MR. GREGORY W CHISM MSW LCSW
NPI 1972662013
Social Worker - Clinical in Madison, WI

NPI Status: Active since December 06, 2006

Contact Information

128 E OLIN AVE
SUITE 100
MADISON, WI
ZIP 53713
Phone: (608) 252-1320
Fax: (608) 252-1333

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Social Worker
Clinical
Accepts Insurance
PECOS Enrolled

About GREGORY CHISM

This page provides the complete NPI Profile along with additional information for Gregory Chism, a provider established in Madison, Wisconsin with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1972662013 assigned on December 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 6680-123 (WI). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI: 1972662013
Provider Name: MR. GREGORY W CHISM MSW LCSW
Gender: Male
Entity Type: Individual
Location Address: 128 E OLIN AVE SUITE 100 MADISON, WI 53713
Location Phone: (608) 252-1320
Location Fax: (608) 252-1333
Mailing Address: 128 E OLIN AVE SUITE 100 MADISON, WI 53713
Mailing Phone: (608) 252-1320
Mailing Fax: (608) 252-1333
Is Sole Proprietor?: No
Enumeration Date: 12-06-2006
Last Update Date: 07-08-2007
Code Navigator

A clinical social worker like Gregory Chism is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
License No.: 6680-123
License State: WI
Taxonomy Description: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Insurance Plans Accepted

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

Group Health Cooperative-SCW

Better Together HMO Bronze 6500 Ded/8750 MOOP HSA - HMO
Better Together HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
Better Together HMO Bronze No Medical Ded/10600 MOOP HSA - HMO
Better Together HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
Better Together HMO Gold 2000 Ded/8200 MOOP - HMO
Better Together HMO Gold 4000 Ded/4000 MOOP HSA - HMO
Better Together HMO Platinum 750 Ded/2000 MOOP with Vision - HMO
Better Together HMO Platinum No Ded/3300 MOOP - HMO
Better Together HMO Platinum No Ded/5200 MOOP - HMO
Better Together HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
Better Together HMO Silver 5975 Ded/5975 MOOP HSA - HMO
Better Together HMO Silver 6000 Ded/8900 MOOP - HMO
Partners HMO Bronze 10600 Ded/10600 MOOP HSA - HMO
Partners HMO Bronze 6000 Ded/10600 MOOP HSA - HMO
Partners HMO Bronze 7500 Ded/10000 MOOP HSA - HMO
Partners HMO Gold 1500 Ded/8000 MOOP with Vision - HMO
Partners HMO Gold 2000 Ded/8200 MOOP - HMO
Partners HMO Gold 4000 Ded/4000 MOOP HSA - HMO
Partners HMO Silver 5500 Ded/8500 MOOP with Vision - HMO
Partners HMO Silver 5975 Ded/5975 MOOP HSA - HMO

Medica

Engage by Medica Bronze HSA - EPO
Engage by Medica Bronze Share - EPO
Engage by Medica Expanded Bronze Standard - EPO
Engage by Medica Gold $0 Copay PCP Visits - EPO
Engage by Medica Gold Share - EPO
Engage by Medica Gold Standard - EPO
Engage by Medica Silver $0 Copay PCP Visits - EPO
Engage by Medica Silver Share - EPO
Engage by Medica Silver Standard - EPO
Essentia Choice Care with Medica Bronze HSA - EPO
Essentia Choice Care with Medica Bronze Share - EPO
Essentia Choice Care with Medica Expanded Bronze Standard - EPO
Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
Essentia Choice Care with Medica Gold Share - EPO
Essentia Choice Care with Medica Gold Standard - EPO
Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
Essentia Choice Care with Medica Silver Share - EPO
Essentia Choice Care with Medica Silver Standard - EPO
Medica Individual Choice Bronze HSA - EPO
Medica Individual Choice Bronze Share - EPO

Quartz

QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO

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

Medicare Participation & PECOS Enrollment Status

Gregory Chism 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 and Durable Medical Equipment (DME).

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): No
Eligible to Order or Refer Power Mobility Devices: No

Physician 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 53713 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

Average New Patient Price $0
Minimum New Patient Price $53.9
Maximum New Patient Price $163.24

Average New Patient Copayment $0
Minimum New Patient Copayment $13.47
Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $67.37
Minimum Established Patient Price $17.4
Maximum Established Patient Price $133.76

Average Established Patient Copayment $16.84
Minimum Established Patient Copayment $4.35
Maximum Established Patient Copayment $33.44

* 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.

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 1972662013, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 14 → 1 + 4

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

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 7 → 14 → 5 6 → 12 → 3 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 2 + 6 + 4 + 0 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3

This NPI is valid

The calculated check digit is 3, which matches the last digit of 1972662013.