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 24 years of experience. The NPI number of Joseph Swinehart is 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 15 years ago.

NPI
1003003021
Provider Name JOSEPH ROBERT SWINEHART
Location Address609 PICKERAL LAKE DR NEWAYGO, MI 49337
Location Phone(231) 652-2343
Mailing AddressPO BOX 822 WHITE CLOUD, MI 49349
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?No
Enumeration Date10-03-2007
Last Update Date10-17-2007

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 primary taxonomy code defines the provider type, classification, and 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 Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.5501010140
License StateMI
Taxonomy DescriptionPhysical 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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

JOSEPH ROBERT SWINEHART
609 PICKERAL LAKE DR
NEWAYGO, MI
ZIP 49337
Phone: (231) 652-2343
Fax: (231) 652-2343

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Mailing Address

JOSEPH ROBERT SWINEHART
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 Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID7911096946
PECOS Enrollment IDI20071221000507
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.

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.

  • 2173Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • 930Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • 463Application of ultrasound to 1 or more areas, each 15 minutes (HCPCS:97035)
  • 316Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • 189Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • 36Physical therapy evaluation (HCPCS:97001)

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.
1003003021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200300604
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 = 11

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
1356538367MR. TERRENCE ARTHUR WESTCOTT
Individual
Physical Therapist609 PICKERAL LAKE DR
NEWAYGO, MI 49337
(231) 652-2343
16797624396 HANDS PHYSICAL THERAPY AND WELLNESS
Organization
Physical Therapist609 PICKERAL LAKE DR
NEWAYGO, MI 49337
(231) 652-2343

Frequently Asked Questions

What is Joseph Swinehart NPI number?

The NPI number assigned to Joseph Swinehart is 1003003021, registered as an "individual" on October 03, 2007

Where is Joseph Swinehart located?

The provider is located at 609 Pickeral Lake Dr Newaygo, Mi 49337 and the phone number is (231) 652-2343

Which is Joseph Swinehart specialty?

The provider's speciality is Physical Therapist

How many years of experience does Joseph Swinehart have?

The provider has more than 24 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 exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care, Application of ultrasound to 1 or more areas, each 15 minutes, Manual (physical) therapy techniques to 1 or more regions, each 15 minutes, Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes and Physical therapy evaluation.

How do I update my NPI information?

The NPI record of Joseph Swinehart 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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