DR. THOMAS W SCHERRER DDS
NPI 1275668667
Dentist - General Practice in Racine, WI
NPI Status: Active since February 23, 2007
Contact Information
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
Phone: (262) 637-9371
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About THOMAS SCHERRER
This page provides the complete NPI Profile along with additional information for Thomas Scherrer, a provider established in Racine, Wisconsin with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1275668667 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 4899 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1275668667
- Provider Name
- DR. THOMAS W SCHERRER DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1320 S GREENBAY RD RACINE, WI 53406
- Location Phone
- (262) 637-9371
- Mailing Address
- 1320 S GREENBAY RD RACINE, WI 53406
- Mailing Phone
- (262) 637-9371
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-23-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Thomas Scherrer is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Thomas Scherrer opted out of Medicare effective on 06-25-2018 until 06-25-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 4899
- License State
- WI
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Alabama Preferred Plan - PPO
- Alabama Preferred Plan (Pediatric Only) - PPO
- Alabama Preferred Plus Plan - PPO
- Alabama Preferred Plus Plan (Pediatric Only) - PPO
- Alabama Wellness Essentials Plan - PPO
- Florida Preferred Plan - PPO
- Florida Preferred Plan (Pediatric Only) - PPO
- Florida Preferred Plus Plan - PPO
- Florida Preferred Plus Plan (Pediatric Only) - PPO
- Florida Wellness Essentials Plan - PPO
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 |
|---|---|---|---|
| 33740900 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Thomas Scherrer 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) and a Home Health Agency (HHA).
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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-25-2018
Opt-Out End Date: 06-25-2026
Eligible to Order and Refer? Yes
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: No
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 53406 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* 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.
Reviews for DR. THOMAS W SCHERRER DDS
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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. | |||||||||
| 1 | 2 | 7 | 5 | 6 | 6 | 8 | 6 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 6 | 16 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 6 + 1 + 6 + 6 + 1 + 2 + 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 = 7 | 7 | ||||||||
The NPI number 1275668667 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 15 providers are registered at the same or nearby location.
DR. DON LOUIS SELMO DDS
Dentist
(Oral and Maxillofacial Surgery)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. DERF A SIMES DDS
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. JENNIFER A QUIZON DDS
Dentist
(Pediatric Dentistry)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. RICHARD E PALMER DDS
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. EARL L NEWTON DDS
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. PAUL M ELCANO DDS
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. BARRY M ENTIN DDS MS
Dentist
(Periodontics)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. SCOTT D MUNRO DDS
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. THOMAS J LINSTROTH DDS
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. JAY M OKSIUTA DDS
Dentist
(Pediatric Dentistry)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. ALLISON L EMERY DMD
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
DR. CURTIS W CRUTHERS DDS
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
AARON E CRUTHERS DDS
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
MARK R KENFIELD DDS
Dentist
(General Practice)
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
RACINE DENTAL GROUP S C
Dentist
1320 S GREENBAY RD
RACINE, WI
ZIP 53406
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275668667, enumerated as an "individual" on February 23, 2007.
The provider is located at 1320 S GREENBAY RD RACINE, WI 53406 and the phone number is (262) 637-9371.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.
