HENRY M SMALDON DPT
NPI 1366212078
Physical Therapist in Spokane, WA
NPI Status: Active since January 03, 2024
- Individual
- Male
- Years of Experience 3
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About HENRY SMALDON
This page provides the complete NPI Profile along with additional information for Henry Smaldon, a provider established in Spokane, Washington with a medical specialization in Physical Therapist and more than 3 years of experience. He graduated from University Of Colorado School Of Medicine, Aurora in 2023. The healthcare provider is registered in the NPI registry with number 1366212078 assigned on January 2024. The practitioner's primary taxonomy code is 225100000X with license number PT61515807 (WA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1366212078
- Provider Name
- HENRY M SMALDON DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2507 E 27TH AVE SPOKANE, WA 99223
- Location Phone
- (509) 456-6917
- Mailing Address
- 1104 W 21ST AVE SPOKANE, WA 99203
- Mailing Phone
- (509) 475-3685
- Medical School Name
- UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-03-2024
- Last Update Date
- 01-03-2024
- 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.
- PT61515807
- License State
- WA
- 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:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Henry Smaldon 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: 6800230939
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: I20240216002678
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: $22.07 for a new patient copayment and $17.82 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 99223 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.29
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $22.07
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.29
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* 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 | 6 | 6 | 2 | 1 | 2 | 0 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 4 | 1 | 4 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 4 + 1 + 4 + 0 + 1 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1366212078 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 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164561569 | MR. JEFF GORDON FENTON PT Individual | Physical Medicine & Rehabilitation | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1306985700 | PHYSICAL THERAPY ASSOCIATES PS Organization | Physical Medicine & Rehabilitation | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1225097942 | CRAIG MICHAEL HENNEBERRY B.S., P.T., D.P.T. Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1780834168 | DR. JONATHAN CALEB HOOK DPT Individual | Physical Therapist (Orthopedic) | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1033416532 | MRS. MEG MARIE ESTES D.P.T Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1700204211 | KATIE NELSON Individual | Dietitian, Registered | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1649518804 | MS. ANJA GOETZINGER Individual | Specialist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1598107245 | KEVIN JAMES WRIGHT DPT Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1629585831 | REBECCA LYNN FRITZ THOMPSON PT, DPT Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1104965508 | MRS. STEPHANIE G OTA MSPT Individual | Physical Medicine & Rehabilitation | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1972096675 | DR. ELIZABETH ANN CHOMA DPT Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1144716085 | EMILIE LYNNE LEHMAN WEST DPT Individual | Physical Medicine & Rehabilitation | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1235704495 | ANDREW M SCHIMMELS DPT Individual | Physical Therapist (Orthopedic) | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1871222844 | AMANDA ROSE SIMMONS PT, DPT Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1174371892 | NICOLE WARREN Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1619861499 | IMMANUEL ABERA ABBO DPT Individual | Physical Therapist (Orthopedic) | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366212078, enumerated in the NPI registry as an "individual" on January 03, 2024
The provider is located at 2507 E 27th Ave Spokane, Wa 99223 and the phone number is (509) 456-6917
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 3 years of experience. He graduated from University Of Colorado School Of Medicine, Aurora in 2023.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. 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 $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 03, 2024. 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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