DR. EDGAR JOSEPH DOLLAR II D.O. NPI 1962763441

Family Medicine - Sports Medicine in Thomaston, GA

Individual Male Years of Experience 11 Family Medicine Sports Medicine PECOS Enrolled Accepts Medicare Approved Payment

About DR. EDGAR JOSEPH DOLLAR II D.O.

Edgar Dollar is a primary care provider established in Thomaston, Georgia and his medical specialization is Family Medicine with a focus in sports medicine with more than 11 years of experience. The NPI number of Edgar Dollar is 1962763441 and was assigned on May 2012. The practitioner's primary taxonomy code is 207QS0010X with license number 70879 (GA). The provider is registered as an individual and his NPI record was last updated one year ago. Edgar Dollar operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

A primary care provider (PCP) like Dr. Edgar Joseph Dollar Ii D.o. 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

NPI

1962763441

Provider NameDR. EDGAR JOSEPH DOLLAR II D.O.
Provider Location Address522 N CENTER ST THOMASTON, GA 30286
Provider Mailing AddressPO BOX 370 FORTSON, GA 31808
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2012
Is Sole Proprietor?Yes
Enumeration Date05-31-2012
Last Update Date02-25-2021



Edgar Dollar 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.

Edgar Dollar is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Upson Regional Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.36 for a new patient copayment and $24.69 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207QS0010X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationSports Medicine
License No.70879
License StateGA
Taxonomy DescriptionA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Business Address

DR. EDGAR JOSEPH DOLLAR II D.O.
522 N CENTER ST
THOMASTON, GA
ZIP 30286
Phone: (706) 646-4371
Fax: (706) 646-4372

Get Directions


Mailing Address

DR. EDGAR JOSEPH DOLLAR II D.O.
PO BOX 370
FORTSON, GA
ZIP 31808
Phone:


Secondary Locations

100 N Macon St
Macon, GA 31210
(478) 200-6970

PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5193973600
PECOS Enrollment IDI20210329002638
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 30286 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.19 $169.73 $85.45
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.79 $42.43 $21.36
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.8 $138.36 $98.79
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.2 $34.59 $24.69

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Edgar Dollar is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UPSON REGIONAL MEDICAL CENTER801 W GORDON STREET
THOMASTON, GA 30286
(706) 647-8111Acute Care Hospitals110002

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.
1962763441
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122146648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 4 + 6 + 6 + 4 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1962763441 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902374226 MORGAN MARIE DACOSTA PT, DPT
Individual
Physical Therapist522 N CENTER ST
THOMASTON, GA 30286
(706) 646-4371
1093237323 KATHRYN GIBBS DPT
Individual
Physical Therapist522 N CENTER ST
THOMASTON, GA 30286
(706) 646-4371
1003006115MR. BENJAMIN DURHAM PA-C
Individual
Physician Assistant522 N CENTER ST
THOMASTON, GA 30286
(706) 646-4371

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Edgar Joseph Dollar Ii D.o. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.