DR. SUSAN MARIE STICKEVERS MD
NPI 1912089566
Physical Medicine & Rehabilitation - Pain Medicine in Northport, NY

NPI Status: Active since October 20, 2006

Contact Information

79 MIDDLEVILLE RD
NORTHPORT, NY
ZIP 11768
Phone: (631) 261-4400
Fax: (631) 266-6022

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  • Individual
  • Female
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • PECOS Enrolled
  • Medicare Quality Reporting

About SUSAN STICKEVERS

This page provides the complete NPI Profile along with additional information for Susan Stickevers, a provider established in Northport, New York with a medical specialization in Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1912089566 assigned on October 2006. The practitioner's primary taxonomy code is 2081P2900X with license number 172707 (NY). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1912089566
Provider Name
DR. SUSAN MARIE STICKEVERS MD
Gender
Female
Entity Type
Individual
Location Address
79 MIDDLEVILLE RD NORTHPORT, NY 11768
Location Phone
(631) 261-4400
Location Fax
(631) 266-6022
Mailing Address
79 MIDDLEVILLE RD NORTHPORT, NY 11768
Mailing Phone
(631) 261-4400
Mailing Fax
(631) 266-6022
Is Sole Proprietor?
Yes
Enumeration Date
10-20-2006
Last Update Date
07-08-2007
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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

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
License No.
172707
License State
NY
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Medicare Participation & PECOS Enrollment Status

Susan Stickevers 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

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

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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 1912089566, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 1 → 2 0 → 0 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 0 + 8 + 1 + 8 + 5 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1912089566.

Other Providers at the Same Location


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

Psychologist (Clinical)
79 MIDDLEVILLE RD, VA MEDICAL CENTER, PSYCHOLOGY SERVICE (116B)
NORTHPORT, NY 11768
Internal Medicine (Geriatric Medicine)
79 MIDDLEVILLE RD, NORTHPORT VAMC
NORTHPORT, NY 11768
Internal Medicine (Hematology & Oncology)
79 MIDDLEVILLE RD, 111-S
NORTHPORT, NY 11768
Internal Medicine (Pulmonary Disease)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Nurse Practitioner (Adult Health)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Nurse Practitioner
79 MIDDLEVILLE RD, HEM/ONC DEPART BLDG 200
NORTHPORT, NY 11768
Internal Medicine (Nephrology)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Internal Medicine
79 MIDDLEVILLE RD, VA MEDICAL CENTER
NORTHPORT, NY 11768
Dentist (General Practice)
79 MIDDLEVILLE RD, VAMC MEDICAL CENTER, DENTAL SERVICE (160)
NORTHPORT, NY 11768
Internal Medicine
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Speech-Language Pathologist
79 MIDDLEVILLE RD, NORTHPORT VAMC ASPS-126
NORTHPORT, NY 11768
Audiologist
79 MIDDLEVILLE RD, ASPS#126
NORTHPORT, NY 11768
Audiologist-Hearing Aid Fitter
79 MIDDLEVILLE RD, 126
NORTHPORT, NY 11768
Physician Assistant (Medical)
79 MIDDLEVILLE RD, NORTHPORT VA MEDICAL CENTER
NORTHPORT, NY 11768
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Physician Assistant (Medical)
79 MIDDLEVILLE RD, NORTHPORT VA MEDICAL CENTER
NORTHPORT, NY 11768
Nurse Practitioner (Adult Health)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Pharmacist (Pharmacotherapy)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Nurse Practitioner (Psychiatric/Mental Health)
79 MIDDLEVILLE RD, 116A
NORTHPORT, NY 11768
Internal Medicine
79 MIDDLEVILLE RD, NORTHPORT VAMC
NORTHPORT, NY 11768

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912089566, enumerated as an "individual" on October 20, 2006.

The provider is located at 79 MIDDLEVILLE RD NORTHPORT, NY 11768 and the phone number is (631) 261-4400.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.