DR. THOMAS JOHN DAVIDSON IV DPM
NPI 1295171858
Podiatrist - Primary Podiatric Medicine in Roanoke, VA

NPI Status: Active since May 21, 2013

Contact Information

1331 HAMILTON TER SE
ROANOKE, VA
ZIP 24014
Phone: (251) 747-4401

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  • Individual
  • Male
  • Years of Experience 15
  • Podiatrist
  • Primary Podiatric Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About THOMAS DAVIDSON

This page provides the complete NPI Profile along with additional information for Thomas Davidson, a provider established in Roanoke, Virginia with a medical specialization in Podiatrist, focusing in primary podiatric medicine and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1295171858 assigned on May 2013. The practitioner's primary taxonomy code is 213EP1101X with license number SC006438 (PA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1295171858
Provider Name
DR. THOMAS JOHN DAVIDSON IV DPM
Gender
Male
Entity Type
Individual
Location Address
1331 HAMILTON TER SE ROANOKE, VA 24014
Location Phone
(251) 747-4401
Mailing Address
1331 HAMILTON TER SE ROANOKE, VA 24014
Mailing Phone
(251) 747-4401
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
05-21-2013
Last Update Date
05-21-2013
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A podiatrist like Thomas Davidson provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

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

Podiatrist Primary Podiatric Medicine

Taxonomy Code
213EP1101X
Type
Podiatric Medicine & Surgery Service Providers
License No.
SC006438
License State
PA

Medicare Participation & PECOS Enrollment Status

Thomas Davidson 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.

Thomas Davidson 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

  • PECOS PAC ID: 547622466

    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: I20230809003015

    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: No

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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 1295171858, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 9 → 18 → 9 1 → 2 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 2 + 7 + 2 + 8 + 1 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1295171858.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295171858, enumerated as an "individual" on May 21, 2013.

The provider is located at 1331 HAMILTON TER SE ROANOKE, VA 24014 and the phone number is (251) 747-4401.

Podiatrist with taxonomy code 213EP1101X and a focus in Primary Podiatric Medicine.