BRETT C. LOCKMAN DO
NPI 1003002742
Pain Medicine - Interventional Pain Medicine in Sonora, CA

NPI Status: Active since September 17, 2007

Contact Information

19468 VILLAGE DR STE 100
SONORA, CA
ZIP 95370
Phone: (209) 536-4776
Fax: (833) 302-0274

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  • Individual
  • Male
  • Years of Experience 21
  • Pain Medicine
  • Interventional Pain Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About BRETT LOCKMAN

Brett Lockman is a provider established in Sonora, California and his medical specialization is Pain Medicine with a focus in interventional pain medicine with more than 21 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1003002742 assigned on September 2007. The practitioner's primary taxonomy code is 208VP0014X with license number 20A15158 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI1003002742
Provider NameBRETT C. LOCKMAN DO
Location Address19468 VILLAGE DR STE 100 SONORA, CA 95370
Location Phone(209) 536-4776
Mailing Address18575 LAMBERT LAKE RD SONORA, CA 95370
GenderMale
Entity TypeIndividual
Medical School NameMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2003
Is Sole Proprietor?Yes
Enumeration Date09-17-2007
Last Update Date08-11-2022
Code Navigator

Brett Lockman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.75 for a new patient copayment and $26.97 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
20A15158
License State
CA
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1204D00000XAllopathic & Osteopathic Physicians

Neuromusculoskeletal Medicine & OMM

N0221 (TX)
2204D00000XAllopathic & Osteopathic Physicians

Neuromusculoskeletal Medicine & OMM

2015158 (CA)
3208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

N0221 (TX)
4208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

2015158 (CA)
52081P0301XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Brain Injury Medicine

20A15158 (CA)
62081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

4156 (IA)
72081S0010XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Sports Medicine

N0221 (TX)
82081S0010XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Sports Medicine

4156 (IA)
92081S0010XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Sports Medicine

20A15158 (CA)
10208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

4156 (IA)
11208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

4156 (IA)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Aetna
  • Blue Cross Blue Shield
  • Medicaid
  • Medicare
  • Railroad Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00784683OTHER (01)NCRAILROAD MEDICARE
2915767OTHER (01)NCUHC
1542XOTHER (01)NCBCBSNC
0009606357OTHER (01)NCAETNA
2235045OTHER (01)NCMAMSI

PECOS Enrollment and Medicare Participation Status

Brett Lockman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6103991245

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170410002277

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95370 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $139.01
  • Minimum New Patient Price $60.86
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $34.75
  • Minimum New Patient Copayment $15.21
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $107.91
  • Minimum Established Patient Price $19.29
  • Maximum Established Patient Price $150.36
  • Average Established Patient Copayment $26.97
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $37.59

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 13

    Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brett Lockman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ADVENTIST HEALTH SONORA1000 GREENLEY ROAD
SONORA, CA 95370
(209) 536-5000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003002742
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200300478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 4 + 7 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003002742 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194373738BRETT C LOCKMAN DO MEDICAL CORPORATION
Organization
Pain Medicine (Interventional Pain Medicine)19468 VILLAGE DR STE 100
SONORA, CA 95370
(209) 536-4776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003002742, enumerated in the NPI registry as an "individual" on September 17, 2007

The provider is located at 19468 Village Dr Ste 100 Sonora, Ca 95370 and the phone number is (209) 536-4776

The provider's speciality is Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine

The provider has more than 21 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2003.

The provider might be accepting Aetna, Blue Cross Blue Shield, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $139.01 with an average copayment of $34.75 for new patient appointments. Established patients should expect a typical charge of $107.91 and an average copayment of 26.97. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Destruction of lower or sacral spinal facet joint nerves using imaging guidance.

The practitioner is affiliated to the following hospital(s): ADVENTIST HEALTH SONORA. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.