DR. TIMOTHY PAUL SCHNEIDER D.C. NPI 1356400519

Chiropractor in Racine, WI

Individual Male Years of Experience 28 Chiropractor Accepts Medicare Approved Payment

About DR. TIMOTHY PAUL SCHNEIDER D.C.

Timothy Schneider is a provider established in Racine, Wisconsin and his medical specialization is Chiropractor with more than 28 years of experience. He graduated from Logan College Of Chiropractic in 1995. The NPI number of Timothy Schneider is 1356400519 and was assigned on December 2006. The practitioner's primary taxonomy code is 111N00000X with license number 3317-012 (WI). The provider is registered as an individual and his NPI record was last updated 10 years ago.

A chiropractor like Dr. Timothy Paul Schneider D.c. 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.

NPI

1356400519

Provider NameDR. TIMOTHY PAUL SCHNEIDER D.C.
Provider Location Address5401 DOUGLAS AVE RACINE, WI 53402
Provider Mailing Address5401 DOUGLAS AVE RACINE, WI 53402
GenderMale
NPI Entity TypeIndividual
Medical School NameLOGAN COLLEGE OF CHIROPRACTIC
Graduation Year1995
Is Sole Proprietor?No
Enumeration Date12-06-2006
Last Update Date11-30-2012

Timothy Schneider is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare 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: $0 for a new patient copayment and $17.49 for an established patient copayment.



Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License No.3317-012
License StateWI
Taxonomy DescriptionA 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.

Business Address

DR. TIMOTHY PAUL SCHNEIDER D.C.
5401 DOUGLAS AVE
RACINE, WI
ZIP 53402
Phone: (262) 681-8829
Fax: (262) 681-8830

Get Directions


Mailing Address

DR. TIMOTHY PAUL SCHNEIDER D.C.
5401 DOUGLAS AVE
RACINE, WI
ZIP 53402
Phone: (262) 681-8829
Fax: (262) 681-8830


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID1850280561
PECOS Enrollment IDI20040312000165
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 Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 53402 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: NA
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.63 $169.16 $0
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.9 $42.29 $0
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.46 $138.8 $69.98
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.36 $34.7 $17.49

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

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 266Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)
  • 230Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
38899500MEDICAID (05)WI
0001-35557MEDICARE ID-TYPE UNSPECIFIED (04)WI

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.
1356400519
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310680052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 8 + 0 + 0 + 5 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1356400519 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437232733 TIMOTHY LEE ULRICH P.T.
Individual
Physical Therapist5401 DOUGLAS AVE
RACINE, WI 53402
(262) 681-8829
1194883256DR. KENNETH JOHN YORGAN D.C.
Individual
Chiropractor5401 DOUGLAS AVE
RACINE, WI 53402
(262) 884-0484
1902196538 CATHERINE ROSE ULRICH OT
Individual
Occupational Therapist (Physical Rehabilitation)5401 DOUGLAS AVE SUITE A
RACINE, WI 53402
(262) 939-4119
1821104795DR. ROMEO B BIBOSO MD
Individual
Pain Medicine (Interventional Pain Medicine)5401 DOUGLAS AVE STE A
RACINE, WI 53402
(262) 681-8829
1881605111CALEDONIA CHIROPRACTIC CLINIC, SC
Organization
Chiropractor5401 DOUGLAS AVE SUITE A
RACINE, WI 53402
(262) 681-8829
1174931711 KIMBERLY FILKINS
Individual
Acupuncturist5401 DOUGLAS AVE
RACINE, WI 53402
(262) 681-8829
1427103738CALEDONIA PHYSICAL THERAPY, S.C.
Organization
Clinic/Center (Physical Therapy)5401 DOUGLAS AVE
RACINE, WI 53402
(262) 681-8829
1003011875YORGAN CHIROPRACTIC OFFICE, SC
Organization
Chiropractor5401 DOUGLAS AVE
RACINE, WI 53402
(262) 884-0484

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Timothy Paul Schneider D.c. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.