Noel Desantos Ibanez

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NPI Number Detailed Information

Provider Information:

Name:	Noel Desantos Ibanez
Gender:	M
Provider License Number If Given:	2010-01897

NPI Information:

NPI:	1639407448
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/7/2009
Last Update Date:	5/18/2023

Provider Business Mailing Address:

Address:	PO BOX 19305 Charlotte, NC 28219
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address:	16740 DAVIDSON CONCORD RD Davidson, NC 28036
Phone Number:	7044442400
Fax Number:

Provider Taxonomy:

Primary:	2084A0401X
Secondary (if any):	2084F0202X
State:	NC

Top Doctors in NC

About Noel Desantos Ibanez

Noel Desantos Ibanez ( NOEL DESANTOS IBANEZ ) is A Psychiatry & Neurology Physician in Davidson, NC. The NPI Number for Noel Desantos Ibanez is 1639407448.

The current location address for Noel Desantos Ibanez is 16740 DAVIDSON CONCORD RD Davidson, NC 28036 and the contact number is and fax number is . The mailing address for Noel Desantos Ibanez is PO BOX 19305 Charlotte, NC 28219- 7044442400 (mailing address contact number - ).

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider Business Location on Map

FAQs:

What is the NPI Number for Noel Desantos Ibanez ?

Answer: The NPI Number for Noel Desantos Ibanez is 1639407448

Where is Noel Desantos Ibanez located?

Answer: Noel Desantos Ibanez is located at 16740 DAVIDSON CONCORD RD Davidson, NC 28036.

What is the specialty for Noel Desantos Ibanez ?

Answer: The Specialty of Noel Desantos Ibanez is A Psychiatry & Neurology Physician.

Are there any online reviews for Noel Desantos Ibanez ?

Answer: Not yet!

Are there any other health care providers in Davidson, NC?

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 Noel Desantos Ibanez

Number of HCPCS	7
Number of Medicare Beneficiaries	58
Number of Services	305
Total Submitted Charge Amount	67853
Total Medicare Allowed Amount	28313.08
Total Medicare Payment Amount	22421.06
Total Medicare Standardized Payment Amount	22274.26
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	7
Number of Medicare Beneficiaries With Medical	58
Number of Medical Services	305
Total Medical Submitted Charge Amount	67853
Total Medical Medicare Allowed Amount	28313.08
Total Medical Medicare Payment Amount	22421.06
Total Medical Medicare Standardized Payment Amount	22274.26
Average Age of Beneficiaries	46
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	0
Number of Male Beneficiaries	58
Number of Non-Hispanic White Beneficiaries	28
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	47
Number of Beneficiaries With Medicare Only Entitlement	11
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	0.24
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression	0.62
Percent (%) of Beneficiaries Identified With Diabetes	0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.38
Percent (%) of Beneficiaries Identified With Hypertension	0.47
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.21
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.71
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0238

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	Psychiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	183
Number of Standardized 30-Day Fills	199
Aggregate Cost Paid for All Claims	35974.61
Number of Day's Supply for All Claims	5471
Number of Medicare Beneficiaries	40
Number of Claims, Including Refills, for Beneficiaries Age 65+	14
Including Refills, for Beneficiaries Age 65+	18
Beneficiaries Age 65+	100.01
Number of Day's Supply for All Claims for Beneficaries Age 65+	507
Number of Medicare Beneficiaries Age 65+
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	136
Aggregate Cost Paid for Generic Drugs	1947.06
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	56
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	2011.15
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	127
Aggregate Cost Paid for Claims Filled by	33963.46
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	161
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	35625.05
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	22
by Low-Income Subsidy	349.56
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
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
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	47.9
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
Number of Male Beneficiaries
Number of Non-Hispanic White	20
Number of Black or African American	15
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	1.33463125

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