DR. STUART B TOLLEN D.C.
NPI 1477512374
Chiropractor - Sports Physician in Jenkintown, PA

NPI Status: Active since March 20, 2006

Contact Information

435 JOHNSON ST
JENKINTOWN, PA
ZIP 19046
Phone: (215) 885-8730
Fax: (215) 885-7665

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  • Individual
  • Male
  • Years of Experience 34
  • Chiropractor
  • Sports Physician
  • Accepts Medicare Approved Payment

About STUART TOLLEN

Stuart Tollen is a provider established in Jenkintown, Pennsylvania and his medical specialization is Chiropractor with a focus in sports physician with more than 34 years of experience. He graduated from Life Chiropractic College in 1990. The healthcare provider is registered in the NPI registry with number 1477512374 assigned on March 2006. The practitioner's primary taxonomy code is 111NS0005X with license number DC004405L (PA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1477512374
Provider Name
DR. STUART B TOLLEN D.C.
Gender
Male
Entity Type
Individual
Location Address
435 JOHNSON ST JENKINTOWN, PA 19046
Location Phone
(215) 885-8730
Location Fax
(215) 885-7665
Mailing Address
435 JOHNSON ST JENKINTOWN, PA 19046
Mailing Phone
(215) 885-8730
Mailing Fax
(215) 885-7665
Medical School Name
LIFE CHIROPRACTIC COLLEGE
Graduation Year
1990
Is Sole Proprietor?
No
Enumeration Date
03-20-2006
Last Update Date
03-05-2008
Code Navigator

A chiropractor like Stuart Tollen 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.

Stuart Tollen 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.

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 Sports Physician

Taxonomy Code
111NS0005X
Type
Chiropractic Providers
License No.
DC004405L
License State
PA
Taxonomy Description
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Insurance Plans Accepted

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

  • Medicare

  • Medicaid

  • Blue Cross Blue Shield


*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
613831XS3MEDICARE PIN (08)PA 
613831OTHER (01)PAPA BLUE SHIELD

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: 8022190818

    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: I20080201000234

    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.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 726

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

Reviews for DR. STUART B TOLLEN D.C.

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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.
1477512374
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471014314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 0 + 1 + 4 + 3 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1477512374 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053486779JENKINTOWN CHIROPRACTIC CENTER, INC.
Organization
Clinic/Center (Medical Specialty)435 JOHNSON ST
JENKINTOWN, PA 19046
(215) 885-8730
1356490403DR. NAMSOO DAVID CHO D.C.
Individual
Chiropractor435 JOHNSON ST
JENKINTOWN, PA 19046
(215) 885-9989
1720292360CHO CHIROPRACTIC & PAIN MANAGEMENT CENTER
Organization
Chiropractor435 JOHNSON ST
JENKINTOWN, PA 19046
(215) 885-9989

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477512374, enumerated in the NPI registry as an "individual" on March 20, 2006

The provider is located at 435 Johnson St Jenkintown, Pa 19046 and the phone number is (215) 885-8730

The provider's speciality is Chiropractor with taxonomy code 111NS0005X with a focus in Sports Physician

The provider has more than 34 years of experience. He graduated from Life Chiropractic College in 1990.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Chiropractic manipulative treatment, 3 to 4 spinal regions.

This NPI record was last updated on March 20, 2006. 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].
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