DR. ANNE DENYS M.D.
NPI 1730161126
Orthopaedic Surgery - Sports Medicine in Crestview, FL

NPI Status: Active since November 19, 2005

Contact Information

550 REDSTONE AVE W
STE 370
CRESTVIEW, FL
ZIP 32536
Phone: (850) 682-2209
Fax: (850) 682-2528

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  • Individual
  • Female
  • Years of Experience 33
  • Orthopaedic Surgery
  • Sports Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANNE DENYS

This page provides the complete NPI Profile along with additional information for Anne Denys, a provider established in Crestview, Florida with a medical specialization in Orthopaedic Surgery, focusing in sports medicine and more than 33 years of experience. She graduated from George Washington University School Of Medicine in 1993. The healthcare provider is registered in the NPI registry with number 1730161126 assigned on November 2005. The practitioner's primary taxonomy code is 207XX0005X with license number ME93962 (FL). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1730161126
Provider Name
DR. ANNE DENYS M.D.
Gender
Female
Entity Type
Individual
Location Address
550 REDSTONE AVE W STE 370 CRESTVIEW, FL 32536
Location Phone
(850) 682-2209
Location Fax
(850) 682-2528
Mailing Address
550 REDSTONE AVE W STE 370 CRESTVIEW, FL 32536
Mailing Phone
(850) 682-2209
Mailing Fax
(850) 682-2528
Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1993
Is Sole Proprietor?
No
Enumeration Date
11-19-2005
Last Update Date
02-04-2022
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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

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
License No.
ME93962
License State
FL
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Anne Denys 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.

Anne Denys 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: 7012938723

    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: I20120518000066

    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.

  • 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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Lower limb (leg) arthroscopy (minimally invasive joint repair)

Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.

This service was performed for 1-10 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 18 patients

Reviews for DR. ANNE DENYS M.D.

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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 1730161126, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 1 → 2 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 2 + 6 + 2 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1730161126.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Physician Assistant
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Family Medicine
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Internal Medicine
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Internal Medicine
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Family Medicine
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Physical Therapist
550 REDSTONE AVE W, SUITE 390
CRESTVIEW, FL 32536
Obstetrics & Gynecology
550 REDSTONE AVE W, SUITE 470
CRESTVIEW, FL 32536
Obstetrics & Gynecology
550 REDSTONE AVE W, SUITE 470
CRESTVIEW, FL 32536
Dietitian, Registered
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Surgery
550 REDSTONE AVE W, STE 320
CRESTVIEW, FL 32536
Physician Assistant
550 REDSTONE AVE W, SUITE 370
CRESTVIEW, FL 32536
Family Medicine
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Nurse Practitioner
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Specialist/Technologist (Athletic Trainer)
550 REDSTONE AVE W
CRESTVIEW, FL 32536
Obstetrics & Gynecology
550 REDSTONE AVE W, SUITE 470
CRESTVIEW, FL 32536
Obstetrics & Gynecology
550 REDSTONE AVE W, SUITE 470
CRESTVIEW, FL 32536
Obstetrics & Gynecology
550 REDSTONE AVE W, SUITE 450
CRESTVIEW, FL 32536
Durable Medical Equipment & Medical Supplies
550 REDSTONE AVE W, STE. 370
CRESTVIEW, FL 32536
Orthopaedic Surgery
550 REDSTONE AVE W, SUITE 370
CRESTVIEW, FL 32536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730161126, enumerated as an "individual" on November 19, 2005.

The provider is located at 550 REDSTONE AVE W STE 370 CRESTVIEW, FL 32536 and the phone number is (850) 682-2209.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to verify.