DR. CARLO RODERICK LEON D.C. NPI 1386736510

Chiropractor in Wheaton, IL

NPI 1386736510 Individual Male Years of Experience 19 Chiropractor Accepts Medicare Approved Payment

NPI Profile for DR. CARLO RODERICK LEON D.C.

Carlo Leon is a provider established in Wheaton, Illinois and his medical specialization is chiropractor with more than 19 years of experience. The NPI number of Carlo Leon is 1386736510 and was assigned on September 2006. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an individual and his NPI record was last updated 15 years ago.

A chiropractor like Dr. Carlo Roderick Leon 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. Carlo Leon 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 $19.44 for an established patient copayment.

NPI

1386736510

Provider NameDR. CARLO RODERICK LEON D.C.
Provider Location Address200 E WILLOW AVE SUITE 202 WHEATON, IL 60187
Provider Mailing Address200 E WILLOW AVE SUITE 202 WHEATON, IL 60187
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-28-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License StateIL
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. CARLO RODERICK LEON D.C.
200 E WILLOW AVE
SUITE 202
WHEATON, IL
ZIP 60187
Phone: (630) 665-7266
Fax: (630) 665-7278

Get Directions


Mailing Address

DR. CARLO RODERICK LEON D.C.
200 E WILLOW AVE
SUITE 202
WHEATON, IL
ZIP 60187
Phone: (630) 665-7266
Fax: (630) 665-7278



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 ID7517973936
PECOS Enrollment IDI20060224000134
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 60187 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
$62.5 $188.97 $0
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.62 $47.24 $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
$19.4 $153.84 $77.76
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.85 $38.46 $19.44

* 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.

  • 559Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

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
V08426MEDICARE UPIN (02)IL

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1386736510
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231661431252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 4 + 3 + 1 + 2 + 5 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1386736510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174595185 LISA K RECHKEMMER D.P.M
Individual
Podiatrist200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1285606962 FRANK H RUSSO D.P.M.
Individual
Podiatrist200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1417046509 MAGNOLIA M. BARBIN LPT
Individual
Physical Therapist200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1073687927DR. JOHN A. SANIAT D.D.S.
Individual
Dentist200 E WILLOW AVE #301
WHEATON, IL 60187
(630) 690-3686
1912062969EDWARD R CHAVEZ DDS PC
Organization
Dentist (General Practice)200 E WILLOW AVE SUITE 304
WHEATON, IL 60187
(630) 510-0731
1720111024INSTEP PODIATRY, P.C.
Organization
Podiatrist200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1497873053MRS. SHARON L. BOBROWSKI MSW, LCSW, MA
Individual
Social Worker (Clinical)200 E WILLOW AVE SUITE 101
WHEATON, IL 60187
(630) 248-9422
1770606196MR. STEVEN J. CASWELL LCSW
Individual
Social Worker (Clinical)200 E WILLOW AVE SUITE 101
WHEATON, IL 60187
(815) 947-3893
1639392384INSTEP PODIATRY, P.C.
Organization
Durable Medical Equipment & Medical Supplies200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470
1881870079FORFAR AND ASSOCIATES ORAL SURGERY LTD
Organization
Clinic/Center (Dental)200 E WILLOW AVE SUITE 103
WHEATON, IL 60187
(630) 668-7160
1831428473WHEATON COUSELING CENTER
Organization
Marriage & Family Therapist200 E WILLOW AVE SUITE 101
WHEATON, IL 60187
(630) 665-4141
1346587797DR. EDWARD ROGER CHAVEZ
Individual
Dentist200 E WILLOW AVE SUITE 304
WHEATON, IL 60187
(630) 510-0731
1134261118DR. JILL MARIE CASTLINE DDS
Individual
Dentist200 E WILLOW AVE SUITE 104
WHEATON, IL 60187
(630) 653-0828
1457770893MARK A. LIGOCKI, DDS, PC.
Organization
Clinic/Center (Dental)200 E WILLOW AVE SUITE 203
WHEATON, IL 60187
(630) 665-7400
1053769828 NARINDER VIJ R.PH
Individual
Pharmacist200 E WILLOW AVE SUITE 100
WHEATON, IL 60187
(630) 668-1180
1275754798WELLRX LLC
Organization
Pharmacy200 E WILLOW AVE STE 100
WHEATON, IL 60187
(877) 629-4446
1821008657JUST FOR KIDS PEDIATRICS PC
Organization
Pediatrics200 E WILLOW AVE SUITE 403
WHEATON, IL 60187
(630) 682-1130
1437352515PRISM MEDICAL TECHNOLOGIES
Organization
Durable Medical Equipment & Medical Supplies200 E WILLOW AVE
WHEATON, IL 60187
(630) 462-1470

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. Carlo Roderick Leon 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.