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Dr. James Lawrence Eppelbaum

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NPI Number Detailed Information

Provider Information:

Name: Dr. James Lawrence Eppelbaum
Gender: M
Provider License Number If Given: OS017230

NPI Information:

NPI: 1558609065
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/18/2013

Last Update Date: 6/10/2021

Reputation Report:

Provider Business Mailing Address:

Address: 1034 GROVE ST
Meadville, PA 16335
Phone Number: 8143733530
Fax Number: 8143331757

Provider Business Practice Location Address:

Address: 401 MAIN ST
Saegertown, PA 16433
Phone Number: 1476311068
Fax Number: 8147631129

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: PA

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About Dr. James Lawrence Eppelbaum

Dr. James Lawrence Eppelbaum (DR. JAMES LAWRENCE EPPELBAUM ) is Family Family Medicine Physician in Saegertown, PA. The NPI Number for Dr. James Lawrence Eppelbaum is 1558609065.
The current location address for Dr. James Lawrence Eppelbaum is 401 MAIN ST Saegertown, PA 16433 and the contact number is 8143733530 and fax number is 8143331757. The mailing address for Dr. James Lawrence Eppelbaum is 1034 GROVE ST Meadville, PA 16335- 1476311068 (mailing address contact number - 8143733530).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. James Lawrence Eppelbaum ?


Answer: The NPI Number for Dr. James Lawrence Eppelbaum is 1558609065

Where is Dr. James Lawrence Eppelbaum located?


Answer: Dr. James Lawrence Eppelbaum is located at 401 MAIN ST Saegertown, PA 16433.

What is the specialty for Dr. James Lawrence Eppelbaum ?


Answer: The Specialty of Dr. James Lawrence Eppelbaum is Family Family Medicine Physician.

Are there any online reviews for Dr. James Lawrence Eppelbaum ?


Answer: Yes! Check It Now.

Are there any other health care providers in Saegertown, PA?


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 Dr. James Lawrence Eppelbaum

Number of HCPCS 18
Number of Medicare Beneficiaries 370
Number of Services 1125
Total Submitted Charge Amount 243728
Total Medicare Allowed Amount 100187.42
Total Medicare Payment Amount 84169.05
Total Medicare Standardized Payment Amount 83197.76
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 18
Number of Medicare Beneficiaries With Medical 370
Number of Medical Services 1125
Total Medical Submitted Charge Amount 243728
Total Medical Medicare Allowed Amount 100187.42
Total Medical Medicare Payment Amount 84169.05
Total Medical Medicare Standardized Payment Amount 83197.76
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 59
Number of Beneficiaries Age 65 to 74 121
Number of Beneficiaries Age 75 to 84 115
Number of Beneficiaries Age Greater 84 75
Number of Female Beneficiaries 203
Number of Male Beneficiaries 167
Number of Non-Hispanic White Beneficiaries 355
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 117
Number of Beneficiaries With Medicare Only Entitlement 253
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.22
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.27
Percent (%) of Beneficiaries Identified With Asthma 0.14
Percent (%) of Beneficiaries Identified With Cancer 0.19
Percent (%) of Beneficiaries Identified With Heart Failure 0.45
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.58
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.34
Percent (%) of Beneficiaries Identified With Depression 0.45
Percent (%) of Beneficiaries Identified With Diabetes 0.45
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.53
Percent (%) of Beneficiaries Identified With Osteoporosis 0.16
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.58
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.05
Percent (%) of Beneficiaries Identified With Stroke 0.15
Average HCC Risk Score of Beneficiaries 1.9943

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 Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 928
Number of Standardized 30-Day Fills 1394.2333333
Aggregate Cost Paid for All Claims 68167.12
Number of Day's Supply for All Claims 37565
Number of Medicare Beneficiaries 216
Number of Claims, Including Refills, for Beneficiaries Age 65+ 601
Including Refills, for Beneficiaries Age 65+ 964.36666667
Beneficiaries Age 65+ 40951.97
Number of Day's Supply for All Claims for Beneficaries Age 65+ 26717
Number of Medicare Beneficiaries Age 65+ 157
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 817
Aggregate Cost Paid for Generic Drugs 17094.16
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 548
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 46760.5
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 380
Aggregate Cost Paid for Claims Filled by 21406.62
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 492
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 40800.35
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 436
by Low-Income Subsidy 27366.77
Total Claims of Opioid Drugs, Including 83
Aggregate Cost Paid for Opioid Drugs 1686.25
Opioid Claims 42
Opioid_Tot_Clms divided by the Tot_Clms 8.9439655172
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 75
Aggregate Cost Paid for Antibiotic Drugs 5809.49
Antibiotic Claims 51
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 70.587962963
Number of Beneficiaries Age Less Than 65 59
Number of Beneficiaries Age 65 to 74 70
Number of Beneficiaries Age 75 to 84 57
Number of Female Beneficiaries 122
Number of Male Beneficiaries 94
Number of Non-Hispanic White 208
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
Only Entitlement 132
Average Hierarchical Condition Category 1.8502259384

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