MICHELLE L CAFFEY P.T.
NPI 1639176506
Physical Therapist in Omaha, NE
NPI Status: Active since July 06, 2005
Contact Information
16120 W DODGE RD
OMAHA, NE
ZIP 68118
Phone: (402) 354-0410
Fax: (402) 354-0415
- Individual
- Female
- Years of Experience 26
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About MICHELLE CAFFEY
This page provides the complete NPI Profile along with additional information for Michelle Caffey, a provider established in Omaha, Nebraska with a medical specialization in Physical Therapist and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1639176506 assigned on July 2005. The practitioner's primary taxonomy code is 225100000X with license number 1917 (NE). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1639176506
- Provider Name
- MICHELLE L CAFFEY P.T.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 16120 W DODGE RD OMAHA, NE 68118
- Location Phone
- (402) 354-0410
- Location Fax
- (402) 354-0415
- Mailing Address
- PO BOX 3755 OMAHA, NE 68103
- Mailing Phone
- (402) 354-2100
- Mailing Fax
- (402) 354-0415
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-06-2005
- Last Update Date
- 12-31-2013
- 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.
- 1917
- License State
- NE
- 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.
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 | 03132 (IA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Premier - EPO
- Elevate by Medica Bronze Share - EPO
- Elevate by Medica Expanded Bronze Standard - EPO
- Elevate by Medica Gold $0 Copay PCP Visits - EPO
- Elevate by Medica Gold Share - EPO
- Elevate by Medica Gold Standard - EPO
- Elevate by Medica Silver $0 Copay PCP Visits - EPO
- Elevate by Medica Silver Share - EPO
- Elevate by Medica Silver Standard - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - 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 |
---|---|---|---|
10025895900 | MEDICAID (05) | NE | |
10026056700 | MEDICAID (05) | NE | |
10025896000 | MEDICAID (05) | NE | |
10025941700 | MEDICAID (05) | NE | |
10026252200 | MEDICAID (05) | NE | |
099099088 | MEDICARE PIN (08) | NE | |
1639176506 | MEDICAID (05) | IA | |
10025896100 | MEDICAID (05) | NE |
Medicare Participation & PECOS Enrollment Status
Michelle Caffey 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: 1456376789
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: I20051027000440
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.
Application of ultrasound, each 15 minutes
Evaluation for physical therapy, typically 20 minutes
Evaluation for physical therapy, typically 30 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using manual technique, each 15 minutes
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
This service was performed 40 times for 12 patientsAn 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 13 times for 13 patientsAn 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 30 times for 24 patientsThis 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 960 times for 59 patientsThis 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 134 times for 15 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.3 for a new patient copayment and $16.5 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 68118 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.2
- Minimum New Patient Price $52.69
- Maximum New Patient Price $160.21
- Average New Patient Copayment $20.3
- Minimum New Patient Copayment $13.17
- Maximum New Patient Copayment $40.05
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $131.25
- Average Established Patient Copayment $16.5
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.81
* 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. | |||||||||
1 | 6 | 3 | 9 | 1 | 7 | 6 | 5 | 0 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 2 | 7 | 12 | 5 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 2 + 7 + 1 + 2 + 5 + 0 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1639176506 is valid because the calculated check digit 6 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 |
---|---|---|---|
1841346368 | JEREMY S. CAMPBELL P.A. Individual | Physician Assistant | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0707 |
1477862993 | DIANE G RYAN OT Individual | Occupational Therapist | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0410 |
1225062680 | DR. MATTHEW CHARLES WEILAND D.O. Individual | Family Medicine | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0610 |
1477666402 | DR. STEVEN T BAILEY M.D. Individual | Internal Medicine | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0550 |
1851406524 | DR. MICHAEL F GIITTER M.D. Individual | Internal Medicine | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0550 |
1720194947 | DR. HAROLD R HUFF M.D. Individual | Family Medicine | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0610 |
1538279708 | VIRGINIA (GINNY) M RIPLEY M.D. Individual | Family Medicine | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0610 |
1700997772 | MS. KRISTINE T STORY APRN Individual | Nurse Practitioner | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0550 |
1093826497 | MS. SUSAN H WALLACE APRN Individual | Nurse Practitioner | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0550 |
1386741981 | DR. M. SUZAN CRABB M.D. Individual | Internal Medicine | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0550 |
1609910397 | DAVID P. STEARNES D.O. Individual | Internal Medicine | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0550 |
1568669703 | DR. CHAD ALLAN READE M.D. Individual | Internal Medicine | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0550 |
1861700098 | BETH A CAMMACK OT Individual | Occupational Therapist | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0410 |
1831489517 | MR. JOHN R OLIN PA-C Individual | Physician Assistant | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0707 |
1922081306 | PATRICK CHARLES WILSON MPT Individual | Physical Therapist | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0410 |
1629044656 | MRS. WENDY KIRSTEN TEETOR PT Individual | Physical Therapist | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0410 |
1851597231 | CHYUN C YAO PT, DPT Individual | Physical Therapist | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-2100 |
1083923270 | KRISTINE M. STIENIKE PT Individual | Physical Therapist | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0410 |
1841594322 | LEIANNA SUE SCHROEDER OT Individual | Occupational Therapist | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0410 |
1083910582 | JULIE L JESSEN MPT Individual | Physical Therapist | 16120 W DODGE RD OMAHA, NE 68118 (402) 354-0410 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639176506, enumerated in the NPI registry as an "individual" on July 06, 2005
The provider is located at 16120 W Dodge Rd Omaha, Ne 68118 and the phone number is (402) 354-0410
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 26 years of experience.
The provider might be accepting Accepts: Medica, Wellmark Health Plan of Iowa, Inc.,. 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 $81.2 with an average copayment of $20.3 for new patient appointments. Established patients should expect a typical charge of $66 and an average copayment of 16.5. 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: Application of ultrasound, each 15 minutes, Evaluation for physical therapy, typically 20 minutes, Evaluation for physical therapy, typically 30 minutes, Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes and Therapy procedure using manual technique, each 15 minutes.
This NPI record was last updated on July 06, 2005. 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].
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