MR. KENNETH RANDY PINKERTON MPT NPI 1003003161

Physical Therapist in Tustin, CA

Individual Male Years of Experience 27 Physical Therapist Accepts Medicare Approved Payment Medicare Quality Reporting

About KENNETH PINKERTON

Kenneth Pinkerton is a provider established in Tustin, California and his medical specialization is physical therapist with more than 27 years of experience. The NPI number of Kenneth Pinkerton is 1003003161 and was assigned on October 2007. The practitioner's primary taxonomy code is 225100000X with license number PT19841 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago. Kenneth Pinkerton 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.

NPI

1003003161

Provider NameMR. KENNETH RANDY PINKERTON MPT
Provider Location Address365 W 1ST ST TUSTIN, CA 92780
Provider Mailing Address365 W 1ST ST TUSTIN, CA 92780
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1994
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-02-2007
Last Update Date12-08-2010

Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.PT19841
License StateCA
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

MR. KENNETH RANDY PINKERTON MPT
365 W 1ST ST
TUSTIN, CA
ZIP 92780
Phone: (714) 544-5565
Fax: (714) 544-5570

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Mailing Address

MR. KENNETH RANDY PINKERTON MPT
365 W 1ST ST
TUSTIN, CA
ZIP 92780
Phone: (714) 544-5565
Fax: (714) 544-5570

Medicare Participation

PECOS PAC ID2860522125
PECOS Enrollment IDI20120223000229
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.

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.

  • 6311Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • 483Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • 105Physical therapy evaluation (HCPCS:97001)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2017. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Documentation of Current Medications in the Medical Record 100% 155
Functional Outcome Assessment 100% 279
Pain Assessment and Follow-Up 100% 166

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
WPT19841AMEDICARE PIN (08)CA

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093758849THINK PHYSICAL THERAPY
Organization
Physical Therapist365 W 1ST ST
TUSTIN, CA 92780
(714) 544-5565
1255756680THINK PHYSICAL THERAPY
Organization
Physical Therapist365 W 1ST ST
TUSTIN, CA 92780
(714) 544-5565
1548457609MR. NICHOLAS PAUL THEDERS PT
Individual
Physical Therapist365 W 1ST ST
TUSTIN, CA 92780
(714) 544-5565
1659672137MRS. JACKLYN ROBERTS SWICK DPT
Individual
Physical Therapist365 W 1ST ST
TUSTIN, CA 92780
(714) 544-5565
1720261654MRS. MICHELE O'HARA PT
Individual
Physical Therapist365 W 1ST ST
TUSTIN, CA 92780
(714) 544-5565

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.