JOSEPH ROBERT SWINEHART NPI 1003003021
Physical Therapist in Newaygo, MI
About JOSEPH ROBERT SWINEHART
Joseph Swinehart is a provider established in Newaygo, Michigan and his medical specialization is Physical Therapist with more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1003003021 and was assigned on October 2007. The practitioner's primary taxonomy code is 225100000X with license number 5501010140 (MI). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1003003021 |
| Provider Name | JOSEPH ROBERT SWINEHART |
| Location Address | 609 PICKERAL LAKE DR NEWAYGO, MI 49337 |
| Location Phone | (231) 652-2343 |
| Mailing Address | PO BOX 822 WHITE CLOUD, MI 49349 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Is Sole Proprietor? | No |
| Enumeration Date | 10-03-2007 |
| Last Update Date | 10-17-2007 |
Joseph Swinehart is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare 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: $21.79 for a new patient copayment and $17.7 for an established patient copayment.
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.
| Taxonomy Code | 225100000X |
| Classification | Physical Therapist |
| Type | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License No. | 5501010140 |
| License State | MI |
| Taxonomy Description | Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
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Business Address
609 PICKERAL LAKE DR
NEWAYGO, MI
ZIP 49337
Phone: (231) 652-2343
Fax: (231) 652-2343
Mailing Address
PO BOX 822
WHITE CLOUD, MI
ZIP 49349
Phone: (231) 652-2343
Fax: (231) 652-2343
Location Map
PECOS Enrollment and Medicare Participation Status
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 Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 49337 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.39 | $172.8 | $87.16 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.09 | $43.2 | $21.79 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.24 | $140.86 | $70.8 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.31 | $35.21 | $17.7 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 288Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
- 266Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
- 255Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
- 166Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
- 27Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 3 | 0 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 6 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 6 + 0 + 4 + 24 = 39 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 39 = 1 | 1 | ||||||||
The NPI number 1003003021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356538367 | MR. TERRENCE ARTHUR WESTCOTT Individual | Physical Therapist | 609 PICKERAL LAKE DR NEWAYGO, MI 49337 (231) 652-2343 |
| 1679762439 | 6 HANDS PHYSICAL THERAPY AND WELLNESS Organization | Physical Therapist | 609 PICKERAL LAKE DR NEWAYGO, MI 49337 (231) 652-2343 |
Frequently Asked Questions
What is Joseph Swinehart NPI number?
The NPI number assigned to this healthcare provider is 1003003021, registered as an "individual" on October 03, 2007
Where is the provider located?
The provider is located at 609 Pickeral Lake Dr Newaygo, Mi 49337 and the phone number is (231) 652-2343
What is the provider specialty code?
The provider's speciality is Physical Therapist with taxonomy code 225100000X
How many years of experience does Joseph Swinehart have?
The provider has more than 25 years of experience.
How much is a visit to Joseph Swinehart ?
Medicare beneficiaries should expect a typical cost of $87.16 with an average copayment of $21.79 for new patient appointments. Established patients should expect a typical charge of $70.8 and an average copayment of 17.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Joseph Swinehart ?
The most common procedures or services performed by this practitioner are: Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes, Manual (physical) therapy techniques to 1 or more regions, each 15 minutes and Evaluation of physical therapy, typically 30 minutes.
How do I update my NPI information?
This NPI record was last updated on October 03, 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].
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