DR. THOMAS OVENELL D.C. NPI 1154404978

Chiropractor (Sports Physician) in East Wenatchee, WA

NPI 1154404978 Individual Male Years of Experience 27 Chiropractor Sports Physician Accepts Medicare Approved Payment

NPI Profile for DR. THOMAS OVENELL D.C.

Thomas Ovenell is a provider established in East Wenatchee, Washington and his medical specialization is chiropractor (sports physician) with more than 27 years of experience. He graduated from Palmer College Chiropractic - Davenport in 1996. The NPI number of Thomas Ovenell is 1154404978 and was assigned on October 2006. The practitioner's primary taxonomy code is 111NS0005X with license number 3291 (WA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

A chiropractor like Dr. Thomas Ovenell D.c. 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. Thomas Ovenell 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: $0 for a new patient copayment and $18.43 for an established patient copayment.

NPI

1154404978

Provider NameDR. THOMAS OVENELL D.C.
Provider Location Address101 11TH ST NE EAST WENATCHEE, WA 98802
Provider Mailing Address101 11TH ST NE EAST WENATCHEE, WA 98802
GenderMale
NPI Entity TypeIndividual
Medical School NamePALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year1996
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-23-2006
Last Update Date12-01-2010


Primary Taxonomy

Taxonomy Code111NS0005X
ClassificationChiropractor
TypeChiropractic Providers
SpecializationSports Physician
License No.3291
License StateWA
Taxonomy DescriptionA sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Business Address

DR. THOMAS OVENELL D.C.
101 11TH ST NE
EAST WENATCHEE, WA
ZIP 98802
Phone: (509) 886-0131
Fax: (509) 884-8153

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Mailing Address

DR. THOMAS OVENELL D.C.
101 11TH ST NE
EAST WENATCHEE, WA
ZIP 98802
Phone: (509) 886-0131
Fax: (509) 884-8153



PECOS Enrollment and Medicare Participation

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.

PECOS PAC ID4082505128
PECOS Enrollment IDI20110126000217
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.

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 98802 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: NA
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.96 $178.29 $0
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.74 $44.57 $0
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
$18.53 $145.92 $73.74
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.63 $36.48 $18.43

* 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.

  • 423Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)
  • 149Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1111NS0005XChiropractic ProvidersChiropractorSports Physician843IDNo

Taxonomy Description: a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

2111NS0005XChiropractic ProvidersChiropractorSports Physician809MTNo

Taxonomy Description: a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

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
U62794MEDICARE UPIN (02)WA
2023711MEDICAID (05)WA
AB27262MEDICARE ID-TYPE UNSPECIFIED (04)WA

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1154404978
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104808914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 0 + 8 + 9 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1154404978 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447297791DR. GREGORY SCOT BOUGHTON D.C.
Individual
Chiropractor101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0131
1922182146DR. ROBERT B SMITH DDS
Individual
Dentist (General Practice)101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 884-7137
1053479279 ANDREW PAULLIN JOHNSON D.M.D.
Individual
Dentist101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 884-7137
1093854648MS. SHELIA IVARSEN LMP
Individual
Massage Therapist101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0131
1649459090OVENELL CHIROPRACTIC PS
Organization
Chiropractor101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0131
1649560418ANDREW P JOHNSON, DMD,INC
Organization
Dentist101 11TH ST NE
E WENATCHEE, WA 98802
(509) 884-7137
1508142811JAMES K BURNHAM DDS, MS, PLLC
Organization
Clinic/Center (Dental)101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0664
1114279650 NANCY SWANSON LMP
Individual
Massage Therapist101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0131
1740517689 KARRYN LYNN POLSON LMP
Individual
Massage Therapist101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0131
1386606069DR. JAMES KELBY BURNHAM D.D.S.;M.S.
Individual
Dentist101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0664
1821299546 MICHAEL ROYCE BRUNETTE D.C.
Individual
Chiropractor101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0131
1245776467 TODDI BARCLAY LMT
Individual
Massage Therapist101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0131
1548755648 CHRISTOPHER PARKER LMT
Individual
Massage Therapist101 11TH ST NE
EAST WENATCHEE, WA 98802
(509) 886-0131

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
Dr. Thomas Ovenell D.c. is registered as an entity type code: 1. The entity type code describes 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.