MR. KENNETH RANDY PINKERTON MPT NPI 1003003161
Physical Therapist in Tustin, CA
About MR. KENNETH RANDY PINKERTON MPT
Kenneth Pinkerton is a provider established in Tustin, California and his medical specialization is Physical Therapist with more than 29 years of experience. The NPI number of this provider 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 12 years ago.
| NPI | 1003003161 |
| Provider Name | MR. KENNETH RANDY PINKERTON MPT |
| Location Address | 365 W 1ST ST TUSTIN, CA 92780 |
| Location Phone | (714) 544-5565 |
| Mailing Address | 365 W 1ST ST TUSTIN, CA 92780 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1994 |
| Is Sole Proprietor? | No |
| Enumeration Date | 10-02-2007 |
| Last Update Date | 12-08-2010 |
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.
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.87 for a new patient copayment and $20.28 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 Code | 225100000X |
| Classification | Physical Therapist |
| Type | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License No. | PT19841 |
| License State | CA |
| 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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Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
365 W 1ST ST
TUSTIN, CA
ZIP 92780
Phone: (714) 544-5565
Fax: (714) 544-5570
Mailing Address
365 W 1ST ST
TUSTIN, CA
ZIP 92780
Phone: (714) 544-5565
Fax: (714) 544-5570
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.
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 92780 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 |
| $65.18 | $194.87 | $99.5 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $16.29 | $48.71 | $24.87 |
| 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 |
| $20.89 | $159.82 | $81.14 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.22 | $39.95 | $20.28 |
* 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.
- 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)
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 |
|---|---|---|
| WPT19841A | MEDICARE PIN (08) | CA |
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 | 1 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 6 | 1 | 12 | |
| 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 + 1 + 1 + 2 + 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 1003003161 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093758849 | THINK PHYSICAL THERAPY Organization | Physical Therapist | 365 W 1ST ST TUSTIN, CA 92780 (714) 544-5565 |
| 1548457609 | MR. NICHOLAS PAUL THEDERS PT Individual | Physical Therapist | 365 W 1ST ST TUSTIN, CA 92780 (714) 544-5565 |
| 1720261654 | MRS. MICHELE O'HARA PT Individual | Physical Therapist | 365 W 1ST ST TUSTIN, CA 92780 (714) 544-5565 |
| 1659672137 | MRS. JACKLYN ROBERTS SWICK DPT Individual | Physical Therapist | 365 W 1ST ST TUSTIN, CA 92780 (714) 544-5565 |
| 1255756680 | THINK PHYSICAL THERAPY Organization | Physical Therapist | 365 W 1ST ST TUSTIN, CA 92780 (714) 544-5565 |
| 1376210781 | BIXIAO YU Individual | Physical Therapist | 365 W 1ST ST TUSTIN, CA 92780 (714) 544-5565 |
Frequently Asked Questions
What is Mr. Kenneth Pinkerton MPT NPI number?
The NPI number assigned to this healthcare provider is 1003003161, registered as an "individual" on October 02, 2007
Where is Mr. Kenneth Pinkerton MPT located?
The provider is located at 365 W 1st St Tustin, Ca 92780 and the phone number is (714) 544-5565
Which is Mr. Kenneth Pinkerton MPT specialty?
The provider's speciality is Physical Therapist
How many years of experience does Mr. Kenneth Pinkerton MPT have?
The provider has more than 29 years of experience.
What insurance does Mr. Kenneth Pinkerton MPT accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
How much is a visit to Mr. Kenneth Pinkerton MPT?
Medicare beneficiaries should expect a typical cost of $99.5 with an average copayment of $24.87 for new patient appointments. Established patients should expect a typical charge of $81.14 and an average copayment of 20.28. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Mr. Kenneth Pinkerton MPT?
The most common procedures or services performed by this practitioner are: Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes, Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes and Physical therapy evaluation.
How do I update my NPI information?
The NPI record of Mr. Kenneth Pinkerton MPT was last updated on October 02, 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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