MARK WOODBURY
NPI 1366561979
Chiropractor in Center Rutland, VT
NPI Status: Active since March 28, 2007
Contact Information
279 BUSINESS ROUTE 4
SUITE 1
CENTER RUTLAND, VT
ZIP 05736
Phone: (802) 775-4372
Fax: (802) 775-4918
- Individual
- Male
- Years of Experience 31
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About MARK WOODBURY
This page provides the complete NPI Profile along with additional information for Mark Woodbury, a provider established in Center Rutland, Vermont with a medical specialization in Chiropractor and more than 31 years of experience. He graduated from Palmer College Chiropractic - Davenport in 1995. The healthcare provider is registered in the NPI registry with number 1366561979 assigned on March 2007. The practitioner's primary taxonomy code is 111N00000X with license number 0060000962 (VT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1366561979
- Provider Name
- MARK WOODBURY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 279 BUSINESS ROUTE 4 SUITE 1 CENTER RUTLAND, VT 05736
- Location Phone
- (802) 775-4372
- Location Fax
- (802) 775-4918
- Mailing Address
- 279 BUSINESS ROUTE 4 SUITE 1 CENTER RUTLAND, VT 05736
- Mailing Phone
- (802) 775-4372
- Mailing Fax
- (802) 775-4918
- Medical School Name
- PALMER COLLEGE CHIROPRACTIC - DAVENPORT
- Graduation Year
- 1995
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-28-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A chiropractor like Mark Woodbury helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
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
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 0060000962
- License State
- VT
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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 Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - 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 |
|---|---|---|---|
| U56880 | MEDICARE UPIN (02) | VT |
Medicare Participation & PECOS Enrollment Status
Mark Woodbury 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: 1557342409
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: I20040526001046
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.
Chiropractic manipulative treatment, 1-2 spinal regions
Chiropractic manipulative treatment, 3-4 spinal regions
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
This service was performed 292 times for 72 patientsChiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
This service was performed 823 times for 193 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 96% | 246 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 24% | 254 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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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 | 5 | 6 | 1 | 9 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 10 | 6 | 2 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 0 + 6 + 2 + 9 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1366561979 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346355641 | SCOTT DAVID TOMMOLA MS PT Individual | Physical Therapist | 279 BUSINESS ROUTE 4 SUITE 3 CENTER RUTLAND, VT 05736 (802) 773-8600 |
| 1588779888 | ADVANTAGE PHYSICAL THERAPY AND HUMAN PERFORMANCE Organization | Physical Therapist | 279 BUSINESS ROUTE 4 SUITE 3 CENTER RUTLAND, VT 05736 (802) 773-8600 |
| 1316187438 | DANIEL W. BROWN LIC.AC. Individual | Acupuncturist | 279 BUSINESS ROUTE 4 CENTER RUTLAND, VT 05736 (802) 773-3780 |
| 1427339712 | HOLLY L POLITIS Individual | Physical Therapist (Sports) | 279 BUSINESS ROUTE 4 SUITE 3 CENTER RUTLAND, VT 05736 (802) 773-8600 |
| 1215293980 | TERRI R HENDERSON LMT Individual | Mechanotherapist | 279 BUSINESS ROUTE 4 SUITE #1 CENTER RUTLAND, VT 05736 (802) 775-4372 |
| 1912263567 | MRS. SUE LOLA GEESEY-JEAN ATC,L Individual | Mechanotherapist | 279 BUSINESS ROUTE 4 SUITE #1 CENTER RUTLAND, VT 05736 (802) 775-4372 |
| 1003270729 | WOLF HEALING ARTS Organization | Massage Therapist | 279 BUSINESS ROUTE 4 SUITE 1 CENTER RUTLAND, VT 05736 (802) 775-4372 |
| 1932294964 | INTEGRATED NEUROLOGY PC Organization | Chiropractor | 279 BUSINESS ROUTE 4 SUITE 1 CENTER RUTLAND, VT 05736 (802) 775-4372 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366561979, enumerated in the NPI registry as an "individual" on March 28, 2007
The provider is located at 279 Business Route 4 Suite 1 Center Rutland, Vt 05736 and the phone number is (802) 775-4372
The provider's speciality is Chiropractor with taxonomy code 111N00000X
The provider has more than 31 years of experience. He graduated from Palmer College Chiropractic - Davenport in 1995.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Chiropractic manipulative treatment, 1-2 spinal regions and Chiropractic manipulative treatment, 3-4 spinal regions.
This NPI record was last updated on March 28, 2007. 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.