KAREN M NORGAARD PT
NPI 1144281007
Physical Therapist in Encinitas, CA


Quality Rating: 100 out of 100 score

NPI Status: Active since March 30, 2006

Contact Information

317 N EL CAMINO REAL
#210
ENCINITAS, CA
ZIP 92024
Phone: (760) 634-0248
Fax: (760) 634-1782

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  • Individual
  • Female
  • Years of Experience 23
  • Physical Therapist
  • Accepts Medicare Approved Payment

About KAREN NORGAARD

This page provides the complete NPI Profile along with additional information for Karen Norgaard, a provider established in Encinitas, California with a medical specialization in Physical Therapist and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1144281007 assigned on March 2006. The practitioner's primary taxonomy code is 225100000X with license number PT28706 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1144281007
Provider Name
KAREN M NORGAARD PT
Gender
Female
Entity Type
Individual
Location Address
317 N EL CAMINO REAL #210 ENCINITAS, CA 92024
Location Phone
(760) 634-0248
Location Fax
(760) 634-1782
Mailing Address
317 N EL CAMINO REAL #210 ENCINITAS, CA 92024
Mailing Phone
(760) 634-0248
Mailing Fax
(760) 634-1782
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
03-30-2006
Last Update Date
09-04-2013
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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 Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT28706
License State
CA
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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
WPT28706EMEDICARE PIN (08)CA 

Medicare Participation & PECOS Enrollment Status

Karen Norgaard 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.

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.

  • PECOS PAC ID: 3870587652

    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: I20040413001894

    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.

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.

Evaluation for physical therapy, typically 20 minutes

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

This service was performed 39 times for 34 patients

Therapy procedure for walking training, each 15 minutes

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

This service was performed 61 times for 11 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 740 times for 43 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 188 times for 19 patients

Therapy procedure using functional activities

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

This service was performed 977 times for 42 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 860 times for 43 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.71 for a new patient copayment and $19.21 for an established patient copayment.

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 92024 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.87
  • Minimum New Patient Price $62.1
  • Maximum New Patient Price $184.71
  • Average New Patient Copayment $23.71
  • Minimum New Patient Copayment $15.52
  • Maximum New Patient Copayment $46.17

Established Patients Visit Costs *

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

  • Average Established Patient Price $76.87
  • Minimum Established Patient Price $20.62
  • Maximum Established Patient Price $151.42
  • Average Established Patient Copayment $19.21
  • Minimum Established Patient Copayment $5.15
  • Maximum Established Patient Copayment $37.85

* 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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for KAREN M NORGAARD PT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144281007
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218448200
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 8 + 2 + 0 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1144281007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1114944618 DIANA E HOPPE M.D.
Individual
Specialist317 N EL CAMINO REAL SUITE #310
ENCINITAS, CA 92024
(760) 635-5600
1942313036MR. WARREN WILLIAM PLESKOW MD
Individual
Internal Medicine317 N EL CAMINO REAL SUITE 506
ENCINITAS, CA 92024
(760) 436-3988
1144322363 RYAN SCOTT PARK OT-C
Individual
Orthopaedic Surgery317 N EL CAMINO REAL SUITE 405
ENCINITAS, CA 92024
(760) 942-0565
1124128152MRS. KAREN C SULGER LA.C.
Individual
Acupuncturist317 N EL CAMINO REAL #401
ENCINITAS, CA 92024
(760) 635-0581
1841384385 ROBERT LEE NELSON OT-C
Individual
Orthopaedic Surgery317 N EL CAMINO REAL SUITE 405
ENCINITAS, CA 92024
(760) 942-0565
1144306960 BLANCA ELIZABETH HOLGUIN X-RAY TECH
Individual
Radiologic Technologist317 N EL CAMINO REAL SUITE 405
ENCINITAS, CA 92024
(760) 942-0565
1518036888 RAHIL ABDEMANNAN BANDUKWALA D.O.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)317 N EL CAMINO REAL SUITE 201
ENCINITAS, CA 92024
(760) 634-0064
1548309636DR. DAVID YODER D.C.
Individual
Chiropractor (Nutrition)317 N EL CAMINO REAL SUITE 201
ENCINITAS, CA 92024
(760) 943-8910
1053451930DR. GARY CHEN O.M.D., C.A.
Individual
Acupuncturist317 N EL CAMINO REAL SUITE 106
ENCINITAS, CA 92024
(760) 634-1440
1598887929 SUSANNAH SUNDERLAND L.AC
Individual
Acupuncturist317 N EL CAMINO REAL SUITE 401
ENCINITAS, CA 92024
(760) 688-8814
1588860597MS. SANDRA KAREN BLUMBERG M.F.T.
Individual
Marriage & Family Therapist317 N EL CAMINO REAL
ENCINITAS, CA 92024
(760) 436-1797
1669669719DR. STACY ALBINDER GODES DDS
Individual
Dentist317 N EL CAMINO REAL SUITE 106
ENCINITAS, CA 92024
(760) 536-1199
1316124555DR. RICHARD MICHAEL BLACK DMD
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)317 N EL CAMINO REAL SUITE 203
ENCINITAS, CA 92024
(760) 942-4040
1831349778DR. IRINEO MARVIN PANTANGCO III D.D.S.
Individual
Dentist (General Practice)317 N EL CAMINO REAL SUITE 106
ENCINITAS, CA 92024
(760) 536-1199
1750532859 KATIE L MIK L.AC.
Individual
Acupuncturist317 N EL CAMINO REAL SUITE 401
ENCINITAS, CA 92024
(760) 635-0581
1730333568ACUPUNCTURE CONTINUUM INC
Organization
Acupuncturist317 N EL CAMINO REAL SUITE 401
ENCINITAS, CA 92024
(760) 635-0581
1366681686 MICHELLE NAIDENOFF M.F.T.
Individual
Marriage & Family Therapist317 N EL CAMINO REAL SUITE 101
ENCINITAS, CA 92024
(760) 525-9418
1275774622MR. MICHAEL FRANCIS KLEINERT L.AC., ATC, CSCS
Individual
Acupuncturist317 N EL CAMINO REAL SUITE 406
ENCINITAS, CA 92024
(760) 632-1442
1811218688BARRY E LOSASSO MD INC
Organization
Surgery (Pediatric Surgery)317 N EL CAMINO REAL SUITE 502
ENCINITAS, CA 92024
(760) 634-4090
1588941926WILLIAM C HOLLAND MD A PROFESSIONAL CORPORATION
Organization
Specialist317 N EL CAMINO REAL SUITE 405
ENCINITAS, CA 92024
(760) 942-0565

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144281007, enumerated in the NPI registry as an "individual" on March 30, 2006

The provider is located at 317 N El Camino Real #210 Encinitas, Ca 92024 and the phone number is (760) 634-0248

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider has more than 23 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $94.87 with an average copayment of $23.71 for new patient appointments. Established patients should expect a typical charge of $76.87 and an average copayment of 19.21. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Evaluation for physical therapy, typically 20 minutes, Therapy procedure for walking training, each 15 minutes, Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapy procedure using functional activities and Therapy procedure using manual technique, each 15 minutes.

This NPI record was last updated on March 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.