DR. STEVEN KENT GANZEL D.O.
NPI 1265615546
Physical Medicine & Rehabilitation - Pain Medicine in Lexington, KY

NPI Status: Active since December 10, 2007

Contact Information

2416 REGENCY ROAD
LEXINGTON, KY
ZIP 40503
Phone: (859) 278-1316
Fax: (859) 276-3847

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  • Individual
  • Male
  • Years of Experience 33
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STEVEN GANZEL

This page provides the complete NPI Profile along with additional information for Steven Ganzel, a provider established in Lexington, Kentucky with a medical specialization in Physical Medicine & Rehabilitation, focusing in pain medicine and more than 33 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 1993. The healthcare provider is registered in the NPI registry with number 1265615546 assigned on December 2007. The practitioner's primary taxonomy code is 2081P2900X with license number 03100 (KY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1265615546
Provider Name
DR. STEVEN KENT GANZEL D.O.
Gender
Male
Entity Type
Individual
Location Address
2416 REGENCY ROAD LEXINGTON, KY 40503
Location Phone
(859) 278-1316
Location Fax
(859) 276-3847
Mailing Address
280 PASADENA DR LEXINGTON, KY 40503
Mailing Phone
(859) 278-1316
Mailing Fax
(859) 276-3847
Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year
1993
Is Sole Proprietor?
Yes
Enumeration Date
12-10-2007
Last Update Date
07-29-2021
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Location Map

Secondary Locations

  • 3615 Newburg Rd
    Louisville, KY 40218
    (502) 909-0772

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 Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
License No.
03100
License State
KY
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

036-106836 (IL)
2208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

44711-021 (WI)
32081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

060836 (GA)

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

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
7100308400MEDICAID (05)KY 

Medicare Participation & PECOS Enrollment Status

Steven Ganzel 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.

Steven Ganzel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8729150453

    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: I20150116001672

    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.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

This service was performed 17 times for 11 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 48 times for 31 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

This service was performed 33 times for 17 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 677 times for 58 patients

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Low osmolar contrast material with 100-199 mg/ml iodine concentration is a type of dye used in medical imaging tests. It helps to clearly highlight certain areas in the body, improving the quality of images and aiding in accurate diagnosis. It's generally safe and well-tolerated.

This service was performed 37 times for 20 patients

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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 1265615546, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 2 + 1 + 1 + 0 + 5 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1265615546.

Other Providers at the Same Location


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

Physician Assistant
2416 REGENCY ROAD
LEXINGTON, KY 40503
Physician Assistant (Medical)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Nurse Practitioner (Acute Care)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Physician Assistant (Medical)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Anesthesiology (Pain Medicine)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Physician Assistant (Medical)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Nurse Practitioner (Family)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Social Worker (Clinical)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Nurse Practitioner (Psychiatric/Mental Health)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Nurse Practitioner (Family)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Pain Medicine (Interventional Pain Medicine)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Pain Medicine (Interventional Pain Medicine)
2416 REGENCY ROAD
LEXINGTON, KY 40503
Pain Medicine (Interventional Pain Medicine)
2416 REGENCY ROAD
LEXINGTON, KY 40503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265615546, enumerated as an "individual" on December 10, 2007.

The provider is located at 2416 REGENCY ROAD LEXINGTON, KY 40503 and the phone number is (859) 278-1316.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.