STEPHEN C HEGARTY DPT
NPI 1659064954
Physical Therapist - Orthopedic in Milwaukee, WI
NPI Status: Active since June 01, 2023
- Individual
- Male
- Years of Experience 4
- Physical Therapist
- Orthopedic
- Accepts Insurance
- Accepts Medicare Approved Payment
About STEPHEN HEGARTY
This page provides the complete NPI Profile along with additional information for Stephen Hegarty, a provider established in Milwaukee, Wisconsin with a medical specialization in Physical Therapist, focusing in orthopedic and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1659064954 assigned on June 2023. The practitioner's primary taxonomy code is 2251X0800X with license number 070026710 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1659064954
- Provider Name
- STEPHEN C HEGARTY DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1271 N 6TH ST MILWAUKEE, WI 53212
- Location Phone
- (414) 777-7700
- Mailing Address
- 2909 S ORLEANS AVE WEST ALLIS, WI 53227
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-01-2023
- Last Update Date
- 05-19-2024
- 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 Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 070026710
- License State
- IL
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Stephen Hegarty 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: 7214378983
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: I20240513000789
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.
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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 | 5 | 9 | 0 | 6 | 4 | 9 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 0 | 6 | 8 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 0 + 6 + 8 + 9 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1659064954 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1073038162 | KATHRYN GEROULIS HENSCHEL PT Individual | Physical Therapist | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1033690433 | BRANDON J WEIGEL DPT Individual | Physical Therapist | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 805-3666 |
| 1932257623 | DR. ADAM GIDEON KING MS, MD Individual | Internal Medicine | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1619538972 | DR. BENJAMIN SORENSON DPT Individual | Physical Therapist | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 805-3666 |
| 1104809052 | TRACY LYN FARREY PT Individual | Physical Therapist | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1003360561 | DR. LAITH SHAMAN D.P.M Individual | Podiatrist (Foot & Ankle Surgery) | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 805-3666 |
| 1528599693 | DR. ANSHU AGGARWAL Individual | Family Medicine | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 805-3666 |
| 1558852673 | JOSEPH FLEMING Individual | Physical Therapist | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1447593587 | ERIKA L KONKEL D.O Individual | Obstetrics & Gynecology | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1073845905 | MRS. VIET VIGNIERI PA-C Individual | Physician Assistant | 1271 N 6TH ST MILWAUKEE, WI 53212 (262) 978-9100 |
| 1306448139 | EMILY RUTH KRAUS FNP-C Individual | Nurse Practitioner (Family) | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1396828851 | MS. MICHELLE L. SKIERKA MSN, APNP, FNP-BC Individual | Nurse Practitioner (Family) | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1225721749 | MAYA PULEO PT, DPT Individual | Physical Therapist (Orthopedic) | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9037 |
| 1639853211 | KATHLEEN NICOLE SLUSARCZYK Individual | Nurse Practitioner (Family) | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1689350902 | JAMES KEELER PTA Individual | Physical Therapy Assistant | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9071 |
| 1316485824 | REBECCA VOSS PT Individual | Physical Therapist | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1639608177 | FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC. Organization | Durable Medical Equipment & Medical Supplies | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1962457986 | LILY T SALUD PA Individual | Physician Assistant | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1265182042 | ASHLEY MARIE PIETERS APNP Individual | Nurse Practitioner (Family) | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
| 1205170404 | MARIA K CHILBERT DPT Individual | Physical Therapist | 1271 N 6TH ST MILWAUKEE, WI 53212 (414) 978-9100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659064954, enumerated in the NPI registry as an "individual" on June 01, 2023
The provider is located at 1271 N 6th St Milwaukee, Wi 53212 and the phone number is (414) 777-7700
The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic
The provider has more than 4 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 01, 2023. 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.