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
- 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
- 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 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) |
---|---|---|---|---|
1 | 225100000X | Respiratory, 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 |
---|---|---|---|
PT023081 | OTHER (01) | PA | PENNSYLVANNIA 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.
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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.
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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.
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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. | |||||||||
1 | 4 | 6 | 7 | 8 | 8 | 8 | 9 | 7 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 12 | 7 | 16 | 8 | 16 | 9 | 14 | |
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 = 4 | 4 |
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 Therapist | 1640 W ROOSEVELT RD ROOM 336 (M/C 628) CHICAGO, IL 60608 (312) 413-1563 |
1548355449 | MARJORIE WILKEY Individual | Speech-Language Pathologist | 1640 W ROOSEVELT RD ROOM 336 (M/C 628) CHICAGO, IL 60608 (312) 413-1563 |
1366537110 | MICHELLE M BULANDA Individual | Physical Therapist | 1640 W ROOSEVELT RD ROOM 336 (M/C 628) CHICAGO, IL 60608 (312) 413-1563 |
1629166806 | ANN T. CUTLER Individual | Pediatrics | 1640 W ROOSEVELT RD 2ND FLOOR CHICAGO, IL 60608 (312) 413-1849 |
1154410603 | PENELOPE BERNSTEIN Individual | Specialist/Technologist, Other | 1640 W ROOSEVELT RD CHICAGO, IL 60608 (312) 413-8119 |
1699858902 | MARY CATHERINE BACCI PT Individual | Physical Therapist | 1640 W ROOSEVELT RD MAIL CODE 726 CHICAGO, IL 60608 (312) 413-7786 |
1578617379 | MS. PAMELA S. BONDY M.S. Individual | Speech-Language Pathologist | 1640 W ROOSEVELT RD CHICAGO, IL 60608 (312) 996-2384 |
1487709697 | DR. SHEILA MCCOWAN DONOVAN PH.D., M.S.W. Individual | Psychologist (Clinical) | 1640 W ROOSEVELT RD CHICAGO, IL 60608 (312) 996-0932 |
1487791430 | MS. SARA L SHIELDS-COLE M.S.CCC-SLP-L Individual | Speech-Language Pathologist | 1640 W ROOSEVELT RD CHICAGO, IL 60608 (312) 413-1486 |
1538282694 | STACY PFLUECKE M.ED., DT Individual | Developmental Therapist | 1640 W ROOSEVELT RD COLLEGE OF EDUCATION, ROOM 336, MC 628 CHICAGO, IL 60608 (312) 413-9338 |
1356464416 | MYRIAM EDITH GARCIA-RODRIGUEZ DT Individual | Developmental Therapist | 1640 W ROOSEVELT RD CFDC MC628 CHICAGO, IL 60608 (312) 413-1383 |
1659533354 | DR. LORNA LUZ SANCHEZ PSYD Individual | Psychologist (Clinical) | 1640 W ROOSEVELT RD (M/C 727) FIRST FLOOR ROOM 118 CHICAGO, IL 60608 (312) 413-1839 |
1336477645 | MS. 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 |
1750609079 | MS. 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 Analyst | 1640 W ROOSEVELT RD CHICAGO, IL 60608 (312) 355-4268 |
1124441068 | LIZABETH FERNANDEZ Individual | Social Worker | 1640 W ROOSEVELT RD MC 727 CHICAGO, IL 60608 (312) 413-1800 |
1265588792 | MS. IRMA HERNANDEZ LCSW Individual | Social Worker (Clinical) | 1640 W ROOSEVELT RD MC 727 CHICAGO, IL 60608 (312) 413-1819 |
1386099539 | FANI LEE Individual | Occupational Therapist | 1640 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.