MARCO A SURIANO DPT
NPI 1558974287
Physical Therapist in El Paso, TX
NPI Status: Active since August 24, 2020
Contact Information
4758 LOMA DEL SUR DR
EL PASO, TX
ZIP 79934
Phone: (915) 755-0738
Fax: (915) 755-6941
- Individual
- Male
- Years of Experience 6
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About MARCO SURIANO
This page provides the complete NPI Profile along with additional information for Marco Suriano, a provider established in El Paso, Texas with a medical specialization in Physical Therapist and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1558974287 assigned on August 2020. The practitioner's primary taxonomy code is 225100000X with license number 1337133 (TX). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1558974287
- Provider Name
- MARCO A SURIANO DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4758 LOMA DEL SUR DR EL PASO, TX 79934
- Location Phone
- (915) 755-0738
- Location Fax
- (915) 755-6941
- Mailing Address
- 4758 LOMA DEL SUR DR EL PASO, TX 79934
- Mailing Phone
- (915) 755-0738
- Medical School Name
- OTHER
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-24-2020
- Last Update Date
- 08-24-2020
- 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.
- 1337133
- License State
- TX
- 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:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Marco Suriano 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: 446623219
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: I20230224001657
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: $21.23 for a new patient copayment and $17.13 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 79934 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.55
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $17.13
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* 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.
Reviews for MARCO A SURIANO DPT
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 5 | 5 | 8 | 9 | 7 | 4 | 2 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 18 | 7 | 8 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 8 + 7 + 8 + 2 + 1 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1558974287 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073816930 | ROY E KOHN IV DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR SUITE A EL PASO, TX 79934 (915) 755-6941 |
| 1417296302 | MARCOS FEDERICO LOPEZ PT, DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR SUITE A EL PASO, TX 79934 (915) 755-0738 |
| 1245518372 | MR. DAVID MIDDAUGH JR. DPT Individual | Physical Therapist (Orthopedic) | 4758 LOMA DEL SUR DR SUITE A EL PASO, TX 79934 (915) 755-0738 |
| 1336558535 | ANDREW CISNEROS Individual | Physical Therapist | 4758 LOMA DEL SUR DR SUITE A EL PASO, TX 79934 (915) 755-0738 |
| 1326430562 | JOSEPH COLE PT, DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR SUITE A EL PASO, TX 79934 (915) 755-0738 |
| 1740649326 | JOSE M CHAPARRO OTR Individual | Occupational Therapist | 4758 LOMA DEL SUR DR SUITE A EL PASO, TX 79934 (915) 755-0738 |
| 1417495888 | ADAM VARGAS Individual | Physical Therapist | 4758 LOMA DEL SUR DR SUITE A EL PASO, TX 79934 (915) 755-0738 |
| 1609314988 | JEREMY ANDREW COLE Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-0738 |
| 1730627605 | JUSTIN VALDEZ PT, DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-0738 |
| 1356774376 | MS. MARGARET LOUISE BRIGGS PT Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-0738 |
| 1205335155 | KATE ALEXIS ROBY DPT, PT Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-0738 |
| 1407467251 | JON MICHAEL TYE DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-0738 |
| 1699442244 | STEVEN RAY MEDINA DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-0738 |
| 1912625666 | OSCAR ALBERTO MARTINEZ PT, DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-6941 |
| 1750307344 | LOUIS E. ZUNIGA, PT, PC Organization | Physical Therapist | 4758 LOMA DEL SUR DR SUITE A EL PASO, TX 79934 (915) 755-0738 |
| 1235811472 | LAUREN CHRISTINE PARKER DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-6941 |
| 1902681307 | MR. ANDRES HORACIO FERNANDEZ DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-0738 |
| 1932626348 | RONALD RAMON PT, DPT, ATC Individual | Physical Therapist | 4758 LOMA DEL SUR DR EL PASO, TX 79934 (915) 755-0738 |
| 1801211248 | JARROD OCHOA PT, DPT Individual | Physical Therapist | 4758 LOMA DEL SUR DR SUITE A EL PASO, TX 79934 (915) 755-0738 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558974287, enumerated in the NPI registry as an "individual" on August 24, 2020
The provider is located at 4758 Loma Del Sur Dr El Paso, Tx 79934 and the phone number is (915) 755-0738
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 6 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Oscar. 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 $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $68.55 and an average copayment of 17.13. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 24, 2020. 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.