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

About DR. STEPHEN ANTHONY BALLISTREA D.C., B.S.

Stephen Ballistrea is a provider established in Bayonet Point, Florida and his medical specialization is Chiropractor with a focus in rehabilitation with more than 23 years of experience. The NPI number of this provider is 1164696845 and was 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 12 years ago.

NPI
1164696845
Provider NameDR. STEPHEN ANTHONY BALLISTREA D.C., B.S.
Location Address7236 STATE ROAD 52 SUITE 3 BAYONET POINT, FL 34667
Location Phone(727) 868-4444
Mailing Address7236 STATE ROAD 52 STE 3 BAYONET POINT, FL 34667
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?No
Enumeration Date04-14-2008
Last Update Date02-08-2011

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 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.



Primary Taxonomy

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.

Taxonomy Code111NR0400X
ClassificationChiropractor
TypeChiropractic Providers
SpecializationRehabilitation
License No.CH 8075
License StateFL
Taxonomy DescriptionRehabilitation 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

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

Get Directions


Mailing Address

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


Location Map

PECOS Enrollment and Medicare Participation Status

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 ID3678759404
PECOS Enrollment IDI20110512000295
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 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.

  • 238Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

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
U86609 0001MEDICARE UPIN (02)FL

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

What is Dr. Stephen Ballistrea D.C., B.S. NPI number?

The NPI number assigned to this healthcare provider is 1164696845, registered as an "individual" on April 14, 2008

Where is Dr. Stephen Ballistrea D.C., B.S. located?

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

Which is Dr. Stephen Ballistrea D.C., B.S. specialty?

The provider's speciality is Chiropractor with a focus in Rehabilitation

How many years of experience does Dr. Stephen Ballistrea D.C., B.S. have?

The provider has more than 23 years of experience.

What insurance does Dr. Stephen Ballistrea D.C., B.S. accept?

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

What are some of the services provided by Dr. Stephen Ballistrea D.C., B.S.?

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

How do I update my NPI information?

The NPI record of Dr. Stephen Ballistrea D.C., B.S. 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]merator.com.
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