DR. MICHAEL HELDRETH DC
NPI 1811285539
Chiropractor in Clearwater, FL
NPI Status: Active since July 15, 2011
Contact Information
26750 US HIGHWAY 19 N
CLEARWATER, FL
ZIP 33761
Phone: (727) 726-1460
Fax: (727) 724-9705
- Individual
- Male
- Years of Experience 17
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About MICHAEL HELDRETH
This page provides the complete NPI Profile along with additional information for Michael Heldreth, a provider established in Clearwater, Florida with a medical specialization in Chiropractor and more than 17 years of experience. He graduated from Palmer College Chiropractic - Davenport in 2009. The healthcare provider is registered in the NPI registry with number 1811285539 assigned on July 2011. The practitioner's primary taxonomy code is 111N00000X with license number CH10354 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1811285539
- Provider Name
- DR. MICHAEL HELDRETH DC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 26750 US HIGHWAY 19 N CLEARWATER, FL 33761
- Location Phone
- (727) 726-1460
- Location Fax
- (727) 724-9705
- Mailing Address
- 26750 US HIGHWAY 19 N CLEARWATER, FL 33761
- Mailing Phone
- (727) 726-1460
- Mailing Fax
- (727) 724-9705
- Medical School Name
- PALMER COLLEGE CHIROPRACTIC - DAVENPORT
- Graduation Year
- 2009
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-15-2011
- Last Update Date
- 02-05-2025
- Code Navigator
A chiropractor like Michael Heldreth 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
Secondary Locations
- 1001 37th St N Ste D
St Petersburg, FL 33713
(727) 914-9130 - 667 W Lumsden Rd
Brandon, FL 33511
(813) 867-7323
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.
- CH10354
- 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:
- myBlue Bronze 1601 (3 PCP Visits for $0 then $25 / $75 Specialist Visits / Rewards) - HMO
- myBlue Bronze 2013 (3 PCP Visits for $0 then $5 / $75 Specialist Visits / Rewards) - HMO
- myBlue Bronze 2129 ($35 PCP Visits / $75 Specialist Visits / Rewards) - HMO
- myBlue Bronze 2129E ($35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) - HMO
- myBlue Bronze 2129V ($35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) - HMO
- myBlue Bronze 2149 ($35 PCP Visits / $75 Specialist Visits / Rewards) - HMO
- myBlue Bronze 2149E ($35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) - HMO
- myBlue Bronze 2149V ($35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) - HMO
- myBlue Bronze 2219 ($75 PCP Visits / Rewards) - HMO
- myBlue Bronze 2286 ($75 PCP Visits / Rewards) - HMO
- myBlue Bronze 2312S ($50 PCP Visits / Rewards) - HMO
- myBlue Bronze 2322S ($50 PCP Visits / Rewards) - HMO
- myBlue Bronze 26M01-23 (Rewards) - HMO
- myBlue Bronze 26M02-24 (Rewards) - HMO
- myBlue Connected Care Silver 24M03-70 ($0 Primary Care Visits with Select Providers / Rewards) - HMO
- myBlue Gold 1605 ($0 Labs / Rewards) - HMO
- myBlue Gold 2011 ($0 Labs / Rewards) - HMO
- myBlue Gold 2016 ($0 Deductible / $25 PCP Visits / $60 Specialist Visits / Rewards) - HMO
- myBlue Gold 2314S ($30 PCP Visits / $60 Specialist Visits / Rewards) - HMO
- myBlue Gold 2325S ($30 PCP Visits / $60 Specialist Visits / Rewards) - HMO
- 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
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
- UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard+ (Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Standard- - HMO
- UHC Silver Standard+ (Dental + Vision) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michael Heldreth 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: 5193983500
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: I20120214000677
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 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 1811285539, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811285539, enumerated as an "individual" on July 15, 2011.
The provider is located at 26750 US HIGHWAY 19 N CLEARWATER, FL 33761 and the phone number is (727) 726-1460.
Chiropractor with taxonomy code 111N00000X.
The provider might be accepting Accepts: Florida Blue HMO (a BlueCross BlueShield FL. Please consult your insurance carrier or call the provider to verify.
