MARCUS W. METCALF DPT
NPI 1639321425
Physical Therapist in Tulsa, OK
NPI Status: Active since October 13, 2008
- Individual
- Male
- Years of Experience 18
- Physical Therapist
- Accepts Insurance
- May Accept Medicare Approved Payment
About MARCUS METCALF
This page provides the complete NPI Profile along with additional information for Marcus Metcalf, a provider established in Tulsa, Oklahoma with a medical specialization in Physical Therapist and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1639321425 assigned on October 2008. The practitioner's primary taxonomy code is 225100000X with license number 4157 (OK). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1639321425
- Provider Name
- MARCUS W. METCALF DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4004 S YALE AVE TULSA, OK 74135
- Location Phone
- (918) 622-4126
- Mailing Address
- 105 E 19TH ST TULSA, OK 74119
- Mailing Phone
- (918) 232-5935
- Medical School Name
- OTHER
- Graduation Year
- 2008
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-13-2008
- Last Update Date
- 01-21-2009
- 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.
- 4157
- License State
- OK
- 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 PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Bronze HMO? 902 - HMO
- MyBlue Bronze HMO? 904 - HMO
- MyBlue Bronze HMO? Standard - HMO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- MyBlue Silver HMO? 705 - 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 |
|---|---|---|---|
| OK401663 | MEDICARE PIN (08) | OK |
Medicare Participation & PECOS Enrollment Status
Marcus Metcalf is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
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: 3375606817
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: I20090109000655
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? Maybe
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.
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using manual technique, 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 642 times for 24 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 479 times for 25 patientsReviews for MARCUS W. METCALF DPT
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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 | 3 | 2 | 1 | 4 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 2 | 2 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 2 + 2 + 4 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1639321425 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700858842 | MR. LEE KENNETH HARGROVE PT Individual | Physical Therapist | 4004 S YALE AVE TULSA, OK 74135 (918) 622-4278 |
| 1851303481 | MS. KARA B WERNLI MPT Individual | Physical Therapist | 4004 S YALE AVE TULSA, OK 74135 (918) 622-4278 |
| 1619081858 | MR. VINCENT C FRISILLO P.T. Individual | Physical Therapist | 4004 S YALE AVE TULSA, OK 74135 (918) 622-4126 |
| 1619081882 | MS. JACQUELINE G DEAL P.T. Individual | Physical Therapist | 4004 S YALE AVE TULSA, OK 74135 (918) 622-4126 |
| 1588773329 | JEAN MICHELLE PRYOR OT Individual | Occupational Therapist (Hand) | 4004 S YALE AVE TULSA, OK 74135 (918) 622-4126 |
| 1679769947 | MR. MATTHEW JOHN BLACK MPT Individual | Physical Therapist | 4004 S YALE AVE TULSA, OK 74135 (918) 622-4126 |
| 1134360431 | DALTON CHRISTOPHER SMITH P.T. Individual | Physical Therapist | 4004 S YALE AVE TULSA, OK 74135 (918) 622-4126 |
| 1841502895 | LINZI M. HIGHTOWER M.P.T. Individual | Physical Therapist | 4004 S YALE AVE TULSA, OK 74135 (918) 622-4126 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639321425, enumerated in the NPI registry as an "individual" on October 13, 2008
The provider is located at 4004 S Yale Ave Tulsa, Ok 74135 and the phone number is (918) 622-4126
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 18 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: 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 October 13, 2008. 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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