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Jon Blake Chadwell

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NPI Number Detailed Information

Provider Information:

Name: Jon Blake Chadwell
Gender: M
Provider License Number If Given: 01061815A

NPI Information:

NPI: 1255380903
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/9/2006

Last Update Date: 3/7/2023

Reputation Report:

Provider Business Mailing Address:

Address: 6301 UNIVERSITY COMMONS SUITE 360
South Bend, IN 46635
Phone Number: 5742324800
Fax Number: 5742804810

Provider Business Practice Location Address:

Address: 6301 UNIVERSITY COMMONS SUITE 360
South Bend, IN 46635
Phone Number: 5742324800
Fax Number: 5742804810

Provider Taxonomy:

Primary: 207YX0905X
Secondary (if any): 207YX0905X
State: IN

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About Jon Blake Chadwell

Jon Blake Chadwell ( JON BLAKE CHADWELL ) is An Otolaryngology Physician in South Bend, IN. The NPI Number for Jon Blake Chadwell is 1255380903.
The current location address for Jon Blake Chadwell is 6301 UNIVERSITY COMMONS SUITE 360 South Bend, IN 46635 and the contact number is 5742324800 and fax number is 5742804810. The mailing address for Jon Blake Chadwell is 6301 UNIVERSITY COMMONS SUITE 360 South Bend, IN 46635- 5742324800 (mailing address contact number - 5742324800).
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jon Blake Chadwell ?


Answer: The NPI Number for Jon Blake Chadwell is 1255380903

Where is Jon Blake Chadwell located?


Answer: Jon Blake Chadwell is located at 6301 UNIVERSITY COMMONS SUITE 360 South Bend, IN 46635.

What is the specialty for Jon Blake Chadwell ?


Answer: The Specialty of Jon Blake Chadwell is An Otolaryngology Physician.

Are there any online reviews for Jon Blake Chadwell ?


Answer: Yes! Check It Now.

Are there any other health care providers in South Bend, IN?


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 Jon Blake Chadwell

Number of HCPCS 41
Number of Medicare Beneficiaries 64
Number of Services 185
Total Submitted Charge Amount 103988
Total Medicare Allowed Amount 31235.46
Total Medicare Payment Amount 24264.96
Total Medicare Standardized Payment Amount 25831.56
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 41
Number of Medicare Beneficiaries With Medical 64
Number of Medical Services 185
Total Medical Submitted Charge Amount 103988
Total Medical Medicare Allowed Amount 31235.46
Total Medical Medicare Payment Amount 24264.96
Total Medical Medicare Standardized Payment Amount 25831.56
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 28
Number of Beneficiaries Age 75 to 84 22
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 32
Number of Male Beneficiaries 32
Number of Non-Hispanic White Beneficiaries
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
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.3
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0.22
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.52
Percent (%) of Beneficiaries Identified With Hypertension 0.67
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.3
Percent (%) of Beneficiaries Identified With Osteoporosis
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
Average HCC Risk Score of Beneficiaries 1.0208

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 Otolaryngology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 39
Number of Standardized 30-Day Fills 39
Aggregate Cost Paid for All Claims 134.69
Number of Day's Supply for All Claims 168
Number of Medicare Beneficiaries 34
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 39
Aggregate Cost Paid for Generic Drugs 134.69
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 16
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 52.69
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 23
Aggregate Cost Paid for Claims Filled by 82
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
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 34
Aggregate Cost Paid for Antibiotic Drugs 112.94
Antibiotic Claims 32
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 73.852941176
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 14
Number of Male Beneficiaries 20
Number of Non-Hispanic White 34
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 1.2836176471

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