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Jeremiah Douglas Fairbanks

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NPI Number Detailed Information

Provider Information:

Name: Jeremiah Douglas Fairbanks
Gender: M
Provider License Number If Given: 64281

NPI Information:

NPI: 1770016453
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/9/2017

Last Update Date: 1/25/2022

Provider Business Mailing Address:

Address: 1880 N FRONTAGE RD
Hastings, MN 55033
Phone Number: 6514381800
Fax Number:

Provider Business Practice Location Address:

Address: 1880 N FRONTAGE RD
Hastings, MN 55033
Phone Number: 6514381880
Fax Number:

Provider Taxonomy:

Primary: 207QA0401X
Secondary (if any): 207Q00000X
State: MN

Top Doctors in MN

 

About Jeremiah Douglas Fairbanks

Jeremiah Douglas Fairbanks ( JEREMIAH DOUGLAS FAIRBANKS ) is A Family Medicine Physician in Hastings, MN. The NPI Number for Jeremiah Douglas Fairbanks is 1770016453.
The current location address for Jeremiah Douglas Fairbanks is 1880 N FRONTAGE RD Hastings, MN 55033 and the contact number is 6514381800 and fax number is . The mailing address for Jeremiah Douglas Fairbanks is 1880 N FRONTAGE RD Hastings, MN 55033- 6514381880 (mailing address contact number - 6514381800).
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jeremiah Douglas Fairbanks ?


Answer: The NPI Number for Jeremiah Douglas Fairbanks is 1770016453

Where is Jeremiah Douglas Fairbanks located?


Answer: Jeremiah Douglas Fairbanks is located at 1880 N FRONTAGE RD Hastings, MN 55033.

What is the specialty for Jeremiah Douglas Fairbanks ?


Answer: The Specialty of Jeremiah Douglas Fairbanks is A Family Medicine Physician.

Are there any online reviews for Jeremiah Douglas Fairbanks ?


Answer: Not yet!

Are there any other health care providers in Hastings, MN?


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 Jeremiah Douglas Fairbanks

Number of HCPCS 61
Number of Medicare Beneficiaries 134
Number of Services 326
Total Submitted Charge Amount 56938.6
Total Medicare Allowed Amount 20672.7
Total Medicare Payment Amount 16997.42
Total Medicare Standardized Payment Amount 16968.28
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 20
Number of Beneficiaries Age 65 to 74 58
Number of Beneficiaries Age 75 to 84 33
Number of Beneficiaries Age Greater 84 23
Number of Female Beneficiaries 55
Number of Male Beneficiaries 79
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 26
Number of Beneficiaries With Medicare Only Entitlement 108
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.22
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.1
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.3
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.46
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.19
Percent (%) of Beneficiaries Identified With Depression 0.28
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.49
Percent (%) of Beneficiaries Identified With Hypertension 0.63
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.37
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.4683

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 258
Number of Standardized 30-Day Fills 472.36666667
Aggregate Cost Paid for All Claims 11102.74
Number of Day's Supply for All Claims 12905
Number of Medicare Beneficiaries 105
Number of Claims, Including Refills, for Beneficiaries Age 65+ 228
Including Refills, for Beneficiaries Age 65+ 436.23333333
Beneficiaries Age 65+ 10616.98
Number of Day's Supply for All Claims for Beneficaries Age 65+ 12124
Number of Medicare Beneficiaries Age 65+ 94
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 18
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 240
Aggregate Cost Paid for Generic Drugs 3873.88
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 162
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 7505.05
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 96
Aggregate Cost Paid for Claims Filled by 3597.69
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 66
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 2873.64
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 192
by Low-Income Subsidy 8229.1
Total Claims of Opioid Drugs, Including 13
Aggregate Cost Paid for Opioid Drugs 261.39
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 5.0387596899
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 17
Aggregate Cost Paid for Antibiotic Drugs 192.1
Antibiotic Claims 14
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 72.380952381
Number of Beneficiaries Age Less Than 65 11
Number of Beneficiaries Age 65 to 74 55
Number of Beneficiaries Age 75 to 84 21
Number of Female Beneficiaries 31
Number of Male Beneficiaries 74
Number of Non-Hispanic White 100
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 84
Average Hierarchical Condition Category 1.1779910285

More Providers in Hastings , MN

Ms. Susan E. Nelson
Family Nurse Practitioner
NPI Number: 1134177561
Address: 1285 NININGER RD Hastings, MN 55033 , Phone: 6514804200
Diana M Bussey
Family Medicine Physician
NPI Number: 1801845938
Address: 1880 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514381800
Lesley A Atwood
Family Medicine Physician
NPI Number: 1023067709
Address: 1210 1ST ST W Hastings, MN 55033 , Phone: 6514381800
Peggy K Lorentz
Obstetrics & Gynecology Physician
NPI Number: 1255370458
Address: 1210 1ST ST W Hastings, MN 55033 , Phone: 6514381800
Robin C Ricard
Marriage & Family Therapist
NPI Number: 1114966793
Address: 1320 VERMILLION ST Hastings, MN 55033 , Phone: 6514372881
Dr. Bradley William Klebs
Specialist
NPI Number: 1053356816
Address: 1210 1ST ST W Hastings, MN 55033 , Phone: 6514381800
Christine L Rogers
Surgical Physician Assistant
NPI Number: 1356386338
Address: 1210 1ST ST W Hastings, MN 55033 , Phone: 6514381800
Zia Ahmed Siddiqui
Hospitalist Physician
NPI Number: 1457396921
Address: 1427 RIVERBLUFF DR Hastings, MN 55033 , Phone: 6513042130
Dr. Paul Andrew Turcotte
Family Medicine Physician
NPI Number: 1679519540
Address: 1210 1ST ST W Hastings, MN 55033 , Phone: 6514381800
Dr. Robert Lee Gahnz
General Practice Dentistry
NPI Number: 1124057369
Address: 314 2ND ST E # 23 Hastings, MN 55033 , Phone: 6514376163
Regina Medical Center
Family Medicine Physician
NPI Number: 1891729802
Address: 1175 NININGER RD Hastings, MN 55033 , Phone: 6514804100
Walmart Inc.
Pharmacy
NPI Number: 1629095005
Address: 1752 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514383030
Dr. Dena L Mcgree
Optometrist
NPI Number: 1013935501
Address: 1011 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514377549
Regina Medical Center
Psychiatric Hospital Unit
NPI Number: 1235157462
Address: 1175 NININGER RD Hastings, MN 55033 , Phone: 6514804100
Regina Medical Center
Skilled Nursing Facility
NPI Number: 1821016056
Address: 1175 NININGER RD Hastings, MN 55033 , Phone: 6514804100
Regina Medical Center
General Acute Care Hospital
NPI Number: 1326066085
Address: 1175 NININGER RD Hastings, MN 55033 , Phone: 6514804100
Dr. Eric Richard Tyler
Optometrist
NPI Number: 1285652826
Address: 1752 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514382400
Dr. Sarah Anne Teresinski Markert
Family Medicine Physician
NPI Number: 1801819727
Address: 1210 1ST ST W Hastings, MN 55033 , Phone: 6514381800
Dr. Joseph Michael Slapnicher
Optometrist
NPI Number: 1992728083
Address: 1011 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514375469
Rivertown Eye Care Pa
Eyewear Supplier
NPI Number: 1801819941
Address: 1011 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514375469
Dr. Eric Robert Slapnicher
Optometrist
NPI Number: 1992719157
Address: 1011 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514375469
Walgreen Co
Community/Retail Pharmacy
NPI Number: 1023023249
Address: 1017 VERMILLION ST Hastings, MN 55033 , Phone: 6514380430
David John Ries
Family Medicine Physician
NPI Number: 1578579264
Address: 1285 NININGER RD Hastings, MN 55033 , Phone: 6514804200
Dr. Paul Christopher Johnston
Dentist
NPI Number: 1568470557
Address: 925 HIGHWAY 55 SUITE 104 Hastings, MN 55033 , Phone: 6514375340
Dr. Larry James Schmid
Dentist
NPI Number: 1154339141
Address: 925 HWY 55 STE 104 Hastings, MN 55033 , Phone: 6514375340
Independent School District 200
Local Education Agency (LEA)
NPI Number: 1740290006
Address: 1000 11TH ST W Hastings, MN 55033 , Phone: 6514807009
Hanson And Hanson Addiction Specialists
Addiction (Substance Use Disorder) Counselor
NPI Number: 1316957244
Address: 223 SIBLEY ST Hastings, MN 55033 , Phone: 6514378200
Dr. Bertrand A Kolles
Optometrist
NPI Number: 1801807292
Address: 1011 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514375469
Mr. Jarvis Paul Jackson
Pharmacist
NPI Number: 1346353760
Address: 15615 193RD ST E Hastings, MN 55033 , Phone: 6514372675
Supervalu Pharmacies Inc
Pharmacy
NPI Number: 1811002959
Address: 1729 MARKET BLVD Hastings, MN 55033 , Phone: 6514382135
Susan M Wagner
Hand Physical Therapist
NPI Number: 1144337635
Address: 85 PLEASANT DR Hastings, MN 55033 , Phone: 6514041002
Dr. William Lowell Parker
Chiropractor
NPI Number: 1386751147
Address: 1320 S FRONTAGE RD STE 102 Hastings, MN 55033 , Phone: 6514802200
Dr. Jeffrey John Fox
Dentist
NPI Number: 1013028448
Address: 1222 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514373256
Dr. Andrew John Bauman
Dentist
NPI Number: 1891898011
Address: 1355 S FRONTAGE RD SUITE 330 Hastings, MN 55033 , Phone: 6514808000
Mrs. Charlotte Katherine Depew
Adult Health Nurse Practitioner
NPI Number: 1790880359
Address: 1200 18TH ST E Hastings, MN 55033 , Phone: 6514388500
Dr. Scott Millner
Chiropractor
NPI Number: 1174629141
Address: 117 3RD ST W Hastings, MN 55033 , Phone: 6514371876
Katherine V. Conway D.D.S. P. A
General Practice Dentistry
NPI Number: 1568569416
Address: 955 HIGHWAY 55 SUITE 6 Hastings, MN 55033 , Phone: 6514379764
Rebecca Ortiz
Physical Therapy Assistant
NPI Number: 1306944103
Address: 1355 S FRONTAGE RD STE 340 Hastings, MN 55033 , Phone: 6514383920
City Of Hastings
Ambulance
NPI Number: 1124127808
Address: 115 5TH ST W Hastings, MN 55033 , Phone: 6514806150
Thrifty Drug Stores Inc
Pharmacy
NPI Number: 1881783488
Address: 1102 VERMILLION ST Hastings, MN 55033 , Phone: 6514373186
James E King
Hearing Instrument Specialist
NPI Number: 1902987647
Address: 1110 HIGHWAY 55 SUITE 103 Hastings, MN 55033 , Phone: 6514373239
Wal-Mart Stores, Inc.
Optician
NPI Number: 1710068523
Address: 1752 N FRONTAGE RD Hastings, MN 55033 , Phone: 6514382400
Tammi Goetzke
Registered Dietitian
NPI Number: 1275615072
Address: 1175 NININGER RD Hastings, MN 55033 , Phone: 6514804369
Ms. Marcia J Kranz
Acupuncturist
NPI Number: 1558446161
Address: 115 FIFTH ST EAST Hastings, MN 55033 , Phone: 6514808244
Mr. Erland Christian Hedegard
Certified Registered Nurse Anesthetist
NPI Number: 1164508842
Address: 1175 NININGER RD Hastings, MN 55033 , Phone: 6514804299
Twin Cities Oral & Maxillofacial Surgery P.A.
Oral and Maxillofacial Surgery (Dentist)
NPI Number: 1083792279
Address: 925 HIGHWAY 55 202 Hastings, MN 55033 , Phone: 6514373262
Dakota County Receiving Center
Substance Abuse Rehabilitation Facility
NPI Number: 1598844177
Address: 1294 18TH ST E Hastings, MN 55033 , Phone: 6514374209
Ms. Sharon Louise Smith
Registered Dietitian
NPI Number: 1235208968
Address: 1200 18TH ST E Hastings, MN 55033 , Phone: 6514388518
Petterson Chiropractic Clinic Pa
Chiropractor
NPI Number: 1750451639
Address: 825 BAHLS DRIVE Hastings, MN 55033 , Phone: 6514801128
Chad Jeremy Petterson
Chiropractor
NPI Number: 1003986886
Address: 825 BAHLS DRIVE Hastings, MN 55033 , Phone: 6514801128

Jeremiah Douglas Fairbanks in Other Directories

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