VINCENT TYSON
NPI 1003245457
Nurse Practitioner - Gerontology in Oakland Park, FL
NPI Status: Active since November 06, 2013
Contact Information
5333 N DIXIE HWY STE 110
OAKLAND PARK, FL
ZIP 33334
Phone: (954) 772-8554
- Individual
- Male
- Years of Experience 11
- Nurse Practitioner
- Gerontology
- PECOS Enrolled
- Accepts Medicare Approved Payment
About VINCENT TYSON
Vincent Tyson is a provider established in Oakland Park, Florida and his medical specialization is Nurse Practitioner with a focus in gerontology with more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1003245457 assigned on November 2013. The practitioner's primary taxonomy code is 363LG0600X with license number AP61299531 (WA). The provider is registered as an individual and his NPI record was last updated February 2024.
- NPI
- 1003245457
- Provider Name
- VINCENT TYSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5333 N DIXIE HWY STE 110 OAKLAND PARK, FL 33334
- Location Phone
- (954) 772-8554
- Mailing Address
- 441 SE 3RD CT DEERFIELD BEACH, FL 33441
- Mailing Phone
- (516) 661-1805
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-06-2013
- Last Update Date
- 02-06-2024
- Code Navigator
A nurse practitioner (NP) like Vincent Tyson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Vincent Tyson 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.
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.66 for a new patient copayment and $27.09 for an established patient copayment.
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
Nurse Practitioner Gerontology
- Taxonomy Code
- 363LG0600X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP61299531
- License State
- WA
Location Map
Secondary Locations
- 760 Carpenter Ln
Philadelphia, PA 19119
(215) 848-6880
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | SPO13376 (PA) |
2 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 11005143 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
BridgeSpan Health Company
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
Moda Health Plan, Inc.
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HSA 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3500 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6400 - EPO
- Moda Health Oregon Standard Bronze Plan (Affinity) - EPO
- Moda Health Oregon Standard Gold (Affinity) - EPO
- Moda Health Oregon Standard Silver (Affinity) - EPO
Providence Health Plan
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Regence BlueCross BlueShield of Oregon
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Bronze Virtual Value 8500 Individual and Family Network - EPO
- Gold 2500 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 4500 Individual and Family Network - EPO
- Silver 6500 Individual and Family Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Vincent Tyson 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: 1355572520
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: I20220916002570
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
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 33334 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.64
- Minimum New Patient Price $61.36
- Maximum New Patient Price $187
- Average New Patient Copayment $23.66
- Minimum New Patient Copayment $15.34
- Maximum New Patient Copayment $46.75
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $108.36
- Minimum Established Patient Price $18.68
- Maximum Established Patient Price $151.65
- Average Established Patient Copayment $27.09
- Minimum Established Patient Copayment $4.67
- Maximum Established Patient Copayment $37.91
* 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.
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 12
Insertion of needle into vein for collection of blood sample (HCPCS:36415)
Hospital Affiliations
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. Vincent Tyson is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
GRANDE RONDE HOSPITAL | 900 SUNSET DRIVE LA GRANDE, OR 97850 | (541) 963-8421 | Critical Access Hospitals |
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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 | 0 | 0 | 3 | 2 | 4 | 5 | 4 | 5 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 0 | 3 | 4 | 4 | 10 | 4 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 0 + 3 + 4 + 4 + 1 + 0 + 4 + 1 + 0 + 24 = 43 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 43 = 7 | 7 |
The NPI number 1003245457 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003245457, enumerated in the NPI registry as an "individual" on November 06, 2013
The provider is located at 5333 N Dixie Hwy Ste 110 Oakland Park, Fl 33334 and the phone number is (954) 772-8554
The provider's speciality is Nurse Practitioner with taxonomy code 363LG0600X with a focus in Gerontology
The provider has more than 11 years of experience.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 03, 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 $94.64 with an average copayment of $23.66 for new patient appointments. Established patients should expect a typical charge of $108.36 and an average copayment of 27.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample.
The practitioner is affiliated to the following hospital(s): GRANDE RONDE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on November 06, 2013. 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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