DR. STEPHEN ANTHONY BALLISTREA D.C., B.S.
NPI 1164696845
Chiropractor - Rehabilitation in Bayonet Point, FL

NPI Status: Active since April 14, 2008

Contact Information

7236 STATE ROAD 52
SUITE 3
BAYONET POINT, FL
ZIP 34667
Phone: (727) 868-4444
Fax: (727) 868-2892

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  • Individual
  • Male
  • Years of Experience 24
  • Chiropractor
  • Rehabilitation
  • Accepts Medicare Approved Payment

About STEPHEN BALLISTREA

Stephen Ballistrea is a provider established in Bayonet Point, Florida and his medical specialization is Chiropractor with a focus in rehabilitation with more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1164696845 assigned on April 2008. The practitioner's primary taxonomy code is 111NR0400X with license number CH 8075 (FL). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1164696845
Provider Name
DR. STEPHEN ANTHONY BALLISTREA D.C., B.S.
Gender
Male
Entity Type
Individual
Location Address
7236 STATE ROAD 52 SUITE 3 BAYONET POINT, FL 34667
Location Phone
(727) 868-4444
Location Fax
(727) 868-2892
Mailing Address
7236 STATE ROAD 52 STE 3 BAYONET POINT, FL 34667
Mailing Phone
(727) 868-4444
Mailing Fax
(727) 868-2892
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
04-14-2008
Last Update Date
02-08-2011
Code Navigator

A chiropractor like Stephen Ballistrea 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.

Stephen Ballistrea 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.

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 Rehabilitation

Taxonomy Code
111NR0400X
Type
Chiropractic Providers
License No.
CH 8075
License State
FL
Taxonomy Description
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

Insurance Plans Accepted

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

  • UnitedHealthcare

    • UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) - HMO
    • UHC Gold Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) - HMO
    • UHC Silver Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx) (Disponible en espanol) - HMO
  • Medicare

  • Medicaid


*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
U86609 0001MEDICARE UPIN (02)FL 

PECOS Enrollment and Medicare Participation Status

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: 3678759404

    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: I20110512000295

    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.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 238

    Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

Reviews for DR. STEPHEN ANTHONY BALLISTREA D.C., B.S.

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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.
1164696845
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241291288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 2 + 9 + 1 + 2 + 8 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1164696845 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740476795REHAB THERAPY SOLUTIONS LLC
Organization
Physical Therapist7236 STATE ROAD 52 SUITE 4
BAYONET POINT, FL 34667
(727) 992-2039
1639366156MR. REGINALDO PARDILLA MORENO RPT
Individual
Physical Therapist7236 STATE ROAD 52 SUITE 4
BAYONET POINT, FL 34667
(727) 946-0884
1760780043BALLISTREA FAMILY CHIROPRACTIC LLC
Organization
Chiropractor (Independent Medical Examiner)7236 STATE ROAD 52 SUITE 3
BAYONET POINT, FL 34667
(727) 868-4444
1003002056 MAY OUANO PT
Individual
Physical Therapist7236 STATE ROAD 52 SUITE 4
BAYONET POINT, FL 34667
(727) 992-2039

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164696845, enumerated in the NPI registry as an "individual" on April 14, 2008

The provider is located at 7236 State Road 52 Suite 3 Bayonet Point, Fl 34667 and the phone number is (727) 868-4444

The provider's speciality is Chiropractor with taxonomy code 111NR0400X with a focus in Rehabilitation

The provider has more than 24 years of experience.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Chiropractic manipulative treatment, 3 to 4 spinal regions.

This NPI record was last updated on April 14, 2008. 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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