DR. CARL THOMAS ZIES DC
NPI 1427834464
Chiropractor in Caledonia, MI
NPI Status: Active since September 06, 2023
Contact Information
1833 MARKETPLACE DR SE
CALEDONIA, MI
ZIP 49316
Phone: (616) 522-5610
Fax: (616) 312-2585
- Individual
- Male
- Years of Experience 5
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About CARL ZIES
This page provides the complete NPI Profile along with additional information for Carl Zies, a provider established in Caledonia, Michigan with a medical specialization in Chiropractor and more than 5 years of experience. He graduated from Palmer College Chiropractic - Davenport in 2021. The healthcare provider is registered in the NPI registry with number 1427834464 assigned on September 2023. The practitioner's primary taxonomy code is 111N00000X with license number 23244100935 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1427834464
- Provider Name
- DR. CARL THOMAS ZIES DC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1833 MARKETPLACE DR SE CALEDONIA, MI 49316
- Location Phone
- (616) 522-5610
- Location Fax
- (616) 312-2585
- Mailing Address
- 1833 MARKETPLACE DR SE CALEDONIA, MI 49316
- Mailing Phone
- (616) 522-5610
- Mailing Fax
- (616) 312-2585
- Medical School Name
- PALMER COLLEGE CHIROPRACTIC - DAVENPORT
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-06-2023
- Last Update Date
- 08-12-2024
- Code Navigator
A chiropractor like Carl Zies 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.
Location Map
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
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 23244100935
- License State
- MI
- Taxonomy Description
- A 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- University of Michigan Health Plan HMO Exclusive Bronze - HMO
- University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
- University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Select - HMO
- University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
- University of Michigan Health Plan HMO Exclusive Silver - HMO
- University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
- University of Michigan Health Plan HMO Exclusive Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Carl Zies 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: 446604953
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: I20231002001239
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.
Reviews for DR. CARL THOMAS ZIES DC
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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. | |||||||||
| 1 | 4 | 2 | 7 | 8 | 3 | 4 | 4 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 16 | 3 | 8 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 1 + 6 + 3 + 8 + 4 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1427834464 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
100 CHIRO SANTOS BARKER PC
Chiropractor
1833 MARKETPLACE DR SE
CALEDONIA, MI
ZIP 49316
BRENNAN EDWARD KERSTEN
Chiropractor
1833 MARKETPLACE DR SE
CALEDONIA, MI
ZIP 49316
MITCHELL TRUJILLO DC
Chiropractor
1833 MARKETPLACE DR SE
CALEDONIA, MI
ZIP 49316
100 CHIRO STAPLES MI PLLC
Chiropractor
1833 MARKETPLACE DR SE
CALEDONIA, MI
ZIP 49316
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427834464, enumerated as an "individual" on September 06, 2023.
The provider is located at 1833 MARKETPLACE DR SE CALEDONIA, MI 49316 and the phone number is (616) 522-5610.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: McLaren Health Plan Community and University of. Please consult your insurance carrier or call the provider to verify.
