ROBERT LOREN SHECKLER III
NPI 1861021032
Podiatrist - Foot & Ankle Surgery in Virginia, MN

NPI Status: Active since April 08, 2020

Contact Information

1101 9TH ST N
VIRGINIA, MN
ZIP 55792
Phone: (218) 305-0000

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 6
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ROBERT SHECKLER

This page provides the complete NPI Profile along with additional information for Robert Sheckler, a provider established in Virginia, Minnesota with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 6 years of experience. He graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2020. The healthcare provider is registered in the NPI registry with number 1861021032 assigned on April 2020. The practitioner's primary taxonomy code is 213ES0103X with license number 1196 (MN). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1861021032
Provider Name
ROBERT LOREN SHECKLER III
Other Name
ROBERT LOREN SHECKLER
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
1101 9TH ST N VIRGINIA, MN 55792
Location Phone
(218) 305-0000
Mailing Address
1101 9TH ST N VIRGINIA, MN 55792
Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
04-08-2020
Last Update Date
09-18-2024
Code Navigator

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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
1196
License State
MN

Insurance Plans Accepted

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

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Essentia Choice Care with Medica Gold Standard - HMO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Silver Share - HMO
  • Essentia Choice Care with Medica Silver Standard - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Select $2,000 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,000 - 50% - EPO
  • Select $5,000 HDHP - EPO
  • Select $6,000 - 40% - EPO
  • Select $7,500 - EPO
  • Select $7,500 HDHP - EPO
  • Select $9,500 - EPO
  • Select Protection - EPO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,400 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO

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

Medicare Participation & PECOS Enrollment Status

Robert Sheckler 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.

Robert Sheckler 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: 5496116444

    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: I20241021001061

    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: 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.

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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Sheckler is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ESSENTIA HEALTH VIRGINIA901 9TH STREET NORTH
VIRGINIA, MN 55792
(218) 741-3340Acute Care Hospitals
ESSENTIA HEALTH DEER RIVER115 10TH AVENUE NORTHEAST
DEER RIVER, MN 56636
(218) 246-4200Critical Access Hospitals

Reviews for ROBERT LOREN SHECKLER III

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1861021032, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 0 + 2 + 2 + 0 + 6 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1861021032.

Other Providers at the Same Location


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

Family Medicine
1101 9TH ST N
VIRGINIA, MN 55792
Dermatology
1101 9TH ST N
VIRGINIA, MN 55792
Obstetrics & Gynecology
1101 9TH ST N
VIRGINIA, MN 55792
Otolaryngology
1101 9TH ST N
VIRGINIA, MN 55792
Family Medicine
1101 9TH ST N
VIRGINIA, MN 55792
Surgery
1101 9TH ST N
VIRGINIA, MN 55792
Ophthalmology
1101 9TH ST N
VIRGINIA, MN 55792
Pediatrics
1101 9TH ST N
VIRGINIA, MN 55792
Physician Assistant
1101 9TH ST N
VIRGINIA, MN 55792
Ophthalmology
1101 9TH ST N
VIRGINIA, MN 55792
Nurse Practitioner (Family)
1101 9TH ST N
VIRGINIA, MN 55792
Speech-Language Pathologist
1101 9TH ST N
VIRGINIA, MN 55792
Anesthesiology
1101 9TH ST N
VIRGINIA, MN 55792
Audiologist
1101 9TH ST N
VIRGINIA, MN 55792
Anesthesiology
1101 9TH ST N
VIRGINIA, MN 55792
Speech-Language Pathologist
1101 9TH ST N
VIRGINIA, MN 55792
Nurse Practitioner
1101 9TH ST N
VIRGINIA, MN 55792
Speech-Language Pathologist
1101 9TH ST N
VIRGINIA, MN 55792
Audiologist
1101 9TH ST N
VIRGINIA, MN 55792
Nurse Practitioner (Adult Health)
1101 9TH ST N
VIRGINIA, MN 55792

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861021032, enumerated as an "individual" on April 08, 2020.

The provider is located at 1101 9TH ST N VIRGINIA, MN 55792 and the phone number is (218) 305-0000.

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

The provider might be accepting Accepts: HealthPartners, Medica and Security Health Plan. Please consult your insurance carrier or call the provider to verify.

Robert Sheckler is affiliated with: ESSENTIA HEALTH VIRGINIA and ESSENTIA HEALTH DEER RIVER.