DR. RICHARD J UPTON DO
NPI 1992111496
Pathology - Anatomic Pathology & Clinical Pathology in Apo, AP
NPI Status: Active since July 03, 2014
- Individual
- Male
- Years of Experience 12
- Pathology
- Anatomic Pathology & Clinical Pathology
- May Accept Medicare Approved Payment
- PECOS Enrolled
About RICHARD UPTON
This page provides the complete NPI Profile along with additional information for Richard Upton, a provider established in Apo, with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 12 years of experience. He graduated from Edward Via Col Of Osteo Medicine-carolinas Campus in 2014. The healthcare provider is registered in the NPI registry with number 1992111496 assigned on July 2014. The practitioner's primary taxonomy code is 207ZP0102X with license number 1442 (NE). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1992111496
- Provider Name
- DR. RICHARD J UPTON DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- UNIT 15244 APO, AP 96205
- Location Phone
- (315) 737-8081
- Mailing Address
- USA MED DEPT ACT KOREA (W6ROAA) YONGSAN, KOREA 96205
- Medical School Name
- EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-03-2014
- Last Update Date
- 02-25-2019
- Code Navigator
Location Map
Secondary Locations
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234
(804) 536-8005
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
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1442
- License State
- NE
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Medicare Participation & PECOS Enrollment Status
Richard Upton is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Richard Upton 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: 7911404553
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: I20251008004734
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? Maybe
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
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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 1992111496, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
APO, AP 96205
APO, AP 96205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992111496, enumerated as an "individual" on July 03, 2014.
The provider is located at UNIT 15244 APO, AP 96205 and the phone number is (315) 737-8081.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
