CLAYTON MEIRON
NPI 1770243537
Physical Therapist in Austin, TX
NPI Status: Active since December 21, 2021
Contact Information
4607 MENCHACA RD
AUSTIN, TX
ZIP 78745
Phone: (512) 916-1511
Fax: (512) 916-1511
- Individual
- Male
- Years of Experience 5
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About CLAYTON MEIRON
This page provides the complete NPI Profile along with additional information for Clayton Meiron, a provider established in Austin, Texas with a medical specialization in Physical Therapist and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1770243537 assigned on December 2021. The practitioner's primary taxonomy code is 225100000X with license number 1355886 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago. Clayton Meiron operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.
- NPI
- 1770243537
- Provider Name
- CLAYTON MEIRON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4607 MENCHACA RD AUSTIN, TX 78745
- Location Phone
- (512) 916-1511
- Location Fax
- (512) 916-1511
- Mailing Address
- 4607 MENCHACA RD AUSTIN, TX 78745
- Mailing Phone
- (512) 916-1511
- Mailing Fax
- (512) 916-1511
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-21-2021
- Last Update Date
- 12-21-2021
- 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.
- 1355886
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- 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
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - 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
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
- Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
- Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
- Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
- Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
- Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
- Sendero Health Real Gold / $350 Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Clayton Meiron 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: 9133584238
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: I20230425000706
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: $22.25 for a new patient copayment and $17.98 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 78745 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.03
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $22.25
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.95
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $17.98
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* 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 CLAYTON MEIRON
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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 | 7 | 7 | 0 | 2 | 4 | 3 | 5 | 3 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 14 | 0 | 4 | 4 | 6 | 5 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 4 + 0 + 4 + 4 + 6 + 5 + 6 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1770243537 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 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1245866961 | ASHLEY HANCOCK Individual | Physical Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1285242206 | MARIA VALDEZ Individual | Speech-Language Pathologist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1609486604 | JOANNE BURESS Individual | Speech-Language Pathologist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1588270367 | JAHAIRA HERNANDEZ MA CCC-SLP Individual | Speech-Language Pathologist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1316540958 | ANNA POWELL Individual | Physical Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1679159339 | BRITTANY BISHOP Individual | Occupational Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1952973901 | JOY-ALEXANDRA SABATTUS Individual | Speech-Language Pathologist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1528705969 | JESSE REEVES MOT, OTR/L Individual | Occupational Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1982342176 | BETHANY HAMMOND MS, CCC-SLP Individual | Speech-Language Pathologist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1740910249 | GINA DENAE HENDERSON DPT Individual | Physical Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1811629835 | TIFFANY LEE OTD Individual | Occupational Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1033837935 | LYNELLE SYLLIAASEN MS CCC-SLP Individual | Speech-Language Pathologist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1144945502 | DEBORAH BRYANT OTR/L Individual | Occupational Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1609591064 | GAYLA DANIELLE HARPER MOT, OTR Individual | Occupational Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1265145080 | JUSSARA VITORINO WOILER CCC-SLP, PHD Individual | Speech-Language Pathologist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1437835717 | COLLEEN DONOVAN Individual | Speech-Language Pathologist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1558047886 | MILLICENT HULLENDER Individual | Speech-Language Pathologist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1447022801 | KATHRYN MARY GARLID MOT, OTR/L Individual | Occupational Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1497536619 | JANET CAROL STELLY Individual | Occupational Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
1649737354 | SONIA MENDONCA Individual | Occupational Therapist | 4607 MENCHACA RD AUSTIN, TX 78745 (512) 916-1511 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770243537, enumerated in the NPI registry as an "individual" on December 21, 2021
The provider is located at 4607 Menchaca Rd Austin, Tx 78745 and the phone number is (512) 916-1511
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 5 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, AvMed, Blue Cross and Blue. 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 $89.03 with an average copayment of $22.25 for new patient appointments. Established patients should expect a typical charge of $71.95 and an average copayment of 17.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 21, 2021. 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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