TYLER J PATRICK PT
NPI 1548693518
Physical Therapist in Kailua Kona, HI

NPI Status: Active since August 14, 2013

Contact Information

78-6831 ALII DR
#420
KAILUA KONA, HI
ZIP 96740
Phone: (808) 498-4144
Fax: (808) 498-4153

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

About TYLER PATRICK

This page provides the complete NPI Profile along with additional information for Tyler Patrick, a provider established in Kailua Kona, Hawaii with a medical specialization in Physical Therapist and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1548693518 assigned on August 2013. The practitioner's primary taxonomy code is 225100000X with license number PT-3896 (HI). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1548693518
Provider Name
TYLER J PATRICK PT
Gender
Male
Entity Type
Individual
Location Address
78-6831 ALII DR #420 KAILUA KONA, HI 96740
Location Phone
(808) 498-4144
Location Fax
(808) 498-4153
Mailing Address
78-6831 ALII DR #420 KAILUA KONA, HI 96740
Mailing Phone
(808) 498-4144
Mailing Fax
(808) 498-4153
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
08-14-2013
Last Update Date
11-28-2014
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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

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT-3896
License State
HI
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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

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

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6200 Individual and Family Network - EPO
  • Silver 6200 Legacy - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Tyler Patrick 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: 4789828179

    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: I20221108000353

    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.

Evaluation for physical therapy, typically 20 minutes

An 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 62 times for 58 patients

Evaluation for physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 14 times for 14 patients

Re-evaluation for physical therapy, typically 20 minutes

A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.

This service was performed 20 times for 18 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This 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 262 times for 38 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This 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 378 times for 40 patients

Therapy procedure using functional activities

A 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 1,192 times for 101 patients

Therapy procedure using manual technique, each 15 minutes

This 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 908 times for 85 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.12 for a new patient copayment and $18.73 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 96740 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.5
  • Minimum New Patient Price $60.53
  • Maximum New Patient Price $180.05
  • Average New Patient Copayment $23.12
  • Minimum New Patient Copayment $15.13
  • Maximum New Patient Copayment $45.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.92
  • Minimum Established Patient Price $20.09
  • Maximum Established Patient Price $147.56
  • Average Established Patient Copayment $18.73
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $36.89

* 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.
1548693518
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588129652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 9 + 6 + 5 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1548693518 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 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902956360PUNA PLANTATION HAWAII, LTD.
Organization
Durable Medical Equipment & Medical Supplies78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 322-2511
1497801773 PEGGY J BASINGA C.PH.T
Individual
Pharmacy Technician78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 929-9296
1972927119THERAPYDIA, INC.
Organization
Clinic/Center (Physical Therapy)78-6831 ALII DR #420
KAILUA KONA, HI 96740
(415) 533-4863
1679598759DR. HARNATH CHRISTOPHER HOLMES M.D.
Individual
Obstetrics & Gynecology78-6831 ALII DR SUITE 422
KAILUA KONA, HI 96740
(808) 747-8321
1730744640 JAIME ANGELYN WESTLUND NP
Individual
Nurse Practitioner78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 747-8725
1003016171LONGS DRUG STORES CALIFORNIA INC.
Organization
Durable Medical Equipment & Medical Supplies78-6831 ALII DR STE H
KAILUA KONA, HI 96740
(808) 322-6627
1922349679 RYAN ELIZABETH SENSECQUA D.O.
Individual
Surgery78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 747-8321
1437722493 MICAH K ANDRADE NP
Individual
Nurse Practitioner (Acute Care)78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 747-8321
1518057017PUNA PLANTATION HAWAII, LTD.
Organization
Pharmacy (Community/Retail Pharmacy)78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 322-2511
1285096255 VICTORIA ANNE SCALA M.D.
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 909-2263

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548693518, enumerated in the NPI registry as an "individual" on August 14, 2013

The provider is located at 78-6831 Alii Dr #420 Kailua Kona, Hi 96740 and the phone number is (808) 498-4144

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider has more than 13 years of experience.

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. 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 $92.5 with an average copayment of $23.12 for new patient appointments. Established patients should expect a typical charge of $74.92 and an average copayment of 18.73. 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: Evaluation for physical therapy, typically 20 minutes, Evaluation for physical therapy, typically 30 minutes, Re-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 August 14, 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.