|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|
|NPI Entity Type||Individual|
|Medical School Name||OTHER|
|Is Sole Proprietor?||No|
|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.
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.
|Type||Respiratory, Developmental, Rehabilitative and Restorative Service Providers|
|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:|
JOSEPH ROBERT SWINEHART
609 PICKERAL LAKE DR
Phone: (231) 652-2343
Fax: (231) 652-2343
JOSEPH ROBERT SWINEHART
PO BOX 822
WHITE CLOUD, MI
Phone: (231) 652-2343
Fax: (231) 652-2343
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.
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|
|Minimum New Patient Copayment||Maximum New Patient Copayment||Typical New Patient Copayment|
|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|
|Minimum Established Patient Copayment||Maximum Established Patient Copayment||Typical Established Patient Copayment|
* 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.
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|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.
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]
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 at: [email protected]