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

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  • 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
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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.
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.
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.

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

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
10025895900MEDICAID (05)NE 
10026056700MEDICAID (05)NE 
10025896000MEDICAID (05)NE 
10025941700MEDICAID (05)NE 
10026252200MEDICAID (05)NE 
099099088MEDICARE PIN (08)NE 
1639176506MEDICAID (05)IA 
10025896100MEDICAID (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

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 patients

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 13 times for 13 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 30 times for 24 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 960 times for 59 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 134 times for 15 patients

Physician 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.

Reviews for MICHELLE L CAFFEY P.T.

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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.
1639176506
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669271250
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 = 66

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 Assistant16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0707
1477862993 DIANE G RYAN OT
Individual
Occupational Therapist16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0410
1225062680DR. MATTHEW CHARLES WEILAND D.O.
Individual
Family Medicine16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0610
1477666402DR. STEVEN T BAILEY M.D.
Individual
Internal Medicine16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0550
1851406524DR. MICHAEL F GIITTER M.D.
Individual
Internal Medicine16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0550
1720194947DR. HAROLD R HUFF M.D.
Individual
Family Medicine16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0610
1538279708 VIRGINIA (GINNY) M RIPLEY M.D.
Individual
Family Medicine16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0610
1700997772MS. KRISTINE T STORY APRN
Individual
Nurse Practitioner16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0550
1093826497MS. SUSAN H WALLACE APRN
Individual
Nurse Practitioner16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0550
1386741981DR. M. SUZAN CRABB M.D.
Individual
Internal Medicine16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0550
1609910397 DAVID P. STEARNES D.O.
Individual
Internal Medicine16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0550
1568669703DR. CHAD ALLAN READE M.D.
Individual
Internal Medicine16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0550
1861700098 BETH A CAMMACK OT
Individual
Occupational Therapist16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0410
1831489517MR. JOHN R OLIN PA-C
Individual
Physician Assistant16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0707
1922081306 PATRICK CHARLES WILSON MPT
Individual
Physical Therapist16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0410
1629044656MRS. WENDY KIRSTEN TEETOR PT
Individual
Physical Therapist16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0410
1851597231 CHYUN C YAO PT, DPT
Individual
Physical Therapist16120 W DODGE RD
OMAHA, NE 68118
(402) 354-2100
1083923270 KRISTINE M. STIENIKE PT
Individual
Physical Therapist16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0410
1841594322 LEIANNA SUE SCHROEDER OT
Individual
Occupational Therapist16120 W DODGE RD
OMAHA, NE 68118
(402) 354-0410
1083910582 JULIE L JESSEN MPT
Individual
Physical Therapist16120 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].
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.