CHERYL WILLIS MIDDLETON PA-C
NPI 1932295912
Physician Assistant - Medical in Easley, SC
NPI Status: Active since October 05, 2006
Contact Information
838 POWDERSVILLE RD
SUITE G
EASLEY, SC
ZIP 29642
Phone: (864) 850-9988
Fax: (864) 850-9989
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
- Opted-Out Medicare
About CHERYL MIDDLETON
This page provides the complete NPI Profile along with additional information for Cheryl Middleton, a primary care provider established in Easley, South Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1932295912 assigned on October 2006. The practitioner's primary taxonomy code is 363AM0700X with license number A385 (SC). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1932295912
- Provider Name
- CHERYL WILLIS MIDDLETON PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 838 POWDERSVILLE RD SUITE G EASLEY, SC 29642
- Location Phone
- (864) 850-9988
- Location Fax
- (864) 850-9989
- Mailing Address
- 838 POWDERSVILLE RD SUITE G EASLEY, SC 29642
- Mailing Phone
- (864) 850-9988
- Mailing Fax
- (864) 850-9989
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Cheryl Middleton sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Cheryl Middleton opted out of Medicare effective on 07-20-2015 until 07-20-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- A385
- License State
- SC
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.
*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 |
|---|---|---|---|
| A385 | OTHER (01) | SC | STATE LICENSE |
| S43960 | MEDICARE UPIN (02) | SC |
Medicare Participation & PECOS Enrollment Status
Cheryl Middleton 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-20-2015
Opt-Out End Date: 07-20-2027
Eligible to Order and Refer? 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF003N)
Addition to lower extremity, test socket, below knee (HCPCS:L5620)
3 DME suppliers used 11 Medicare Claims 16 Services Paid
DME-Orthotic Devices (DF003N)
Addition to lower extremity, below knee, acrylic socket (HCPCS:L5629)
3 DME suppliers used 12 Medicare Claims 13 Services Paid
DME-Orthotic Devices (DF003N)
Addition to lower extremity, below knee, total contact (HCPCS:L5637)
3 DME suppliers used 12 Medicare Claims 13 Services Paid
DME-Orthotic Devices (DF003N)
Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert (HCPCS:L5671)
3 DME suppliers used 13 Medicare Claims 13 Services Paid
DME-Orthotic Devices (DF003N)
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism (HCPCS:L5673)
3 DME suppliers used 14 Medicare Claims 27 Services Paid
DME-Orthotic Devices (DF003N)
Addition, endoskeletal system, below knee, alignable system (HCPCS:L5910)
3 DME suppliers used 12 Medicare Claims 13 Services Paid
DME-Orthotic Devices (DF003N)
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) (HCPCS:L5940)
3 DME suppliers used 11 Medicare Claims 12 Services Paid
DME-Orthotic Devices (DF003N)
Prosthetic sock, multiple ply, below knee, each (HCPCS:L8420)
3 DME suppliers used 12 Medicare Claims 156 Services Paid
DME-Orthotic Devices (DF000N)
Prosthetic sock, single ply, fitting, below knee, each (HCPCS:L8470)
3 DME suppliers used 12 Medicare Claims 148 Services Paid
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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 1932295912, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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.
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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
EASLEY, SC 29642
EASLEY, SC 29642
EASLEY, SC 29642
EASLEY, SC 29642
EASLEY, SC 29642
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932295912, enumerated as an "individual" on October 05, 2006.
The provider is located at 838 POWDERSVILLE RD SUITE G EASLEY, SC 29642 and the phone number is (864) 850-9988.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
