MR. WILLIS K CLYDE P.T.
NPI 1033293865
Specialist in Heber City, UT

NPI Status: Active since October 25, 2006

Contact Information

190 N MAIN ST
HEBER CITY, UT
ZIP 84032
Phone: (435) 654-0804
Fax: (435) 654-3314

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  • Individual
  • Male
  • Years of Experience 40
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About WILLIS CLYDE

This page provides the complete NPI Profile along with additional information for Willis Clyde, a provider established in Heber City, Utah with a medical specialization in Specialist and more than 40 years of experience. The healthcare provider is registered in the NPI registry with number 1033293865 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X with license number 117343-2401 (UT). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1033293865
Provider Name
MR. WILLIS K CLYDE P.T.
Gender
Male
Entity Type
Individual
Location Address
190 N MAIN ST HEBER CITY, UT 84032
Location Phone
(435) 654-0804
Location Fax
(435) 654-3314
Mailing Address
PO BOX 13 HEBER CITY, UT 84032
Mailing Phone
(435) 654-0804
Mailing Fax
(435) 654-3314
Medical School Name
OTHER
Graduation Year
1987
Is Sole Proprietor?
Yes
Enumeration Date
10-25-2006
Last Update Date
04-23-2013
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Specialty - 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.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
117343-2401
License State
UT
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO
  • Value Silver 3000 Medical Deductible - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000067012MEDICARE ID-TYPE UNSPECIFIED (04)UT 

Medicare Participation & PECOS Enrollment Status

Willis Clyde is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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 providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 749232775

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20051019000686

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Application of electrical stimulation with therapist present, each 15 minutes

Electrical stimulation is a therapeutic treatment that sends light electrical pulses to a specific area of your body. This is done under the supervision of a therapist for 15-minute intervals. It can reduce pain, stimulate muscles, and improve circulation.

This service was performed 399 times for 39 patients

Evaluation for physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 81 times for 77 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 1,219 times for 104 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 1,874 times for 104 patients

Therapy procedure using functional activities

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

This service was performed 147 times for 20 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 1,358 times for 100 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033293865, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 4 + 9 + 6 + 8 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1033293865.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Specialist
190 N MAIN ST
HEBER CITY, UT 84032
Physical Therapist
190 N MAIN ST
HEBER CITY, UT 84032
Physical Therapist
190 N MAIN ST
HEBER CITY, UT 84032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033293865, enumerated as an "individual" on October 25, 2006.

The provider is located at 190 N MAIN ST HEBER CITY, UT 84032 and the phone number is (435) 654-0804.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Molina Healthcare, Select Health, University of. Please consult your insurance carrier or call the provider to verify.