THEODORE SIMON DC
NPI 1265427447
Chiropractor in Arcadia, FL
NPI Status: Active since September 14, 2005
Contact Information
1110 E GIBSON ST
ARCADIA, FL
ZIP 34266
Phone: (863) 993-0100
Fax: (863) 993-2116
- Individual
- Male
- Chiropractor
- Medicare Quality Reporting
About THEODORE SIMON
This page provides the complete NPI Profile along with additional information for Theodore Simon, a provider established in Arcadia, Florida with a medical specialization in Chiropractor. The healthcare provider is registered in the NPI registry with number 1265427447 assigned on September 2005. The practitioner's primary taxonomy code is 111N00000X with license number CH3233 (FL). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1265427447
- Provider Name
- THEODORE SIMON DC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1110 E GIBSON ST ARCADIA, FL 34266
- Location Phone
- (863) 993-0100
- Location Fax
- (863) 993-2116
- Mailing Address
- PO BOX 997 PALMETTO, FL 34220
- Mailing Phone
- (941) 776-4000
- Mailing Fax
- (863) 993-2116
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-14-2005
- Last Update Date
- 04-19-2016
- Code Navigator
A chiropractor like Theodore Simon 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
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- CH3233
- License State
- FL
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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 |
|---|---|---|---|
| 380640500 | MEDICAID (05) | FL | |
| T55822 | MEDICARE UPIN (02) | FL | |
| 40213 | OTHER (01) | FL | BC/BS OF FLORIDA |
| 88422V | MEDICARE PIN (08) | FL |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265427447, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
ARCADIA, FL 34266
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265427447, enumerated as an "individual" on September 14, 2005.
The provider is located at 1110 E GIBSON ST ARCADIA, FL 34266 and the phone number is (863) 993-0100.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
