CATHY M CHAPMAN M.D.
NPI 1508869892
Specialist in Memphis, TN
NPI Status: Active since May 31, 2005
Contact Information
5210 POPLAR AVE
STE 150
MEMPHIS, TN
ZIP 38119
Phone: (901) 757-9730
- Individual
- Female
- Years of Experience 38
- Specialist
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About CATHY CHAPMAN
This page provides the complete NPI Profile along with additional information for Cathy Chapman, a provider established in Memphis, Tennessee with a medical specialization in Specialist and more than 38 years of experience. She graduated from Wayne State University School Of Medicine in 1988. The healthcare provider is registered in the NPI registry with number 1508869892 assigned on May 2005. The practitioner's primary taxonomy code is 174400000X with license number MD0024040 (TN). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1508869892
- Provider Name
- CATHY M CHAPMAN M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5210 POPLAR AVE STE 150 MEMPHIS, TN 38119
- Location Phone
- (901) 757-9730
- Mailing Address
- 2118 KIRBY RD MEMPHIS, TN 38119
- Mailing Phone
- (901) 757-9730
- Medical School Name
- WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1988
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-31-2005
- Last Update Date
- 02-11-2010
- Code Navigator
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD0024040
- License State
- TN
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple Chronic Care CKM - HMO
- Gold Classic Standard - HMO
- Silver Classic Standard - HMO
- Silver Simple - HMO
- Silver Simple Chronic Care CKM - HMO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Simple - EPO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Bronze Simple Chronic Care CKM - EPO
- Bronze Simple Diabetes - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*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 |
|---|---|---|---|
| 3073678 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | MEDICARE PROVIDER NUMBER |
| 44D0869618 | OTHER (01) | TN | CLIA NUMBER |
| F58024 | MEDICARE UPIN (02) | TN | |
| 0339703001 | OTHER (01) | TN | CIGNA PROVIDER NUMBER |
| 164844 | OTHER (01) | TN | BCBS PROVIDER NUMBER |
| 3073678 | MEDICAID (05) | TN |
Medicare Participation & PECOS Enrollment Status
Cathy Chapman is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Cathy Chapman 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, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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: 547207284
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: I20050413001016
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? Maybe
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): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1508869892, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 78 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
MEMPHIS, TN 38119
MEMPHIS, TN 38119
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508869892, enumerated as an "individual" on May 31, 2005.
The provider is located at 5210 POPLAR AVE STE 150 MEMPHIS, TN 38119 and the phone number is (901) 757-9730.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Oscar Health Plan, Inc., Oscar Insurance Company,. Please consult your insurance carrier or call the provider to verify.
