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Dan S Fairman

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NPI Number Detailed Information

Provider Information:

Name: Dan S Fairman
Gender: M
Provider License Number If Given: M4921

NPI Information:

NPI: 1023059250
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 6/9/2006
Last Update Date: 1/30/2013
Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 100
Ketchum, ID 83340
Phone Number: 2087278888
Fax Number:

Provider Business Practice Location Address:

Address: 100 HOSPITAL DRIVE
Ketchum, ID 83340
Phone Number: 2087278888
Fax Number:

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: ID

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About Dan S Fairman

Dan S Fairman ( DAN S FAIRMAN ) is A Internal Medicine Physician in Ketchum, ID. The NPI Number for Dan S Fairman is 1023059250.
The current location address for Dan S Fairman is 100 HOSPITAL DRIVE Ketchum, ID 83340 and the contact number is 2087278888 and fax number is . The mailing address for Dan S Fairman is PO BOX 100 Ketchum, ID 83340- 2087278888 (mailing address contact number - 2087278888).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dan S Fairman ?


Answer: The NPI Number for Dan S Fairman is 1023059250

Where is Dan S Fairman located?


Answer: Dan S Fairman is located at 100 HOSPITAL DRIVE Ketchum, ID 83340.

What is the specialty for Dan S Fairman ?


Answer: The Specialty of Dan S Fairman is A Internal Medicine Physician.

Are there any online reviews for Dan S Fairman ?


Answer: Yes! Check It Now.

Are there any other health care providers in Ketchum, ID?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dan S Fairman

Number of HCPCS 76
Number of Medicare Beneficiaries 861
Number of Services 2220
Total Submitted Charge Amount 232049.5
Total Medicare Allowed Amount 134597.48
Total Medicare Payment Amount 92326.43
Total Medicare Standardized Payment Amount 98127.29
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 76
Number of Medicare Beneficiaries With Medical 861
Number of Medical Services 2220
Total Medical Submitted Charge Amount 232049.5
Total Medical Medicare Allowed Amount 134597.48
Total Medical Medicare Payment Amount 92326.43
Total Medical Medicare Standardized Payment Amount 98127.29
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 16
Number of Beneficiaries Age 65 to 74 342
Number of Beneficiaries Age 75 to 84 382
Number of Beneficiaries Age Greater 84 121
Number of Female Beneficiaries 362
Number of Male Beneficiaries 499
Number of Non-Hispanic White Beneficiaries 797
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 43
Number of Beneficiaries With Medicare & Medicaid Entitlement 28
Number of Beneficiaries With Medicare Only Entitlement 833
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.15
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.06
Percent (%) of Beneficiaries Identified With Depression 0.14
Percent (%) of Beneficiaries Identified With Diabetes 0.11
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.34
Percent (%) of Beneficiaries Identified With Hypertension 0.41
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.03
Average HCC Risk Score of Beneficiaries 0.9424

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 9593
Number of Standardized 30-Day Fills 21577.266667
Aggregate Cost Paid for All Claims 777750.95
Number of Day's Supply for All Claims 630857
Number of Medicare Beneficiaries 796
Number of Claims, Including Refills, for Beneficiaries Age 65+ 9493
Including Refills, for Beneficiaries Age 65+ 21358.266667
Beneficiaries Age 65+ 773284.17
Number of Day's Supply for All Claims for Beneficaries Age 65+ 624474
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1107
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 8469
Aggregate Cost Paid for Generic Drugs 187868.65
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 17
Aggregate Cost Paid for Other Drugs 1019.74
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1757
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 102753.36
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 7836
Aggregate Cost Paid for Claims Filled by 674997.59
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 317
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 33516.05
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 9276
by Low-Income Subsidy 744234.9
Total Claims of Opioid Drugs, Including 191
Aggregate Cost Paid for Opioid Drugs 2680.82
Opioid Claims 63
Opioid_Tot_Clms divided by the Tot_Clms 1.9910351298
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 136
Aggregate Cost Paid for Antibiotic Drugs 14478.99
Antibiotic Claims 85
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 78
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 1339.3
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 76.296482412
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 349
Number of Male Beneficiaries 447
Number of Non-Hispanic White 739
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 41
Only Entitlement 778
Average Hierarchical Condition Category 0.8729130953

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