SCOTT KRUEGER PT
NPI 1306869938
Physical Therapist in Franklin, WI
NPI Status: Active since July 25, 2006
Contact Information
10101 S 27TH ST
FRANKLIN, WI
ZIP 53132
Phone: (414) 325-4702
Fax: (414) 325-4851
- Individual
- Male
- Years of Experience 32
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About SCOTT KRUEGER
This page provides the complete NPI Profile along with additional information for Scott Krueger, a provider established in Franklin, Wisconsin with a medical specialization in Physical Therapist and more than 32 years of experience. He graduated from University Of Wisconsin School Of Medicine in 1994. The healthcare provider is registered in the NPI registry with number 1306869938 assigned on July 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1306869938
- Provider Name
- SCOTT KRUEGER PT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10101 S 27TH ST FRANKLIN, WI 53132
- Location Phone
- (414) 325-4702
- Location Fax
- (414) 325-4851
- Mailing Address
- 10101 S 27TH ST FRANKLIN, WI 53132
- Mailing Phone
- (414) 325-4702
- Mailing Fax
- (414) 325-4851
- Medical School Name
- UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
- Graduation Year
- 1994
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2006
- Last Update Date
- 12-31-2014
- 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
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
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 |
|---|---|---|---|
| 40382700 | MEDICAID (05) | WI | |
| 000285185 | MEDICARE PIN (08) | WI |
Medicare Participation & PECOS Enrollment Status
Scott Krueger 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: 9133313794
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: I20101028000322
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.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.73 for a new patient copayment and $16.84 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 53132 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- 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.
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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. | |||||||||
| 1 | 3 | 0 | 6 | 8 | 6 | 9 | 9 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 16 | 6 | 18 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 1 + 6 + 6 + 1 + 8 + 9 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1306869938 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1710961065 | DR. DAN D KANITZ M.D. Individual | Anesthesiology | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 817-5800 |
| 1417936998 | DR. CHARLES A WIDEBURG M.D. Individual | Anesthesiology | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 817-5800 |
| 1124088570 | DR. MARK C ZIMMERMAN M.D. Individual | Anesthesiology | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 817-5800 |
| 1760428403 | DANIEL D GILMAN D.O. Individual | Obstetrics & Gynecology | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4910 |
| 1548292436 | THOMAS R. JENSEN M.D. Individual | Family Medicine | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4940 |
| 1912926791 | DANIEL J DONOVAN D.O. Individual | Family Medicine | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4950 |
| 1366557829 | WILLIAM TREICHEL M.D. Individual | Family Medicine | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4940 |
| 1215061676 | BRENDA KALCHBRENNER R.D. Individual | Dietitian, Registered | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4516 |
| 1225221310 | DAN D KANITZ MDSC Organization | Anesthesiology | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 817-5800 |
| 1700046968 | DR. GRETCHEN R DEAN DO Individual | Anesthesiology | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 817-5800 |
| 1417194010 | SHERRY STECK OTR CHT Individual | Occupational Therapist | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4876 |
| 1568609022 | MRS. ERIKA JEAN NELSON D.P.T. Individual | Physical Therapist | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4850 |
| 1225306038 | BRIDGET E COGHLAN PT, LAT Individual | Physical Therapist | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4865 |
| 1528119302 | LISA STRICK LAT Individual | Specialist/Technologist (Athletic Trainer) | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 384-6700 |
| 1043657588 | MRS. MELANIE ANN TAKERIAN RD Individual | Dietitian, Registered | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-2496 |
| 1841209400 | VINODKUMAR SHAH MD Individual | Internal Medicine | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4930 |
| 1093159709 | CLAIRE FADNESS RD Individual | Dietitian, Registered | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-2496 |
| 1770747115 | JESSICA R DANKO OT Individual | Occupational Therapist | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 325-4850 |
| 1063683670 | DR. CAMERON JAMES WOOLF M.D. Individual | Anesthesiology | 10101 S 27TH ST FRANKLIN, WI 53132 (414) 817-5800 |
| 1083003842 | JARROD DOMINIAK ATC Individual | Specialist/Technologist (Athletic Trainer) | 10101 S 27TH ST 2ND FLOOR FRANKLIN, WI 53132 (414) 520-3886 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306869938, enumerated in the NPI registry as an "individual" on July 25, 2006
The provider is located at 10101 S 27th St Franklin, Wi 53132 and the phone number is (414) 325-4702
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 32 years of experience. He graduated from University Of Wisconsin School Of Medicine in 1994.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 25, 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.