MATTHEW CAULFIELD DC
NPI 1669998407
Chiropractor in St Petersburg, FL
NPI Status: Active since August 14, 2017
Contact Information
3600 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
Phone: (727) 327-4522
Fax: (727) 327-8069
- Individual
- Male
- Years of Experience 9
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About MATTHEW CAULFIELD
This page provides the complete NPI Profile along with additional information for Matthew Caulfield, a provider established in St Petersburg, Florida with a medical specialization in Chiropractor and more than 9 years of experience. He graduated from New York Chiropractic College in 2017. The healthcare provider is registered in the NPI registry with number 1669998407 assigned on August 2017. The practitioner's primary taxonomy code is 111N00000X with license number CH12179 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1669998407
- Provider Name
- MATTHEW CAULFIELD DC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3600 1ST AVE N ST PETERSBURG, FL 33713
- Location Phone
- (727) 327-4522
- Location Fax
- (727) 327-8069
- Mailing Address
- 3600 1ST AVE N ST PETERSBURG, FL 33713
- Mailing Phone
- (727) 327-4522
- Mailing Fax
- (727) 327-8069
- Medical School Name
- NEW YORK CHIROPRACTIC COLLEGE
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-14-2017
- Last Update Date
- 07-21-2022
- Code Navigator
A chiropractor like Matthew Caulfield 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.
- CH12179
- License State
- FL
- 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:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Matthew Caulfield 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: 2062864036
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: I20240116002443
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.
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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 | 6 | 6 | 9 | 9 | 9 | 8 | 4 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 18 | 9 | 16 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 8 + 9 + 1 + 6 + 4 + 0 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1669998407 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
BAY AREA WELLNESS CENTER, INC.
Chiropractor
3600 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
BAY AREA HEALTHCARE, INC
Clinic/Center
(Multi-Specialty)
3600 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
DR. JASON ACKLEY DC
Chiropractor
3600 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
BAY AREA HEALTHCARE, INC.
Nurse Practitioner
(Family)
3600 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
DR. DAVID BRYAN PRESTON SR. D.C., ARNP
Nurse Practitioner
(Family)
3600 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
DR. BRITTANY LYNNAE LEWIS DC
Chiropractor
3600 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
DR. KENNETH A JENKINS D.C.
Chiropractor
(Orthopedic)
3600 1ST AVE N
SAINT PETERSBURG, FL
ZIP 33713
BAY AREA WELLNESS & HEALTHCARE, INC
Chiropractor
3600 1ST AVE N
ST PETERSBURG, FL
ZIP 33713
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669998407, enumerated as an "individual" on August 14, 2017.
The provider is located at 3600 1ST AVE N ST PETERSBURG, FL 33713 and the phone number is (727) 327-4522.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
