KAREN MACLEAN NPI 1518313964
Physical Therapist in Gainesville, VA
About KAREN MACLEAN
Karen Maclean is a provider established in Gainesville, Virginia and her medical specialization is Physical Therapist with more than 28 years of experience. The NPI number of this provider is 1518313964 and was assigned on May 2016. The practitioner's primary taxonomy code is 225100000X with license number 2307001227 (VA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
|Provider Name||KAREN MACLEAN|
|Location Address||6856 PIEDMONT CENTER PLZ #C-4 GAINESVILLE, VA 20155|
|Location Phone||(703) 754-6955|
|Mailing Address||2445 CENTREVILLE RD HERNDON, VA 20171|
|NPI Entity Type||Individual|
|Medical School Name||OTHER|
|Is Sole Proprietor?||No|
|Last Update Date||05-04-2016|
Karen Maclean is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare 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: $22.59 for a new patient copayment and $18.37 for an established patient copayment.
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
|Type||Respiratory, Developmental, Rehabilitative and Restorative Service Providers|
|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:|
6856 PIEDMONT CENTER PLZ
Phone: (703) 754-6955
Fax: (703) 754-6956
2445 CENTREVILLE RD
Phone: (703) 793-4851
Fax: (703) 793-4853
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 20155 ZIP code area.
|New Patients Office Visits Costs *|
|Most Utilized Procedure Code for new patients office visits: 99203|
|Minimum New Patient Pricing||Maximum New Patient Pricing||Typical New Patient Pricing|
|Minimum New Patient Copayment||Maximum New Patient Copayment||Typical New Patient Copayment|
|Established Patients Office Visits Costs *|
|Most Utilized Procedure Code for established patients office visits: 99213|
|Minimum Established Patient Pricing||Maximum Established Patient Pricing||Typical Established Patient Pricing|
|Minimum Established Patient Copayment||Maximum Established Patient Copayment||Typical Established Patient Copayment|
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 5 + 2 + 8 + 6 + 1 + 6 + 9 + 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 1518313964 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 provider is registered at the same or nearby location.
|NPI||Name / Type||Taxonomy||Address|
|1023352242|| SABA SHAPOURI PT, DPT |
|Physical Therapist||6856 PIEDMONT CENTER PLZ #C-4|
GAINESVILLE, VA 20155
Frequently Asked Questions
What is Karen Maclean NPI number?
The NPI number assigned to this healthcare provider is 1518313964, registered as an "individual" on May 04, 2016
Where is Karen Maclean located?
The provider is located at 6856 Piedmont Center Plz #c-4 Gainesville, Va 20155 and the phone number is (703) 754-6955
Which is Karen Maclean specialty?
The provider's speciality is Physical Therapist
How many years of experience does Karen Maclean have?
The provider has more than 28 years of experience.
How much is a visit to Karen Maclean ?
Medicare beneficiaries should expect a typical cost of $90.36 with an average copayment of $22.59 for new patient appointments. Established patients should expect a typical charge of $73.51 and an average copayment of 18.37. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Karen Maclean was last updated on May 04, 2016. 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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