MATTHEW DIGGES
NPI 1427590728
Counselor in Chillicothe, OH

NPI Status: Active since November 17, 2016

Contact Information

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601
Phone: (740) 775-1260

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  • Individual
  • Male
  • Years of Experience 11
  • Counselor
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MATTHEW DIGGES

This page provides the complete NPI Profile along with additional information for Matthew Digges, a provider established in Chillicothe, Ohio with a medical specialization in Counselor and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1427590728 assigned on November 2016. The practitioner's primary taxonomy code is 101Y00000X with license number C.1500186 (OH). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1427590728
Provider Name
MATTHEW DIGGES
Gender
Male
Entity Type
Individual
Location Address
4449 STATE ROUTE 159 CHILLICOTHE, OH 45601
Location Phone
(740) 775-1260
Mailing Address
4449 STATE ROUTE 159 CHILLICOTHE, OH 45601
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
11-17-2016
Last Update Date
02-28-2019
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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

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
C.1500186
License State
OH
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1250 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5000 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO
  • SilverSelect w/ Virtual & Wellness ON-EX - HMO
  • Young Adult Essentials ON-EX - HMO
  • Bronze 10 - HMO
  • Bronze 8 - HMO
  • Bronze 9 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Matthew Digges 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.

Matthew Digges 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 and Durable Medical Equipment (DME).

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: 1951754498

    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: I20240131002499

    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): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MATTHEW DIGGES

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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.
1427590728
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447109074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 0 + 9 + 0 + 7 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1427590728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

CHARLES W CONGROVE LPCC

Counselor

(Mental Health)

4449 STATE ROUTE 159
POB 6179
CHILLICOTHE, OH
ZIP 45601

(740) 773-4366

KATHY E SHY MD

Psychiatry & Neurology

(Psychiatry)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 772-7892

BRIAN L BETHEL PCC LCDCIII

Counselor

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

MRS. HEATHER CARROLL COWMAN RN

Registered Nurse

(Psychiatric/Mental Health, Adult)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

PEGGY FOSTER CNS

Clinical Nurse Specialist

(Psychiatric/Mental Health, Adult)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

MARY PRESTON LISW

Social Worker

(Clinical)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

MELISSA SHOEMAKER ADKINS

Case Manager/Care Coordinator

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

LAURA ANN PERROTT M.ED, PCC

Counselor

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

JEAN HOLWAY WHITNEY-GRIFFITH LPCC

Counselor

(Mental Health)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

KENNETH E. LLOYD PSYD

Psychologist

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

CONSTANCE RENEE RIQUELME R.N.

Clinical Nurse Specialist

(Psychiatric/Mental Health, Adult)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 772-7892

LINDA J ISON LSW

Social Worker

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

MR. CLINTON HALL LSW

Social Worker

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

MARK A NEWLAND LPN

Licensed Practical Nurse

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

AMY L KENDALL LPN

Licensed Practical Nurse

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

ROXANNA RIEGEL RN

Registered Nurse

(Psychiatric/Mental Health)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

SCIOTO PAINT VALLEY MENTAL HEALTH CENTER

Clinic/Center

(Multi-Specialty)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

JEANETTE L MURPHY LSW

Social Worker

(Clinical)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

SCIOTO PAINT VALLEY TRANSPORTATION SERVICES, LTD

Non-emergency Medical Transport (VAN)

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(750) 775-1260

GWENDOLYN J PARK RN

Registered Nurse

4449 STATE ROUTE 159
CHILLICOTHE, OH
ZIP 45601

(740) 775-1260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427590728, enumerated as an "individual" on November 17, 2016.

The provider is located at 4449 STATE ROUTE 159 CHILLICOTHE, OH 45601 and the phone number is (740) 775-1260.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Anthem. Please consult your insurance carrier or call the provider to verify.