MARSHALL T LEE D.C.
NPI 1740617638
Chiropractor in San Ramon, CA

NPI Status: Active since October 09, 2013

Contact Information

2821 CROW CANYON RD
SUITE 104
SAN RAMON, CA
ZIP 94583
Phone: (925) 838-4222
Fax: (925) 838-5806

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  • Individual
  • Male
  • Years of Experience 14
  • Chiropractor
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About MARSHALL LEE

This page provides the complete NPI Profile along with additional information for Marshall Lee, a provider established in San Ramon, California with a medical specialization in Chiropractor and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1740617638 assigned on October 2013. The practitioner's primary taxonomy code is 111N00000X with license number 32742 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1740617638
Provider Name
MARSHALL T LEE D.C.
Gender
Male
Entity Type
Individual
Location Address
2821 CROW CANYON RD SUITE 104 SAN RAMON, CA 94583
Location Phone
(925) 838-4222
Location Fax
(925) 838-5806
Mailing Address
2821 CROW CANYON RD SUITE 104 SAN RAMON, CA 94583
Mailing Phone
(925) 838-4222
Mailing Fax
(925) 838-5806
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
10-09-2013
Last Update Date
10-09-2013
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A chiropractor like Marshall Lee 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.
32742
License State
CA
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:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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

Medicare Participation & PECOS Enrollment Status

Marshall Lee 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: 6901037209

    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: I20140331001381

    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.

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.

Chiropractic manipulative treatment, 1-2 spinal regions

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

This service was performed 166 times for 40 patients

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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 1740617638, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 4 → 8 6 → 12 → 3 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 1 + 2 + 1 + 1 + 4 + 6 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1740617638.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Dentist (General Practice)
2821 CROW CANYON RD, SUITE 200
SAN RAMON, CA 94583
Dentist (General Practice)
2821 CROW CANYON RD, SUITE 200
SAN RAMON, CA 94583
Chiropractor
2821 CROW CANYON RD, STE.104
SAN RAMON, CA 94583
Acupuncturist
2821 CROW CANYON RD, STE 101
SAN RAMON, CA 94583
Preferred Provider Organization
2821 CROW CANYON RD, SUITE 200
SAN RAMON, CA 94583
Social Worker (Clinical)
2821 CROW CANYON RD, SUITE 101
SAN RAMON, CA 94583
Social Worker (Clinical)
2821 CROW CANYON RD, SUITE 101
SAN RAMON, CA 94583
Behavior Analyst
2821 CROW CANYON RD
SAN RAMON, CA 94583
Behavior Analyst
2821 CROW CANYON RD
SAN RAMON, CA 94583
Behavior Analyst
2821 CROW CANYON RD
SAN RAMON, CA 94583
Physical Therapist
2821 CROW CANYON RD, STE 104
SAN RAMON, CA 94583
Behavior Technician
2821 CROW CANYON RD
SAN RAMON, CA 94583
Social Worker (Clinical)
2821 CROW CANYON RD, SUITE 202
SAN RAMON, CA 94583
Chiropractor
2821 CROW CANYON RD, SUITE 104
SAN RAMON, CA 94583
Counselor (Professional)
2821 CROW CANYON RD, SUITE 101
SAN RAMON, CA 94583
Chiropractor
2821 CROW CANYON RD
SAN RAMON, CA 94583
Social Worker (Clinical)
2821 CROW CANYON RD, STE 202
SAN RAMON, CA 94583

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740617638, enumerated as an "individual" on October 09, 2013.

The provider is located at 2821 CROW CANYON RD SUITE 104 SAN RAMON, CA 94583 and the phone number is (925) 838-4222.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.