MEGAN NORA GIBBONS PT, DPT NPI 1558994830
Physical Therapist in Snohomish, WA
About MEGAN NORA GIBBONS PT, DPT
Megan Gibbons is a provider established in Snohomish, Washington and her medical specialization is Physical Therapist with more than 5 years of experience. The NPI number of this provider is 1558994830 and was assigned on February 2020. The practitioner's primary taxonomy code is 225100000X with license number PT61211714 (WA). The provider is registered as an individual and her NPI record was last updated one year ago.
| NPI | 1558994830 |
| Provider Name | MEGAN NORA GIBBONS PT, DPT |
| Location Address | 13119 SEATTLE HILL RD SNOHOMISH, WA 98296 |
| Location Phone | (425) 954-2696 |
| Mailing Address | 13119 SEATTLE HILL RD STE 107 SNOHOMISH, WA 98296 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2019 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 02-15-2020 |
| Last Update Date | 05-19-2022 |
Megan Gibbons 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 provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.88, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.63 for a new patient copayment and $18.43 for an established patient copayment.
Primary Taxonomy
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.
| Taxonomy Code | 225100000X |
| Classification | Physical Therapist |
| Type | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License No. | PT61211714 |
| License State | WA |
| 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:
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Business Address
13119 SEATTLE HILL RD
SNOHOMISH, WA
ZIP 98296
Phone: (425) 954-2696
Mailing Address
13119 SEATTLE HILL RD STE 107
SNOHOMISH, WA
ZIP 98296
Phone: (425) 954-2696
Secondary Locations
2303 Geer Rd
Turlock, CA 95382
(209) 585-41003800 Geer Rd # 101
Turlock, CA 95382
(209) 667-17293184 Collins Dr
Merced, CA 95348
(209) 230-5289
Location Map
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 98296 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 |
| $58.96 | $178.29 | $90.52 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.74 | $44.57 | $22.63 |
| 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 |
| $18.53 | $145.92 | $73.74 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.63 | $36.48 | $18.43 |
* 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.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 97.5 | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
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The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
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The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
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The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 97.88 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 677Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
- 533Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
- 377Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
- 178Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
- 48Evaluation of physical therapy, typically 20 minutes (HCPCS:97161)
- 18Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 298109 | CA | No | |
Taxonomy Description: physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. | |||||||
| 2 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 298109 | CA | No | |
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:
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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 | 5 | 5 | 8 | 9 | 9 | 4 | 8 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 18 | 9 | 8 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 8 + 9 + 8 + 8 + 6 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1558994830 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1215946017 | DR. CUONG N. HONG DMD Individual | Dentist | 13119 SEATTLE HILL RD SUITE 105 SNOHOMISH, WA 98296 (254) 258-2487 |
| 1598836744 | SARA WEES Individual | Optometrist | 13119 SEATTLE HILL RD BLDG 1 STE 102 SNOHOMISH, WA 98296 (425) 332-2276 |
| 1669787818 | SEATTLE HILL PHYSICAL THERAPY LLC Organization | Clinic/Center (Physical Therapy) | 13119 SEATTLE HILL RD SUITE 107 SNOHOMISH, WA 98296 (425) 224-4490 |
Frequently Asked Questions
What is Megan Gibbons PT, DPT NPI number?
The NPI number assigned to this healthcare provider is 1558994830, registered as an "individual" on February 15, 2020
Where is Megan Gibbons PT, DPT located?
The provider is located at 13119 Seattle Hill Rd Snohomish, Wa 98296 and the phone number is (425) 954-2696
Which is Megan Gibbons PT, DPT specialty?
The provider's speciality is Physical Therapist
How many years of experience does Megan Gibbons PT, DPT have?
The provider has more than 5 years of experience.
What are Megan Gibbons PT, DPT Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Megan Gibbons PT, DPT?
Medicare beneficiaries should expect a typical cost of $90.52 with an average copayment of $22.63 for new patient appointments. Established patients should expect a typical charge of $73.74 and an average copayment of 18.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Megan Gibbons PT, DPT?
The most common procedures or services performed by this practitioner are: Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Manual (physical) therapy techniques to 1 or more regions, each 15 minutes, Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes, Evaluation of physical therapy, typically 20 minutes and Evaluation of physical therapy, typically 30 minutes.
How do I update my NPI information?
The NPI record of Megan Gibbons PT, DPT was last updated on February 15, 2020. 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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