DR. CRAIG JAMES CAMPBELL D.P.M.
NPI 1841288651
Podiatrist - Foot & Ankle Surgery in Salt Lake City, UT

NPI Status: Active since October 06, 2005

Contact Information

5255 S 4015 W
SUITE 140
SALT LAKE CITY, UT
ZIP 84129
Phone: (801) 969-1434
Fax: (801) 969-1474

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  • Individual
  • Male
  • Years of Experience 48
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About CRAIG CAMPBELL

This page provides the complete NPI Profile along with additional information for Craig Campbell, a provider established in Salt Lake City, Utah with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 48 years of experience. He graduated from California School Of Podiatric Medicine in 1979. The healthcare provider is registered in the NPI registry with number 1841288651 assigned on October 2005. The practitioner's primary taxonomy code is 213ES0103X with license number 92-106790-0501 (UT). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1841288651
Provider Name
DR. CRAIG JAMES CAMPBELL D.P.M.
Gender
Male
Entity Type
Individual
Location Address
5255 S 4015 W SUITE 140 SALT LAKE CITY, UT 84129
Location Phone
(801) 969-1434
Location Fax
(801) 969-1474
Mailing Address
5255 S 4015 W SUITE 140 SALT LAKE CITY, UT 84129
Mailing Phone
(801) 969-1434
Mailing Fax
(801) 969-1474
Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year
1979
Is Sole Proprietor?
No
Enumeration Date
10-06-2005
Last Update Date
05-01-2012
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
92-106790-0501
License State
UT

Insurance Plans Accepted

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

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
T19217MEDICARE UPIN (02)UT 
4595570001MEDICARE NSC (07)UT 
270015335OTHER (01)UTT.I.N.
000012604MEDICARE ID-TYPE UNSPECIFIED (04)UT 

Medicare Participation & PECOS Enrollment Status

Craig Campbell is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Craig Campbell 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) and a Home Health Agency (HHA).

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: 2567501976

    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: I20091124000543

    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? Maybe

    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: No

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.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 235 times for 84 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 26 times for 26 patients

Removal of skin and tissue, 20.0 sq cm or less

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

This service was performed 33 times for 13 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 26 times for 20 patients

Reviews for DR. CRAIG JAMES CAMPBELL D.P.M.

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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 1841288651, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 2 → 4 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 4 + 8 + 1 + 6 + 6 + 1 + 0 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1841288651.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Podiatric)
5255 S 4015 W, SUITE 140
SALT LAKE CITY, UT 84129
Social Worker (Clinical)
5255 S 4015 W, #207 A-B
TAYLORSVILLE, UT 84129
Dentist
5255 S 4015 W, SUITE #180
TAYLORSVILLE, UT 84129
Durable Medical Equipment & Medical Supplies
5255 S 4015 W, #140
SALT LAKE CITY, UT 84129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841288651, enumerated as an "individual" on October 06, 2005.

The provider is located at 5255 S 4015 W SUITE 140 SALT LAKE CITY, UT 84129 and the phone number is (801) 969-1434.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Molina Healthcare, University of Utah Health. Please consult your insurance carrier or call the provider to verify.