DR. GERALD DAVID EVANS DC NPI 1689663676

Chiropractor in New Milford, PA

NPI 1689663676 Individual Male Years of Experience 31 Chiropractor Accepts Medicare Approved Payment

NPI Profile for DR. GERALD DAVID EVANS DC

Gerald Evans is a provider established in New Milford, Pennsylvania and his medical specialization is chiropractor with more than 31 years of experience. He graduated from National College Of Chiropractic in 1992. The NPI number of Gerald Evans is 1689663676 and was assigned on October 2005. The practitioner's primary taxonomy code is 111N00000X with license number DC04995L (PA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

A chiropractor like Dr. Gerald David Evans Dc 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. Gerald Evans 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: $0 for a new patient copayment and $17.88 for an established patient copayment.

NPI

1689663676

Provider NameDR. GERALD DAVID EVANS DC
Provider Location Address937 MAIN ST NEW MILFORD, PA 18834
Provider Mailing Address937 MAIN ST NEW MILFORD, PA 18834
GenderMale
NPI Entity TypeIndividual
Medical School NameNATIONAL COLLEGE OF CHIROPRACTIC
Graduation Year1992
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-21-2005
Last Update Date11-27-2012


Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License No.DC04995L
License StatePA
Taxonomy DescriptionA 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.

Business Address

DR. GERALD DAVID EVANS DC
937 MAIN ST
NEW MILFORD, PA
ZIP 18834
Phone: (570) 465-3444
Fax: (570) 465-5400

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Mailing Address

DR. GERALD DAVID EVANS DC
937 MAIN ST
NEW MILFORD, PA
ZIP 18834
Phone: (570) 465-3444
Fax: (570) 465-5400



PECOS Enrollment and Medicare Participation

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.

PECOS PAC ID648360537
PECOS Enrollment IDI20071215000006
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.

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 18834 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: NA
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$57.02 $174.05 $0
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.25 $43.51 $0
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
$17.59 $142.08 $71.53
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.39 $35.52 $17.88

* 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.

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.

  • 1217Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)
  • 169Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
836180OTHER (01)PAAETNA
0012964820002MEDICAID (05)PA
U33004MEDICARE UPIN (02)
511796OTHER (01)PABLUE SHIELD
EV725464MEDICARE ID-TYPE UNSPECIFIED (04)PA

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1689663676
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691266614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 6 + 6 + 6 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1689663676 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003010075DR. WILLIAM G ALBERT III DC
Individual
Chiropractor937 MAIN ST
NEW MILFORD, PA 18834
(570) 465-3444
1922240001FAMILY CHIROPRACTIC OF DALLAS, PC
Organization
Chiropractor937 MAIN ST
NEW MILFORD, PA 18834
(570) 465-3444

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Gerald David Evans Dc is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.