MARY CHAU TRAN PA-C NPI 1003001587
Physician Assistant in Middletown, CT
About MARY CHAU TRAN PA-C
Mary Tran is a primary care provider established in Middletown, Connecticut and her medical specialization is Physician Assistant. The NPI number of this provider is 1003001587 and was assigned on September 2007. The practitioner's primary taxonomy code is 363A00000X with license number 3091 (CT). The provider is registered as an individual and her NPI record was last updated January 2023.
|Provider Name||MARY CHAU TRAN PA-C|
|Location Address||400 SAYBROOK RD STE 205 MIDDLETOWN, CT 06457|
|Location Phone||(888) 344-0007|
|Mailing Address||280 SAND HILL RD MIDDLETOWN, CT 06457|
|NPI Entity Type||Individual|
|Is Sole Proprietor?||No|
|Last Update Date||01-24-2023|
A primary care provider (PCP) like Mary Tran 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 Mary Tran 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.7, 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.
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.
|Type||Physician Assistants & Advanced Practice Nursing Providers|
|Taxonomy Description||A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.|
400 SAYBROOK RD STE 205
Phone: (888) 344-0007
Fax: (860) 343-1004
280 SAND HILL RD
Phone: (985) 413-0732
301 Prospect Ave
Syracuse, NY 13203
PECOS Enrollment and Medicare Participation Status
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 Imaging||Yes|
|Eligible order / refer Durable Medical Equipment||Yes|
|Eligible order / refer Home Health Agency (HHA)||Yes|
|Eligible order / 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 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|
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%||59|
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.
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.
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||-||87.7|
|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.|
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
|No.||Taxonomy Code||Type||Classification||Specialization||License No.||State||Primary|
|1||363AS0400X||Physician Assistants & Advanced Practice Nursing Providers||Physician Assistant||Surgical||012657||NY||No|
Taxonomy Description: Not Available
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 0 + 3 + 0 + 0 + 2 + 5 + 1 + 6 + 24 = 43|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|50 - 43 = 7||7|
The NPI number 1003001587 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 3 providers are registered at the same or nearby location.
|NPI||Name / Type||Taxonomy||Address|
|1669101259|| NISHI DESAI APRN |
|Clinical Nurse Specialist (Family Health)||400 SAYBROOK RD STE 205 |
MIDDLETOWN, CT 06457
|1700475829|| ANNE MACHUGA APRN |
|Nurse Practitioner (Family)||400 SAYBROOK RD STE 205 |
MIDDLETOWN, CT 06457
|1730616749|| CRYSTAL ANNE STEED DO |
|Family Medicine||400 SAYBROOK RD STE 205 |
MIDDLETOWN, CT 06457
Frequently Asked Questions
What is Mary Tran PA-C NPI number?
The NPI number assigned to this healthcare provider is 1003001587, registered as an "individual" on September 07, 2007
Where is Mary Tran PA-C located?
The provider is located at 400 Saybrook Rd Ste 205 Middletown, Ct 06457 and the phone number is (888) 344-0007
Which is Mary Tran PA-C specialty?
The provider's speciality is Physician Assistant
Is Mary Tran PA-C registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are Mary Tran PA-C Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Mary Tran PA-C?
Medicare beneficiaries should expect a typical cost of $97.18 with an average copayment of $24.29 for new patient appointments. Established patients should expect a typical charge of $79.11 and an average copayment of 19.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Mary Tran PA-C was last updated on September 07, 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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