DR. FREDERICK J WEIGAND MD NPI 1003000522

Family Medicine (Adult Medicine) in Deltona, FL

NPI 1003000522 Individual Male Family Medicine Adult Medicine PECOS Enrolled MIPS Quality Score 89.9

NPI Profile for DR. FREDERICK J WEIGAND MD

Frederick Weigand is a primary care provider established in Deltona, Florida and his medical specialization is family medicine (adult medicine) . The NPI number of Frederick Weigand is 1003000522 and was assigned on August 2007. The practitioner's primary taxonomy code is 207QA0505X with license number ME13473 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.

A primary care provider (PCP) like Dr. Frederick J Weigand Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Frederick Weigand is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices..

Frederick Weigand is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

NPI

1003000522

Provider NameDR. FREDERICK J WEIGAND MD
Provider Location Address1565 SAXON BLVD SUITE 102 DELTONA, FL 32725
Provider Mailing Address1565 SAXON BLVD STE 102 DELTONA, FL 32725
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-28-2007
Last Update Date01-04-2016


Primary Taxonomy

Taxonomy Code207QA0505X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationAdult Medicine
License No.ME13473
License StateFL
Taxonomy DescriptionDefinition to come.

Business Address

DR. FREDERICK J WEIGAND MD
1565 SAXON BLVD
SUITE 102
DELTONA, FL
ZIP 32725
Phone: (386) 917-7395
Fax: (386) 532-7152

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Mailing Address

DR. FREDERICK J WEIGAND MD
1565 SAXON BLVD STE 102
DELTONA, FL
ZIP 32725
Phone: (386) 917-7395
Fax: (386) 532-7152



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingNo
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 55.8
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 89.9
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 44Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 33Removal of impact ear wax, one ear (HCPCS:69210)
  • 18Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 11Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D57592OTHER (01)FLUPIN
64212ZMEDICARE PIN (08)FL

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003000522
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200300054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 0 + 5 + 4 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003000522 is valid because the calculated check digit 2 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
1689787707DR. ALEX DAVID KHROMOV M.D.
Individual
Specialist1565 SAXON BLVD SUITE 204
DELTONA, FL 32725
(386) 742-4343
1003909607ABILITY HEALTH SERVICES, INC
Organization
Durable Medical Equipment & Medical Supplies (Customized Equipment)1565 SAXON BLVD 301
DELTONA, FL 32725
(386) 851-0901
1669560496 JEREMY ZELL DPT
Individual
Physical Therapist1565 SAXON BLVD
DELTONA, FL 32725
(386) 851-0901
1750598397MR. SCOTT A DURFEE PT
Individual
Physical Therapist1565 SAXON BLVD SUITE 301
DELTONA, FL 32725
(386) 851-0901
1770790966 NICOLE VANESSA GREGORY M. ED CCC - SLP
Individual
Speech-Language Pathologist1565 SAXON BLVD SUITE 301
DELTONA, FL 32725
(386) 851-0901
1508057472MRS. AMY LOUISE CAMPANELLA B.S. IN OT
Individual
Occupational Therapist1565 SAXON BLVD SUITE 301
DELTONA, FL 32725
(386) 851-0901
1033384177MR. RON LAU PTA
Individual
Physical Therapy Assistant1565 SAXON BLVD SUITE 301
DELTONA, FL 32725
(386) 851-0901
1265608277 AMY NICOLE CHRISTMAN PTA
Individual
Physical Therapy Assistant1565 SAXON BLVD SUITE 301
DELTONA, FL 32725
(386) 851-0901
1528203593SSP MEDICINE INC
Organization
Clinic/Center (Medical Specialty)1565 SAXON BLVD SUITE 204
DELTONA, FL 32725
(386) 742-4343
1962633016ABILITY REHABILITATION
Organization
Clinic/Center (Physical Therapy)1565 SAXON BLVD SUITE 301
DELTONA, FL 32725
(386) 851-0901
1891019204MS. KRISTA NICOLE FRANKS
Individual
Massage Therapist1565 SAXON BLVD STE. 301
DELTONA, FL 32725
(386) 851-0901
1558645838 LESLEY ROBYN YAMSHON PTA
Individual
Physical Therapy Assistant1565 SAXON BLVD SUITE 301
DELTONA, FL 32725
(386) 851-0901
1023383841MRS. AMANDA ALLISON MACDADE
Individual
Physical Therapy Assistant1565 SAXON BLVD 301
DELTONA, FL 32725
(386) 851-0901
1528333960 RYAN SCOTT CURRIN PTA
Individual
Physical Therapy Assistant1565 SAXON BLVD SUITE 301
DELTONA, FL 32725
(386) 851-0901
1427488287DR. DAVID EDUARDO ZEVALLOS PT, DPT
Individual
Physical Therapist1565 SAXON BLVD
DELTONA, FL 32725
(386) 851-0901
1043637556 SHAYLA TORRES SANCHEZ
Individual
Specialist1565 SAXON BLVD
DELTONA, FL 32725
(407) 878-1189
1336172626SOUTHWEST VOLUSIA MEDICAL ASSOC.
Organization
Family Medicine (Adult Medicine)1565 SAXON BLVD #202
DELTONA, FL 32725
(386) 789-5550
1588071997 KIMBERLY WILKOWSKI
Individual
Physical Therapy Assistant1565 SAXON BLVD
DELTONA, FL 32725
(386) 851-0901
1154739126MR. SEAN COLMAN PTA
Individual
Physical Therapy Assistant1565 SAXON BLVD SUITE 301
DELTONA, FL 32725
(407) 413-2432
1083095608 BRYAN MICHAEL PHILLIPS LMT
Individual
Massage Therapist1565 SAXON BLVD STE 301
DELTONA, FL 32725
(386) 851-0901

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Frederick J Weigand Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.