DR. TOM A GROSS DC
NPI 1104860014
Chiropractor - Neurology in Horse Shoe, NC
NPI Status: Active since June 15, 2006
Contact Information
4144 HAYWOOD RD
STE 4
HORSE SHOE, NC
ZIP 28742
Phone: (828) 891-8868
Fax: (828) 891-8897
- Individual
- Male
- Years of Experience 32
- Chiropractor
- Neurology
- Accepts Medicare Approved Payment
About TOM GROSS
This page provides the complete NPI Profile along with additional information for Tom Gross, a provider established in Horse Shoe, North Carolina with a medical specialization in Chiropractor, focusing in neurology and more than 32 years of experience. The healthcare provider is registered in the NPI registry with number 1104860014 assigned on June 2006. The practitioner's primary taxonomy code is 111NN0400X with license number NC2118 (NC). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1104860014
- Provider Name
- DR. TOM A GROSS DC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4144 HAYWOOD RD STE 4 HORSE SHOE, NC 28742
- Location Phone
- (828) 891-8868
- Location Fax
- (828) 891-8897
- Mailing Address
- 21 CLEMENT DR HORSE SHOE, NC 28742
- Mailing Phone
- (828) 891-8868
- Mailing Fax
- (828) 891-8897
- Medical School Name
- OTHER
- Graduation Year
- 1994
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2006
- Last Update Date
- 12-10-2007
- Code Navigator
A chiropractor like Tom Gross helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
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
Chiropractor Neurology
- Taxonomy Code
- 111NN0400X
- Type
- Chiropractic Providers
- License No.
- NC2118
- License State
- NC
- Taxonomy Description
- Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 0847B | OTHER (01) | NC | BLUE CROSS OF NC |
| 890847B | MEDICAID (05) | NC | |
| 2449287 | MEDICARE ID-TYPE UNSPECIFIED (04) | NC | |
| 0847B | OTHER (01) | NC | NC STATE HEALTH PLAN |
| U55304 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Tom Gross 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: 1254423742
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: I20070928000248
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.
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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 | 1 | 0 | 4 | 8 | 6 | 0 | 0 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 6 | 0 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 6 + 0 + 0 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1104860014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104860014, enumerated as an "individual" on June 15, 2006.
The provider is located at 4144 HAYWOOD RD STE 4 HORSE SHOE, NC 28742 and the phone number is (828) 891-8868.
Chiropractor with taxonomy code 111NN0400X and a focus in Neurology.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
