ZACHARY MARK GATTON M.D.
NPI 1003000704
Anesthesiology in Mount Vernon, OH


Quality Rating: 95.02 out of 100 score

NPI Status: Active since September 05, 2007

Contact Information

1330 COSHOCTON AVE
MOUNT VERNON, OH
ZIP 43050
Phone: (740) 393-6585

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  • Individual
  • Male
  • Years of Experience 17
  • Anesthesiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ZACHARY GATTON

Zachary Gatton is an anesthesiologist established in Mount Vernon, Ohio and his medical specialization is Anesthesiology with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1003000704 assigned on September 2007. The practitioner's primary taxonomy code is 207L00000X with license number 35097335 (OH). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1003000704
Provider Name
ZACHARY MARK GATTON M.D.
Gender
Male
Entity Type
Individual
Location Address
1330 COSHOCTON AVE MOUNT VERNON, OH 43050
Location Phone
(740) 393-6585
Mailing Address
1330 COSHOCTON AVE MOUNT VERNON, OH 43050
Mailing Phone
(740) 393-9000
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
09-05-2007
Last Update Date
09-16-2011
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An anesthesiologist like Zachary Gatton manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Zachary Gatton 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.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.02, 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.

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

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
35097335
License State
OH
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*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
H013860MEDICARE PIN (08)OH 

PECOS Enrollment and Medicare Participation Status

Zachary Gatton 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2365611035

    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: I20110815000351

    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.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 95.02 out of 100

    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.

  • Quality Score: 90.05

    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 Score: 100

    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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 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.

  • Cost Score: 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.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 29

    Anesthesia for lens surgery (HCPCS:00142)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Zachary Gatton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
KNOX COMMUNITY HOSPITAL1330 COSHOCTON ROAD
MOUNT VERNON, OH 43050
(740) 393-9000Acute Care Hospitals

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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.
1003000704
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200300070
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 + 7 + 0 + 24 = 36
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 36 = 44

The NPI number 1003000704 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
1194719286 SHABAN MAHMOUD MD
Individual
Internal Medicine (Critical Care Medicine)1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1003838087 ALI SALIM MD
Individual
Emergency Medicine1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1073537577 ROBERT J RICHTER DO
Individual
Emergency Medicine1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1881770246MR. RONALD JOSEPH SALKOVICK II CRNA
Individual
Registered Nurse1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1306923081MR. JAMES H ARANT M.D.
Individual
Anesthesiology1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1053470690DR. JAMES HOWARD RISKO M.D.
Individual
Preventive Medicine (Occupational Medicine)1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9675
1740332287DR. ALWIN ARENDSE DO
Individual
Emergency Medicine1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1336291350 TERESA ANNE SCHNEIDER NP
Individual
Emergency Medicine1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1447302443 DAVID J MCCANN MD
Individual
Emergency Medicine1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1679626287KNOX COMMUNITY HOSPITAL
Organization
Anesthesiology1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1851598155COMMUNITY MEDICAL PRACTICES, LLC
Organization
Pediatrics (Adolescent Medicine)1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1902085459 KELLY RENEA BAILEY RD, LD
Individual
Dietitian, Registered1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9147
1871750034 ROSEMARY DILTZ FARREN RD,LD
Individual
Dietitian, Registered1330 COSHOCTON AVE ROOM 221
MOUNT VERNON, OH 43050
(740) 393-9147
1134389000MS. MAGDALENA GASIOROVA M.D.
Individual
Internal Medicine1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9947
1801045406KNOX COMMUNITY HOSPITAL
Organization
Clinic/Center1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-5537
1538318134KNOX COMMUNITY HOSPITAL
Organization
Clinic/Center1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-5537
1649429713 SALITA BHANDARI KAISTHA DO
Individual
Emergency Medicine1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9165
1538490966OSU PATHOLOGY SERVICES, LLC
Organization
Pathology (Clinical Pathology)1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-5579
1003115585KNOX COMMUNITY HOSPITAL
Organization
Clinic/Center (Urgent Care)1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 393-9000
1275973984OHIO HOSPITALIST PARTNERS LLC
Organization
Hospitalist1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
(740) 399-3163

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003000704, enumerated in the NPI registry as an "individual" on September 05, 2007

The provider is located at 1330 Coshocton Ave Mount Vernon, Oh 43050 and the phone number is (740) 393-6585

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 17 years of experience.

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Anesthesia for lens surgery.

The practitioner is affiliated to the following hospital(s): KNOX COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 05, 2007. 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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