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Dr. Gordon Edgar Wuebbolt

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NPI Number Detailed Information

Provider Information:

Name: Dr. Gordon Edgar Wuebbolt
Gender: M
Provider License Number If Given: MD052930L

NPI Information:

NPI: 1548234255
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 2/17/2006

Last Update Date: 10/13/2021

Reputation Report:

Provider Business Mailing Address:

Address: 2 FARM COLONY DRIVE
Warren, PA 16365
Phone Number: 8147262303
Fax Number: 8147267459

Provider Business Practice Location Address:

Address: 2 FARM COLONY DRIVE
Warren, PA 16365
Phone Number: 8147262303
Fax Number: 8147267459

Provider Taxonomy:

Primary: 156FX1100X
Secondary (if any): 156FX1100X
State: PA

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About Dr. Gordon Edgar Wuebbolt

Dr. Gordon Edgar Wuebbolt (DR. GORDON EDGAR WUEBBOLT ) is Definition Technician/Technologist Physician in Warren, PA. The NPI Number for Dr. Gordon Edgar Wuebbolt is 1548234255.
The current location address for Dr. Gordon Edgar Wuebbolt is 2 FARM COLONY DRIVE Warren, PA 16365 and the contact number is 8147262303 and fax number is 8147267459. The mailing address for Dr. Gordon Edgar Wuebbolt is 2 FARM COLONY DRIVE Warren, PA 16365- 8147262303 (mailing address contact number - 8147262303).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Gordon Edgar Wuebbolt ?


Answer: The NPI Number for Dr. Gordon Edgar Wuebbolt is 1548234255

Where is Dr. Gordon Edgar Wuebbolt located?


Answer: Dr. Gordon Edgar Wuebbolt is located at 2 FARM COLONY DRIVE Warren, PA 16365.

What is the specialty for Dr. Gordon Edgar Wuebbolt ?


Answer: The Specialty of Dr. Gordon Edgar Wuebbolt is Definition Technician/Technologist Physician.

Are there any online reviews for Dr. Gordon Edgar Wuebbolt ?


Answer: Yes! Check It Now.

Are there any other health care providers in Warren, 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. Gordon Edgar Wuebbolt

Number of HCPCS 78
Number of Medicare Beneficiaries 820
Number of Services 10464
Total Submitted Charge Amount 4155974.88
Total Medicare Allowed Amount 1666526.71
Total Medicare Payment Amount 1300257.02
Total Medicare Standardized Payment Amount 1288177.4
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 139
Number of Drug Services 3362
Total Drug Submitted Charge Amount 1353715
Total Drug Medicare Allowed Amount 908148.62
Total Drug Medicare Payment Amount 728323.46
Total Drug Medicare Standardized Payment Amount 713883.14
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 74
Number of Medicare Beneficiaries With Medical 820
Number of Medical Services 7102
Total Medical Submitted Charge Amount 2802259.88
Total Medical Medicare Allowed Amount 758378.09
Total Medical Medicare Payment Amount 571933.56
Total Medical Medicare Standardized Payment Amount 574294.26
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 124
Number of Beneficiaries Age 65 to 74 298
Number of Beneficiaries Age 75 to 84 251
Number of Beneficiaries Age Greater 84 147
Number of Female Beneficiaries 511
Number of Male Beneficiaries 309
Number of Non-Hispanic White Beneficiaries 769
Number of Black or African American Beneficiaries 17
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 16
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 234
Number of Beneficiaries With Medicare Only Entitlement 586
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.14
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.14
Percent (%) of Beneficiaries Identified With Heart Failure 0.23
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.36
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.2
Percent (%) of Beneficiaries Identified With Depression 0.24
Percent (%) of Beneficiaries Identified With Diabetes 0.33
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.67
Percent (%) of Beneficiaries Identified With Hypertension 0.73
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.34
Percent (%) of Beneficiaries Identified With Osteoporosis 0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.49
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.04
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 1.4107

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 Ophthalmology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2755
Number of Standardized 30-Day Fills 5316.6
Aggregate Cost Paid for All Claims 435273.36
Number of Day's Supply for All Claims 147368
Number of Medicare Beneficiaries 901
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2337
Including Refills, for Beneficiaries Age 65+ 4559.5333333
Beneficiaries Age 65+ 369510.06
Number of Day's Supply for All Claims for Beneficaries Age 65+ 126370
Number of Medicare Beneficiaries Age 65+ 770
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 883
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1872
Aggregate Cost Paid for Generic Drugs 65212.8
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 1410
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 205121.33
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1345
Aggregate Cost Paid for Claims Filled by 230152.03
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1051
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 182178.69
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1704
by Low-Income Subsidy 253094.67
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 18
Aggregate Cost Paid for Antibiotic Drugs 502.81
Antibiotic Claims 18
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 72.99445061
Number of Beneficiaries Age Less Than 65 131
Number of Beneficiaries Age 65 to 74 392
Number of Beneficiaries Age 75 to 84 261
Number of Female Beneficiaries 506
Number of Male Beneficiaries 395
Number of Non-Hispanic White 816
Number of Black or African American 20
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 42
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 16
Only Entitlement 575
Average Hierarchical Condition Category 1.3425311297

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