GARY L FOSTER PT
NPI 1386675080
Specialist in Smithtown, NY

NPI Status: Active since July 05, 2006

Contact Information

222 E MAIN ST
SUITE 340
SMITHTOWN, NY
ZIP 11787
Phone: (631) 366-3025
Fax: (631) 366-3026

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  • Individual
  • Male
  • Years of Experience 31
  • Specialist
  • Accepts Medicare Approved Payment

About GARY FOSTER

This page provides the complete NPI Profile along with additional information for Gary Foster, a provider established in Smithtown, New York with a medical specialization in Specialist and more than 31 years of experience. He graduated from State University Of New York At Stony Brook, School Of Medicine in 1996. The healthcare provider is registered in the NPI registry with number 1386675080 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number 0162251 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1386675080
Provider Name
GARY L FOSTER PT
Gender
Male
Entity Type
Individual
Location Address
222 E MAIN ST SUITE 340 SMITHTOWN, NY 11787
Location Phone
(631) 366-3025
Location Fax
(631) 366-3026
Mailing Address
222 E MAIN ST SUITE 340 SMITHTOWN, NY 11787
Mailing Phone
(631) 366-3025
Mailing Fax
(631) 366-3026
Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year
1996
Is Sole Proprietor?
No
Enumeration Date
07-05-2006
Last Update Date
02-11-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
0162251
License State
NY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

*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
Q39061MEDICARE PIN (08)NY 

Medicare Participation & PECOS Enrollment Status

Gary Foster 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.

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.

  • PECOS PAC ID: 8022021252

    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: I20060711000041

    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.

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.

Evaluation for physical therapy, typically 20 minutes

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

This service was performed 74 times for 64 patients

Re-evaluation for physical therapy, typically 20 minutes

A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.

This service was performed 153 times for 60 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 1,543 times for 85 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 1,763 times for 86 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 1386675080, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 2 + 7 + 1 + 0 + 0 + 1 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1386675080.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Ophthalmology
222 E MAIN ST, SUITE 330
SMITHTOWN, NY 11787
Specialist
222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787
Specialist
222 E MAIN ST, SUITE 340
SMITHTOWN, NY 11787
Psychiatry & Neurology (Neurology)
222 E MAIN ST, SIUTE 101
SMITHTOWN, NY 11787
Psychologist (Clinical)
222 E MAIN ST, SUITE 210
SMITHTOWN, NY 11787
Internal Medicine
222 E MAIN ST, SUITE 109
SMITHTOWN, NY 11787
Specialist
222 E MAIN ST, SUITE 215
SMITHTOWN, NY 11787
Specialist
222 E MAIN ST, SUITE 228
SMITHTOWN, NY 11787
Internal Medicine (Pulmonary Disease)
222 E MAIN ST, STE 200
SMITHTOWN, NY 11787
Psychiatry & Neurology (Neurology)
222 E MAIN ST, SUITE 101
SMITHTOWN, NY 11787
Dentist
222 E MAIN ST, SUITE 316
SMITHTOWN, NY 11787
Speech-Language Pathologist
222 E MAIN ST
SMITHTOWN, NY 11787

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386675080, enumerated as an "individual" on July 05, 2006.

The provider is located at 222 E MAIN ST SUITE 340 SMITHTOWN, NY 11787 and the phone number is (631) 366-3025.

Specialist with taxonomy code 174400000X.

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