JOSEPH J SLIWKOWSKI JR. MD
NPI 1861452294
Preventive Medicine - Sports Medicine in Marlborough, MA
NPI Status: Active since March 28, 2006
Contact Information
5 MOUNT ROYAL AVE
MARLBOROUGH, MA
ZIP 01752
Phone: (508) 251-7262
Fax: (508) 251-7265
- Individual
- Male
- Preventive Medicine
- Sports Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About JOSEPH SLIWKOWSKI
This page provides the complete NPI Profile along with additional information for Joseph Sliwkowski, a provider established in Marlborough, Massachusetts with a medical specialization in Preventive Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1861452294 assigned on March 2006. The practitioner's primary taxonomy code is 2083S0010X with license number 74311 (MA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1861452294
- Provider Name
- JOSEPH J SLIWKOWSKI JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5 MOUNT ROYAL AVE MARLBOROUGH, MA 01752
- Location Phone
- (508) 251-7262
- Location Fax
- (508) 251-7265
- Mailing Address
- 5 MOUNT ROYAL AVE MARLBOROUGH, MA 01752
- Mailing Phone
- (508) 251-7262
- Mailing Fax
- (508) 251-7265
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-28-2006
- Last Update Date
- 02-28-2011
- 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
Preventive Medicine Sports Medicine
- Taxonomy Code
- 2083S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 74311
- License State
- MA
- Taxonomy Description
- A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 01051636A (IN) |
| 2 | 2083X0100X | Allopathic & Osteopathic Physicians | Preventive Medicine | 01051636A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 815460PPPP | MEDICARE PIN (08) | IN | |
| 000000528705 | OTHER (01) | IN | ANTHEM PROVIDER NUMBER |
| 815010H | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| F14099 | MEDICARE UPIN (02) | IN | |
| 815500G5 | MEDICARE PIN (08) | IN | |
| 224390FF | MEDICARE PIN (08) | IN | |
| 200264480 | MEDICAID (05) | IN | |
| 921480C | MEDICARE PIN (08) | IN |
Medicare Participation & PECOS Enrollment Status
Joseph Sliwkowski 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
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.
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc
Automated urinalysis test
Detection test by immunoassay with direct visual observation for influenza virus
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
X-ray of chest, 2 views
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
This service was performed 76 times for 72 patientsAn automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 34 times for 31 patientsThis is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
This service was performed 107 times for 52 patientsA detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
This service was performed 26 times for 22 patientsThis 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 83 times for 74 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 67 times for 65 patientsThis 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 74 times for 74 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 54 times for 54 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 21 times for 21 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01752 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Colorectal Cancer Screening | 0% | 203 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 34% | 119 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 38% | 108 |
Reviews for JOSEPH J SLIWKOWSKI JR. MD
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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 1861452294, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MARLBORO, MA 01752
MARLBOROUGH, MA 01752
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861452294, enumerated as an "individual" on March 28, 2006.
The provider is located at 5 MOUNT ROYAL AVE MARLBOROUGH, MA 01752 and the phone number is (508) 251-7262.
Preventive Medicine with taxonomy code 2083S0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.
