GRETCHEN RUTH CORRELL OT
NPI 1083012926
Occupational Therapist - Hand in Raleigh, NC

NPI Status: Active since December 09, 2014

Contact Information

3100 DURALEIGH RD
SUITE
RALEIGH, NC
ZIP 27612
Phone: (919) 788-8797
Fax: (919) 788-8798

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  • Individual
  • Female
  • Years of Experience 29
  • Occupational Therapist
  • Hand
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About GRETCHEN CORRELL

This page provides the complete NPI Profile along with additional information for Gretchen Correll, a provider established in Raleigh, North Carolina with a medical specialization in Occupational Therapist, focusing in hand and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1083012926 assigned on December 2014. The practitioner's primary taxonomy code is 225XH1200X with license number 4642 (NC). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1083012926
Provider Name
GRETCHEN RUTH CORRELL OT
Gender
Female
Entity Type
Individual
Location Address
3100 DURALEIGH RD SUITE RALEIGH, NC 27612
Location Phone
(919) 788-8797
Location Fax
(919) 788-8798
Mailing Address
120 WILLIAM PENN PLZ DURHAM, NC 27704
Mailing Phone
(919) 220-5255
Mailing Fax
(919) 788-8798
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
12-09-2014
Last Update Date
12-09-2014
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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

Occupational Therapist Hand

Taxonomy Code
225XH1200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
4642
License State
NC

Insurance Plans Accepted

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

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO

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
4642OTHER (01)NCNORTH CAROLINA OCCUPATIONAL THERAPY LICENSE NUMBER

Medicare Participation & PECOS Enrollment Status

Gretchen Correll 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: 1254655988

    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: I20150128001200

    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.

Evaluation for occupational therapy, typically 30 minutes

An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.

This service was performed 32 times for 32 patients

Evaluation for occupational therapy, typically 45 minutes

An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.

This service was performed 13 times for 13 patients

Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes

This service involves additional training sessions on how to use an orthopedic device or artificial limb. Each session lasts 15 minutes and helps to ensure you can use the device effectively and comfortably in your daily life. It's a crucial part of adapting to a new device.

This service was performed 62 times for 13 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 264 times for 53 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 114 times for 31 patients

Training for self-care or home management, each 15 minutes

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

This service was performed 74 times for 38 patients

Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes

This service involves learning to use an orthopedic device for your arm, leg, or trunk. The training lasts for 15 minutes and helps you understand how to properly use the device to support your recovery and enhance mobility.

This service was performed 39 times for 30 patients

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

Reviews for GRETCHEN RUTH CORRELL OT

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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 1083012926, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
6
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 8 → 16 → 7 0 → 0 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 0 + 1 + 4 + 9 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1083012926.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Otolaryngology (Otology & Neurotology)
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Registered Nurse
3100 DURALEIGH RD, STE 100
RALEIGH, NC 27612
Licensed Practical Nurse
3100 DURALEIGH RD, SUITE 100 E BROOKS WILKINS FAMILY PRACTICE
RALEIGH, NC 27612
Registered Nurse
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Internal Medicine (Gastroenterology)
3100 DURALEIGH RD, SUITE 309
RALEIGH, NC 27612
Radiology (Body Imaging)
3100 DURALEIGH RD, SUITE 101
RALEIGH, NC 27612
Licensed Practical Nurse
3100 DURALEIGH RD, E BROOKS WILKINS FAMILY MEDICINE PA
RALEIGH, NC 27612
Registered Nurse
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Internal Medicine (Cardiovascular Disease)
3100 DURALEIGH RD, STE 307
RALEIGH, NC 27612
Clinic/Center
3100 DURALEIGH RD, SUITE 200
RALEIGH, NC 27612
Registered Nurse
3100 DURALEIGH RD, SUITE 200
RALEIGH, NC 27612
Physical Therapist
3100 DURALEIGH RD, SUITE 310
RALEIGH, NC 27612
Internal Medicine (Cardiovascular Disease)
3100 DURALEIGH RD
RALEIGH, NC 27612
Specialist/Technologist (Athletic Trainer)
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Audiologist
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Nurse Practitioner (Family)
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Physician Assistant
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Obstetrics & Gynecology (Gynecology)
3100 DURALEIGH RD, SUITE 307
RALEIGH, NC 27612
Orthopaedic Surgery
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Physical Therapist
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083012926, enumerated as an "individual" on December 09, 2014.

The provider is located at 3100 DURALEIGH RD SUITE RALEIGH, NC 27612 and the phone number is (919) 788-8797.

Occupational Therapist with taxonomy code 225XH1200X and a focus in Hand.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.