KEVIN J MARTIN PT DPT
NPI 1205278827
Physical Therapist in Chicago, IL

NPI Status: Active since July 24, 2013

Contact Information

150 E HURON ST
SUITE 1205
CHICAGO, IL
ZIP 60611
Phone: (312) 640-1112

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  • Individual
  • Male
  • Years of Experience 12
  • Physical Therapist
  • Accepts Medicare Approved Payment

About KEVIN MARTIN

Kevin Martin is a provider established in Chicago, Illinois and his medical specialization is Physical Therapist with more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1205278827 assigned on July 2013. The practitioner's primary taxonomy code is 225100000X with license number 070020092 (IL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1205278827
Provider Name
KEVIN J MARTIN PT DPT
Gender
Male
Entity Type
Individual
Location Address
150 E HURON ST SUITE 1205 CHICAGO, IL 60611
Location Phone
(312) 640-1112
Mailing Address
205 W WACKER DR SUITE 1020 CHICAGO, IL 60606
Mailing Phone
(312) 640-0329
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
07-24-2013
Last Update Date
08-20-2013
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Kevin Martin 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.24 for a new patient copayment and $19.58 for an established patient copayment.

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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
070020092
License State
IL
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

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

  • Blue Cross and Blue Shield of Illinois

    • Blue Choice Preferred Bronze PPO℠ 201 - PPO
    • Blue Choice Preferred Bronze PPO℠ 202 - PPO
    • Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 708 - PPO
    • Blue Choice Preferred Gold PPO℠ 204 - Rx Copays - PPO
    • Blue Choice Preferred Gold PPO℠ 707 - PPO
    • Blue Choice Preferred Security PPO℠ 200 - PPO
    • Blue Choice Preferred Silver PPO℠ 203 - PPO
    • Blue Choice Preferred Silver PPO℠ 706 - PPO
    • Blue Choice Preferred Silver PPO℠ 801 - Rx Copay - PPO

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

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: 2264666494

    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: I20131001000618

    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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60611 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.99
  • Minimum New Patient Price $63
  • Maximum New Patient Price $191.32
  • Average New Patient Copayment $24.24
  • Minimum New Patient Copayment $15.75
  • Maximum New Patient Copayment $47.83

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.33
  • Minimum Established Patient Price $19.29
  • Maximum Established Patient Price $155.26
  • Average Established Patient Copayment $19.58
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $38.81

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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.
1205278827
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205471684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 4 + 7 + 1 + 6 + 8 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1205278827 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1215920806DR. RICHARD A FEELY D.O.
Individual
Family Medicine150 E HURON ST SUITE 1104
CHICAGO, IL 60611
(312) 266-8565
1548230451 BARBARA JACKS MD
Individual
Internal Medicine (Rheumatology)150 E HURON ST SUITE 805
CHICAGO, IL 60611
(773) 404-0160
1154380137SELECT PHYSICAL THERAPY OF CHICAGO INC
Organization
Clinic/Center (Rehabilitation)150 E HURON ST
CHICAGO, IL 60611
(312) 926-3700
1194762112DR. NUNZIO J AMBROSINO D.C.
Individual
Chiropractor (Orthopedic)150 E HURON ST SUITE 805
CHICAGO, IL 60611
(312) 649-6565
1811903354DR. BRIAN RICHARD ANDERSON DC, MPH
Individual
Chiropractor150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-1593
1710080825 PAUL A KNEPPER JR. MD, PH.D.
Individual
Ophthalmology150 E HURON ST SUITE 1000
CHICAGO, IL 60611
(312) 337-1285
1760585889 ZIBUTE G ZAPARACKAS MD
Individual
Ophthalmology150 E HURON ST SUITE 1000
CHICAGO, IL 60611
(312) 337-1285
1487740635 ANNA E NEUENDORF
Individual
Dietitian, Registered150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-9355
1407942774 LAURIE C MAIMONIS
Individual
Dietitian, Registered150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-9355
1104912427 ANNE S LEAVELL
Individual
Dietitian, Registered150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-9355
1104912211 DEBORAH A OGNAR
Individual
Dietitian, Registered150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-9355
1801971049 BETHANY M DOERFLER DIET NUTRITIONIST
Individual
Dietitian, Registered150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-9355
1437234663 SARAH P CATANESE PHD
Individual
Psychologist (Clinical)150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-9355
1306908751 ANNE F DARGA APN
Individual
Nurse Practitioner150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-9355
1194869842DR. HOANGMAI THI PHAN M.D
Individual
Internal Medicine150 E HURON ST SUITE 1226
CHICAGO, IL 60611
(312) 951-0501
1770703407 AMY L PANOKA PT
Individual
Physical Therapist150 E HURON ST SUITE 901
CHICAGO, IL 60611
(312) 640-1112
1275748873NORTHWESTERN ASSOC IN AESTHETIC PLASTIC & CRANIOFACIAL SURGERY SC
Organization
Surgery (Plastic and Reconstructive Surgery)150 E HURON ST SUITE 825
CHICAGO, IL 60611
(312) 335-9155
1831370337DR. HELENE DARLAK MOORE PSY.D.
Individual
Psychologist (Clinical)150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-1593
1679755417 SHARON VOCINO M.D.
Individual
Internal Medicine150 E HURON ST SUITE1100
CHICAGO, IL 60611
(312) 926-3627
1659518223 DIANNE SEPPELFRICK LMT
Individual
Massage Therapist150 E HURON ST SUITE 1100
CHICAGO, IL 60611
(312) 926-3627

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205278827, enumerated in the NPI registry as an "individual" on July 24, 2013

The provider is located at 150 E Huron St Suite 1205 Chicago, Il 60611 and the phone number is (312) 640-1112

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider has more than 12 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $96.99 with an average copayment of $24.24 for new patient appointments. Established patients should expect a typical charge of $78.33 and an average copayment of 19.58. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 24, 2013. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.