DR. MARLOU RUSSEL SORIANO GARCES JR. DPT
NPI 1396427977
Physical Therapist in Los Banos, CA

NPI Status: Active since August 03, 2023

Contact Information

312 W J ST
LOS BANOS, CA
ZIP 93635
Phone: (209) 827-6178

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  • Individual
  • Male
  • Years of Experience 6
  • Physical Therapist
  • Accepts Medicare Approved Payment

About MARLOU RUSSEL GARCES

Marlou Russel Garces is a provider established in Los Banos, California and his medical specialization is Physical Therapist with more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1396427977 assigned on August 2023. The practitioner's primary taxonomy code is 225100000X with license number 304381 (CA). The provider is registered as an individual and his NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1396427977
Provider Name
DR. MARLOU RUSSEL SORIANO GARCES JR. DPT
Gender
Male
Entity Type
Individual
Location Address
312 W J ST LOS BANOS, CA 93635
Location Phone
(209) 827-6178
Mailing Address
312 W J ST LOS BANOS, CA 93635
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
Yes
Enumeration Date
08-03-2023
Last Update Date
08-03-2023
Code Navigator

Marlou Russel Garces 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.31 for a new patient copayment and $19.02 for an established patient copayment.

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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
304381
License State
CA
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

PECOS Enrollment and Medicare Participation Status

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: 9638533375

    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: I20230913001983

    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.

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 93635 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $93.25
  • Minimum New Patient Price $60.86
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $23.31
  • Minimum New Patient Copayment $15.21
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $76.09
  • Minimum Established Patient Price $19.29
  • Maximum Established Patient Price $150.36
  • Average Established Patient Copayment $19.02
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $37.59

* 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. MARLOU RUSSEL SORIANO GARCES JR. DPT

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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.
1396427977
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231868214914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 8 + 2 + 1 + 4 + 9 + 1 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1396427977 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.

NPI Name / Type Taxonomy Address
1558512327SPORT & REHAB PHYSICAL THERAPY
Organization
Clinic/Center (Physical Therapy)312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1093016610 SUSANNA RUSSELL MPT
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1427352913 ESTERE GALENIECE MORENO D.P.T.
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(250) 982-7617
1497045884MR. LEOPOLDO L REYES P.T.
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1558610014CENTER FOR SPEECH & LANGUAGE THERAPY
Organization
Speech-Language Pathologist312 W J ST SUITE 202
LOS BANOS, CA 93635
(209) 827-1500
1285742742MR. SCOTT KEVIN RUSSELL M.P.T.
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1013307610 GLENN ERNEST FABIAN
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1316306533 JUDY CAI P.T., D.P.T.
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1487008314 NATHANIEL MARGATE
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1083125702 NEPTAHLI SANTARIN PARIAN PT
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1891254710MS. JESSICA DAMARIS CORDERO
Individual
Physical Medicine & Rehabilitation312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1669021028 MARILOU TABARANZA MENOR PT
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1952931230MR. ERIK BURTON NICHOLS MPT
Individual
Physical Therapist (Neurology)312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1164953519 YASHESH GORADIA MSPT
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178
1053033498 IGNACIO PROTTO
Individual
Physical Therapist312 W J ST
LOS BANOS, CA 93635
(209) 827-6178

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396427977, enumerated in the NPI registry as an "individual" on August 03, 2023

The provider is located at 312 W J St Los Banos, Ca 93635 and the phone number is (209) 827-6178

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider has more than 6 years of experience.

Medicare beneficiaries should expect a typical cost of $93.25 with an average copayment of $23.31 for new patient appointments. Established patients should expect a typical charge of $76.09 and an average copayment of 19.02. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 03, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.