DR. RICHARD SEVERIN PT, DPT, PHD, CCS
NPI 1467888974
Physical Therapist - Cardiopulmonary in Chicago, IL


Quality Rating: 84.37 out of 100 score

NPI Status: Active since September 17, 2013

Contact Information

1640 W ROOSEVELT RD
CHICAGO, IL
ZIP 60608
Phone: (312) 413-8043

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  • Individual
  • Male
  • Years of Experience 13
  • Physical Therapist
  • Cardiopulmonary
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About RICHARD SEVERIN

This page provides the complete NPI Profile along with additional information for Richard Severin, a provider established in Chicago, Illinois with a medical specialization in Physical Therapist, focusing in cardiopulmonary and more than 13 years of experience. He graduated from University Of Miami, Lm Miller School Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1467888974 assigned on September 2013. The practitioner's primary taxonomy code is 2251C2600X with license number 070021127 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1467888974
Provider Name
DR. RICHARD SEVERIN PT, DPT, PHD, CCS
Gender
Male
Entity Type
Individual
Location Address
1640 W ROOSEVELT RD CHICAGO, IL 60608
Location Phone
(312) 413-8043
Mailing Address
1919 W TAYLOR ST # MC898 CHICAGO, IL 60612
Mailing Phone
(312) 413-5228
Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
09-17-2013
Last Update Date
02-21-2024
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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 Cardiopulmonary

Taxonomy Code
2251C2600X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
070021127
License State
IL
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

070021127 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - 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
PT023081OTHER (01)PAPENNSYLVANNIA PT LICENSE NUMBER

Medicare Participation & PECOS Enrollment Status

Richard Severin 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: 6204174246

    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: I20190216000018

    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.

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 84.37, 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: 84.37 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: 54.79

    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: 100

    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: 59.79

    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: 59.79

    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 DR. RICHARD SEVERIN PT, DPT, PHD, CCS

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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.
1467888974
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412716816914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 6 + 8 + 1 + 6 + 9 + 1 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1467888974 is valid because the calculated check digit 4 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
1922193820 CHRISTINA G. COPELAND
Individual
Developmental Therapist1640 W ROOSEVELT RD ROOM 336 (M/C 628)
CHICAGO, IL 60608
(312) 413-1563
1548355449 MARJORIE WILKEY
Individual
Speech-Language Pathologist1640 W ROOSEVELT RD ROOM 336 (M/C 628)
CHICAGO, IL 60608
(312) 413-1563
1366537110 MICHELLE M BULANDA
Individual
Physical Therapist1640 W ROOSEVELT RD ROOM 336 (M/C 628)
CHICAGO, IL 60608
(312) 413-1563
1629166806 ANN T. CUTLER
Individual
Pediatrics1640 W ROOSEVELT RD 2ND FLOOR
CHICAGO, IL 60608
(312) 413-1849
1154410603 PENELOPE BERNSTEIN
Individual
Specialist/Technologist, Other1640 W ROOSEVELT RD
CHICAGO, IL 60608
(312) 413-8119
1699858902 MARY CATHERINE BACCI PT
Individual
Physical Therapist1640 W ROOSEVELT RD MAIL CODE 726
CHICAGO, IL 60608
(312) 413-7786
1578617379MS. PAMELA S. BONDY M.S.
Individual
Speech-Language Pathologist1640 W ROOSEVELT RD
CHICAGO, IL 60608
(312) 996-2384
1487709697DR. SHEILA MCCOWAN DONOVAN PH.D., M.S.W.
Individual
Psychologist (Clinical)1640 W ROOSEVELT RD
CHICAGO, IL 60608
(312) 996-0932
1487791430MS. SARA L SHIELDS-COLE M.S.CCC-SLP-L
Individual
Speech-Language Pathologist1640 W ROOSEVELT RD
CHICAGO, IL 60608
(312) 413-1486
1538282694 STACY PFLUECKE M.ED., DT
Individual
Developmental Therapist1640 W ROOSEVELT RD COLLEGE OF EDUCATION, ROOM 336, MC 628
CHICAGO, IL 60608
(312) 413-9338
1356464416 MYRIAM EDITH GARCIA-RODRIGUEZ DT
Individual
Developmental Therapist1640 W ROOSEVELT RD CFDC MC628
CHICAGO, IL 60608
(312) 413-1383
1659533354DR. LORNA LUZ SANCHEZ PSYD
Individual
Psychologist (Clinical)1640 W ROOSEVELT RD (M/C 727) FIRST FLOOR ROOM 118
CHICAGO, IL 60608
(312) 413-1839
1336477645MS. MAI LYNN GRAJEWSKI LCSW
Individual
Social Worker (Clinical)1640 W ROOSEVELT RD
CHICAGO, IL 60608
(312) 413-1871
1003138561 JESSICA LYNN SCHULTZ M.A.
Individual
Counselor (Professional)1640 W ROOSEVELT RD
CHICAGO, IL 60608
(312) 996-7457
1750609079MS. KATHY HOOYENGA OTR/L , ATP, RET
Individual
Occupational Therapist (Environmental Modification)1640 W ROOSEVELT RD RM 415
CHICAGO, IL 60608
(312) 996-3196
1982916813 NICOLE QUINTERO PH.D. BCBA-D
Individual
Psychologist (Clinical)1640 W ROOSEVELT RD 122 DHSP MC 727
CHICAGO, IL 60608
(312) 996-4664
1598015455 TRACY MCKINNEY
Individual
Behavior Analyst1640 W ROOSEVELT RD
CHICAGO, IL 60608
(312) 355-4268
1124441068 LIZABETH FERNANDEZ
Individual
Social Worker1640 W ROOSEVELT RD MC 727
CHICAGO, IL 60608
(312) 413-1800
1265588792MS. IRMA HERNANDEZ LCSW
Individual
Social Worker (Clinical)1640 W ROOSEVELT RD MC 727
CHICAGO, IL 60608
(312) 413-1819
1386099539 FANI LEE
Individual
Occupational Therapist1640 W ROOSEVELT RD RM 413
CHICAGO, IL 60608
(312) 413-1555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467888974, enumerated in the NPI registry as an "individual" on September 17, 2013

The provider is located at 1640 W Roosevelt Rd Chicago, Il 60608 and the phone number is (312) 413-8043

The provider's speciality is Physical Therapist with taxonomy code 2251C2600X with a focus in Cardiopulmonary

The provider has more than 13 years of experience. He graduated from University Of Miami, Lm Miller School Of Medicine in 2013.

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. 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: uses technology to exchange and make use of healthcare information.

This NPI record was last updated on September 17, 2013. 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.