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Sam L Pettibon

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NPI Number Detailed Information

Provider Information:

Name: Sam L Pettibon
Gender: M
Provider License Number If Given: 2174

NPI Information:

NPI: 1386860492
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/17/2007

Last Update Date: 5/2/2012

Reputation Report:

Provider Business Mailing Address:

Address: 30804 PACIFIC HWY S
Federal Way, WA 98003
Phone Number: 2538395644
Fax Number: 2538392625

Provider Business Practice Location Address:

Address: 30804 PACIFIC HWY S
Federal Way, WA 98003
Phone Number: 2538395644
Fax Number: 2538392625

Provider Taxonomy:

Primary: 111NR0400X
Secondary (if any):
State: WA

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About Sam L Pettibon

Sam L Pettibon ( SAM L PETTIBON ) is Rehabilitation Chiropractor Physician in Federal Way, WA. The NPI Number for Sam L Pettibon is 1386860492.
The current location address for Sam L Pettibon is 30804 PACIFIC HWY S Federal Way, WA 98003 and the contact number is 2538395644 and fax number is 2538392625. The mailing address for Sam L Pettibon is 30804 PACIFIC HWY S Federal Way, WA 98003- 2538395644 (mailing address contact number - 2538395644).
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

Provider Business Location on Map

FAQs:

What is the NPI Number for Sam L Pettibon ?


Answer: The NPI Number for Sam L Pettibon is 1386860492

Where is Sam L Pettibon located?


Answer: Sam L Pettibon is located at 30804 PACIFIC HWY S Federal Way, WA 98003.

What is the specialty for Sam L Pettibon ?


Answer: The Specialty of Sam L Pettibon is Rehabilitation Chiropractor Physician.

Are there any online reviews for Sam L Pettibon ?


Answer: Yes! Check It Now.

Are there any other health care providers in Federal Way, WA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Sam L Pettibon

Number of HCPCS 1
Number of Medicare Beneficiaries 15
Number of Services 338
Total Submitted Charge Amount 20280
Total Medicare Allowed Amount 14963.26
Total Medicare Payment Amount 11083.9
Total Medicare Standardized Payment Amount 9926.15
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 1
Number of Medicare Beneficiaries With Medical 15
Number of Medical Services 338
Total Medical Submitted Charge Amount 20280
Total Medical Medicare Allowed Amount 14963.26
Total Medical Medicare Payment Amount 11083.9
Total Medical Medicare Standardized Payment Amount 9926.15
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension 0.73
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7649

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