DAVID A GOLDBERG PT
NPI 1346311966
Physical Therapist in Portsmouth, NH
NPI Status: Active since November 13, 2006
Contact Information
1900 LAFAYETTE RD
STE C
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 431-5600
Fax: (603) 431-5610
- Individual
- Male
- Years of Experience 34
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About DAVID GOLDBERG
This page provides the complete NPI Profile along with additional information for David Goldberg, a provider established in Portsmouth, New Hampshire with a medical specialization in Physical Therapist and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1346311966 assigned on November 2006. The practitioner's primary taxonomy code is 225100000X with license number 2934 (NH). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1346311966
- Provider Name
- DAVID A GOLDBERG PT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1900 LAFAYETTE RD STE C PORTSMOUTH, NH 03801
- Location Phone
- (603) 431-5600
- Location Fax
- (603) 431-5610
- Mailing Address
- 1900 LAFAYETTE RD STE C PORTSMOUTH, NH 03801
- Mailing Phone
- (603) 431-5600
- Mailing Fax
- (603) 431-5610
- Medical School Name
- OTHER
- Graduation Year
- 1992
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-13-2006
- Last Update Date
- 03-08-2016
- 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
- License No.
- 2934
- License State
- NH
- 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 Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - 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.
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 |
|---|---|---|---|
| AA79032 | OTHER (01) | HARVARD PILGRIM GROUP # | |
| 098826 | OTHER (01) | ME | ANTHEM INDIV # MAINE |
| 30394988 | MEDICAID (05) | NH | |
| 098826 | OTHER (01) | ME | ANTHEM MAINE |
| RE8968 | OTHER (01) | NH | MEDICARE GROUP # |
| 08Y007254NH03 | OTHER (01) | NH | ANTHEM INDIV # |
| RE8963 | MEDICARE PIN (08) | NH |
Medicare Participation & PECOS Enrollment Status
David Goldberg 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: 648259820
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: I20070131000592
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.
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
Evaluation for physical therapy, typically 20 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
Therapy procedure using manual technique, each 15 minutes
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
This service was performed 94 times for 27 patientsAn 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 124 times for 115 patientsThis 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 317 times for 58 patientsThis 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 1,297 times for 129 patientsA 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 537 times for 101 patientsThis 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 1,157 times for 101 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.28 for a new patient copayment and $17.96 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 03801 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.14
- Minimum New Patient Price $57.75
- Maximum New Patient Price $174.26
- Average New Patient Copayment $22.28
- Minimum New Patient Copayment $14.43
- Maximum New Patient Copayment $43.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.85
- Minimum Established Patient Price $18.7
- Maximum Established Patient Price $142.15
- Average Established Patient Copayment $17.96
- Minimum Established Patient Copayment $4.67
- Maximum Established Patient Copayment $35.53
* 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 | 4 | 6 | 3 | 1 | 1 | 9 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 6 | 1 | 2 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 6 + 1 + 2 + 9 + 1 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1346311966 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1033527502 | SHIELDS IMAGING OF PORTSMOUTH LLC Organization | Clinic/Center (Magnetic Resonance Imaging (MRI)) | 1900 LAFAYETTE RD SUITE B PORTSMOUTH, NH 03801 (800) 258-4674 |
| 1316947146 | RYAN E SMITH PT Individual | Physical Therapist | 1900 LAFAYETTE RD SUITE C PORTSMOUTH, NH 03801 (603) 431-5600 |
| 1881631554 | SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA Organization | Specialist | 1900 LAFAYETTE RD STE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1497780365 | JENNIFER O'DONNELL PT Individual | Physical Therapist | 1900 LAFAYETTE RD SUITE C PORTSMOUTH, NH 03801 (603) 431-5600 |
| 1396816906 | CINDY ANN LAVIGNE Individual | Occupational Therapist (Hand) | 1900 LAFAYETTE RD SUITE C PORTSMOUTH, NH 03801 (603) 431-5600 |
| 1386761963 | CYNTHIA DORRIS BAER OTR Individual | Occupational Therapist | 1900 LAFAYETTE RD SUITE C PORTSMOUTH, NH 03801 (603) 431-5600 |
| 1265776355 | HILARY L STORNELLI PT Individual | Physical Therapist | 1900 LAFAYETTE RD STE C PORTSMOUTH, NH 03801 (603) 431-5610 |
| 1538143482 | GLEN D CRAWFORD MD Individual | Orthopaedic Surgery | 1900 LAFAYETTE RD SUITE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1174587406 | MR. BARRY CHRISTOPHER CUSSON PA Individual | Orthopaedic Surgery | 1900 LAFAYETTE RD SUITE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1942265418 | DR. WILLIAM STANLEY SUTHERLAND MD Individual | Orthopaedic Surgery | 1900 LAFAYETTE RD SUITE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1912964263 | DR. ROBERT EDWARD EBERHART MD Individual | Orthopaedic Surgery | 1900 LAFAYETTE RD SUITE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1932154507 | DR. MAYO ANDREW NOERDLINGER MD Individual | Orthopaedic Surgery | 1900 LAFAYETTE RD PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1093761173 | MR. BRIAN DENNIS BARRY PAC Individual | Orthopaedic Surgery | 1900 LAFAYETTE RD SUITE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1821258062 | JOHN ANDREW MCMAHON DO Individual | Internal Medicine (Sports Medicine) | 1900 LAFAYETTE RD SUITE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1275793374 | DR. AKHILESH SASTRY MD Individual | Orthopaedic Surgery | 1900 LAFAYETTE RD SUITE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1114180163 | CHRISTINA M SCARDINA PA-C Individual | Physician Assistant (Surgical) | 1900 LAFAYETTE RD SUITE A PORTSMOUTH, NH 03801 (603) 431-1122 |
| 1366686297 | CAMERON L EILTS DPM Individual | Podiatrist | 1900 LAFAYETTE RD SUITE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1124521729 | RYAN LABELLE Individual | Orthopaedic Surgery | 1900 LAFAYETTE RD PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1003268210 | MEGAN E SPURLING PA-C Individual | Physician Assistant | 1900 LAFAYETTE RD STE A PORTSMOUTH, NH 03801 (603) 431-1121 |
| 1477245306 | ZACHARY BEYMER ATC Individual | Specialist/Technologist (Athletic Trainer) | 1900 LAFAYETTE RD PORTSMOUTH, NH 03801 (603) 431-1121 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346311966, enumerated in the NPI registry as an "individual" on November 13, 2006
The provider is located at 1900 Lafayette Rd Ste C Portsmouth, Nh 03801 and the phone number is (603) 431-5600
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 34 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. 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 $89.14 with an average copayment of $22.28 for new patient appointments. Established patients should expect a typical charge of $71.85 and an average copayment of 17.96. 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: Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care, Evaluation for physical therapy, typically 20 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 November 13, 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].
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