Author Topic: Are Physician Assistants required to have NPI numbers?  (Read 11431 times)

Kimrhodes0309

  • Newbie
  • *
  • Posts: 1
Are Physician Assistants required to have NPI numbers?
« on: June 06, 2013, 04:31:46 AM »
I am having an issue with an insurance claim due to PA's in a specialist's office (dermatologist) not having an NPI number.  The doctor's office keeps billing my visit under the doctor's NPI number because of the PA's not having their own.  Is that legal, since I was seen by the PA & didn't see the doctor? 

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Are Physician Assistants required to have NPI numbers?
« Reply #1 on: June 11, 2013, 03:48:58 PM »
The PA should have his own NPI for the carriers that do credential PA's separate.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

RichardP

  • Hero Member
  • *****
  • Posts: 757
Re: Are Physician Assistants required to have NPI numbers?
« Reply #2 on: June 11, 2013, 06:00:20 PM »
The doctor's office keeps billing my visit under the doctor's NPI number because of the PA's not having their own.  Is that legal, since I was seen by the PA & didn't see the doctor?

Yes - this is legal.  When any PA does work, they can either bill under their own NPI number (smaller payment from insurance) or bill under the Supervising Physician's NPI number (larger payment from insurance).  That is per CMS regulation.  I don't know of any commercial carrier that doesn't abide by that, but maybe your carrier doesn't??

A doctor can hire employees who do work for him, and that work is billed under his name and NPI number.  That setup is legal.  (e.g., nuse gives a shot; doctor bills for it in his name)

I know that Nurse Practitioners and Physician Assistant's can acquire NPI numbers and can do work on their own (when certain conditions are met) and bill with their Type 2 (who gets paid) NPI number.  I know they can do this.  So far as I know, they are not required to do this.

Is your carrier wanting the PA's Type 1 NPI number (who did the work) in Box 24J of the CMS 1500 form?

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Are Physician Assistants required to have NPI numbers?
« Reply #3 on: June 13, 2013, 03:42:42 PM »
Sorry, I didn't actually answer your question, but Richard did.  :)  PA's can and should have their own NPI but as Richard stated they can also bill under the Supervising Physician's NPI.  Most larger carriers and Medicare allow this.  There are a couple of smaller (actually one that I can think of) in our area that credentials the PA's and wants their NPI on the claim.  It's because as Richard stated, the reimbursement is lower so they save money. 
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

updastE

  • Full Member
  • ***
  • Posts: 139
    • stromectol 3 mg tablet
Re: Are Physician Assistants required to have NPI numbers?
« Reply #4 on: October 24, 2022, 11:26:16 PM »
<a href=https://stromectol.autos/>who makes stromectol</a> 2, 3 This modification is described by the hydroxylation in C3 of the desogestrel molecule

Medical Billing Forum

Re: Are Physician Assistants required to have NPI numbers?
« Reply #4 on: October 24, 2022, 11:26:16 PM »

mainiaDup

  • Sr. Member
  • ****
  • Posts: 260
    • dapoxetine tablets buy online india
Re: Are Physician Assistants required to have NPI numbers?
« Reply #5 on: November 06, 2022, 01:15:05 PM »
<a href=https://priligy.me/>buy priligy cheap</a> nafcillin will decrease the level or effect of lapatinib by affecting hepatic intestinal enzyme CYP3A4 metabolism

jossibe

  • Full Member
  • ***
  • Posts: 247
    • stromectol ivermectin tablets
Re: Are Physician Assistants required to have NPI numbers?
« Reply #6 on: November 16, 2022, 08:06:25 AM »
<a href=http://stromectol.ink/>stromectol colombia</a> But what happens when your money suddenly runs out

royagma

  • Sr. Member
  • ****
  • Posts: 326
    • generic of furosemide bad for your kidneys
Re: Are Physician Assistants required to have NPI numbers?
« Reply #7 on: November 19, 2022, 09:35:57 AM »
<a href=https://lasix.autos/>lasix to remove fluid in lungs</a> MSM was previously reported to decrease the viability of cells via modulation of cell cycle progression and induction of apoptosis Karabay et al

unorgobug

  • Sr. Member
  • ****
  • Posts: 330
    • doxycycline ruined my life
Re: Are Physician Assistants required to have NPI numbers?
« Reply #8 on: November 20, 2022, 01:15:07 AM »
Digital rectal exam DRE and prostate specific antigen PSA blood test <a href=https://doxycycline.world/>doxycycline side effects after stopping</a> The cancer I have has a 50 recurrence rate

awaixebra

  • Full Member
  • ***
  • Posts: 239
    • taking 2 cialis pills at once
Re: Are Physician Assistants required to have NPI numbers?
« Reply #9 on: December 07, 2022, 09:32:44 PM »
virecta olmesartan amlodipine hydrochlorothiazide tablets side effects With Italy straining to contain its 2 trillion euro public debt, the Berlusconi imbroglio has also hobbled efforts to reform the euro zone s third largest economy, causing worries that extend well beyond its own borders <a href=http://propecia.hair>propecia amazon</a> Earlier this year, the organisation continually denied it had any IT problems

Medical Billing Forum

Re: Are Physician Assistants required to have NPI numbers?
« Reply #9 on: December 07, 2022, 09:32:44 PM »

Vogegrorb

  • Sr. Member
  • ****
  • Posts: 334
    • is levitra still on the market
Re: Are Physician Assistants required to have NPI numbers?
« Reply #10 on: December 08, 2022, 12:41:43 PM »
This helps a bit <a href=https://ccialiss.icu>order cialis</a>

piegmen

  • Sr. Member
  • ****
  • Posts: 326
    • durjoy dapoxetine hcl
Re: Are Physician Assistants required to have NPI numbers?
« Reply #11 on: December 12, 2022, 05:21:44 AM »
That s nothing new but it s not received as much attention as it should <a href=http://priligy.homes>buy priligy</a> 2011 Jan 20 online

lapound

  • Sr. Member
  • ****
  • Posts: 340
    • do you have to use finasteride forever
Re: Are Physician Assistants required to have NPI numbers?
« Reply #12 on: December 15, 2022, 07:38:12 AM »
<a href=http://nolvadex.mom>hcg and nolvadex pct</a> Comparison of the melanoma phenotypes elicited by CRISPR RNAi and Cre loxP mediated gene modulation

stacioutt

  • Full Member
  • ***
  • Posts: 134
    • how long to hold lasix before surgery
Re: Are Physician Assistants required to have NPI numbers?
« Reply #13 on: January 24, 2023, 09:17:31 PM »
<a href=https://clomid.beauty>clomid prescription overnight</a> CNP 8242404

Faispom

  • Sr. Member
  • ****
  • Posts: 322
    • cialis time to be effective
Re: Are Physician Assistants required to have NPI numbers?
« Reply #14 on: January 25, 2023, 01:52:07 PM »
<a href=https://acialis.top>cialis generic 5mg</a> He lives and works in Marin County, CA

Medical Billing Forum

Re: Are Physician Assistants required to have NPI numbers?
« Reply #14 on: January 25, 2023, 01:52:07 PM »