- GERALD FRANCIS CAMBRIA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2 TRAP FALLS RD STE 404 SHELTON, CT 06484
- Location Phone
- (203) 734-7900
- Location Fax
- (203) 513-3269
- Mailing Address
- 2 TRAP FALLS RD STE 404 SHELTON, CT 06484
- Mailing Phone
- (203) 734-7900
- Mailing Fax
- (203) 513-3269
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-01-2006
- Last Update Date
- 01-15-2019
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 028177
- License State
- CT
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
PECOS Enrollment and Medicare Participation Status
Gerald Cambria 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 06484 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.18
- Minimum New Patient Price $63.47
- Maximum New Patient Price $190.87
- Average New Patient Copayment $24.29
- Minimum New Patient Copayment $15.86
- Maximum New Patient Copayment $47.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $79.11
- Minimum Established Patient Price $20.08
- Maximum Established Patient Price $156.18
- Average Established Patient Copayment $19.77
- Minimum Established Patient Copayment $5.02
- Maximum Established Patient Copayment $39.04
* 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 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 | 4 | 2 | 2 | 3 | 9 | 1 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 4 | 3 | 18 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 4 + 3 + 1 + 8 + 1 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1942239165 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083794796 | VALLEY ORTHOPAEDIC SPECIALISTS LLC Organization | Specialist | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1114162633 | VALLEY ORTHOPAEDIC SPECIALISTS LLC Organization | Durable Medical Equipment & Medical Supplies | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1689674376 | MR. MICHAEL E SUOMALA M.S.P.T. Individual | Physical Therapist | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1164429619 | DR. IGNATIUS KOMNINAKAS M.D. Individual | Orthopaedic Surgery | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1578595237 | GARY RICHARD RICHO M.D., PHD Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1760402184 | CHRISTOPHER PHILLIPS P.T. Individual | Physical Therapist | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1154414282 | SEAN MULDOON PA-C Individual | Physician Assistant (Surgical) | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1528148244 | MRS. LORRAINE M DIAZ RPT Individual | Physical Therapist (Orthopedic) | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1184948911 | MEGAN M GLEASON MD Individual | Orthopaedic Surgery | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1033126305 | SUZANNE SPAK OTR Individual | Occupational Therapist | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1720011547 | DR. SCOTT WALLER M.D. Individual | Orthopaedic Surgery | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1417315227 | KELLIE FITZGERALD DPT Individual | Physical Therapist | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1194372284 | JASON MARTIN NOBREGA PA Individual | Physician Assistant (Surgical) | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1578223871 | MANSI PATEL PT Individual | Physical Therapist (Orthopedic) | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1285078139 | DARRYL C WHITNEY M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
| 1093448763 | DAVID WOJTOWICZ PTD Individual | Physical Therapist (Orthopedic) | 2 TRAP FALLS RD STE 404 SHELTON, CT 06484 (203) 734-7900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942239165, enumerated in the NPI registry as an "individual" on July 01, 2006
The provider is located at 2 Trap Falls Rd Ste 404 Shelton, Ct 06484 and the phone number is (203) 734-7900
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
Yes, as of May 10, 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 $97.18 with an average copayment of $24.29 for new patient appointments. Established patients should expect a typical charge of $79.11 and an average copayment of 19.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 01, 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].
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