DR. JULIO C SOKOLICH MD NPI 1003010794
Transplant Surgery in Gainesville, FL
About DR. JULIO C SOKOLICH MD
Julio Sokolich is a provider established in Gainesville, Florida and his medical specialization is Transplant Surgery with more than 23 years of experience. The NPI number of this provider is 1003010794 and was assigned on June 2007. The practitioner's primary taxonomy code is 204F00000X with license number ME104563 (FL). The provider is registered as an individual and his NPI record was last updated 14 years ago.
| NPI | 1003010794 |
| Provider Name | DR. JULIO C SOKOLICH MD |
| Location Address | 1600 SW ARCHER RD GAINESVILLE, FL 32610 |
| Location Phone | (352) 265-0680 |
| Mailing Address | 1600 SW ARCHER RD GAINESVILLE, FL 32610 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-14-2007 |
| Last Update Date | 06-03-2009 |
Julio Sokolich 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.
Julio Sokolich is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.9, 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.
Primary Taxonomy
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.
| Taxonomy Code | 204F00000X |
| Classification | Transplant Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | ME104563 |
| License State | FL |
| Taxonomy Description | A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 265-0680
Mailing Address
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 265-0680
Location Map
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 |
| PECOS PAC ID | 6002092004 |
| PECOS Enrollment ID | I20210309002664 |
| 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 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 | |
|---|---|---|---|
| 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% | 99.7 | |
|
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 | - | 99.9 | |
| 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. | |||
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 |
|---|---|---|---|
| ME104563 | OTHER (01) | FL | TRN |
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 | 0 | 0 | 3 | 0 | 1 | 0 | 7 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 0 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 0 + 7 + 1 + 8 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1003010794 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 |
|---|---|---|---|
| 1669475554 | WALTER J MILTON MD Individual | Radiology (Diagnostic Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0301 |
| 1669476347 | MS. JOAN ELLA ENGLISH PA-C Individual | Physician Assistant | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-9350 |
| 1245234624 | DR. BRUCE K. STECHMILLER MD Individual | Internal Medicine (Hematology & Oncology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-7832 |
| 1174528780 | SCOTT WILLIAM PETERSON MD Individual | Radiology (Vascular & Interventional Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0290 |
| 1700883485 | DR. ERIC KIRK THOBURN MD Individual | Radiology (Diagnostic Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0291 |
| 1023015823 | ANTHONY P MCDONALD MD Individual | Surgery | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 374-6078 |
| 1164421772 | ROBERTA MOORE SLATER MD Individual | Radiology (Diagnostic Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0291 |
| 1164421764 | WEI HE ARNP Individual | Nurse Practitioner (Pediatrics) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 266-7240 |
| 1871593913 | NAM HOANG DANG MD Individual | Internal Medicine (Medical Oncology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-7832 |
| 1568454684 | CLAIRE ALEXANDRIA FLINT CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 264-0077 |
| 1003809237 | MR. ROBERT M CLONAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (800) 642-1999 |
| 1558356402 | MUTASIM N. ABU-HASAN MD Individual | Pediatrics (Pediatric Pulmonology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-8379 |
| 1598750390 | DR. JYOTI BUDANIA MD Individual | Pediatrics | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 371-3604 |
| 1669469326 | ANDRE PIERRE BOEZAART MD PHD Individual | Anesthesiology | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 392-3441 |
| 1215924501 | MELISSA MAI VU MD Individual | Anesthesiology | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (904) 953-2000 |
| 1932198819 | LILLIAN MARGARET VAN HOUTEN ARNP Individual | Nurse Practitioner (Pediatrics) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 334-1400 |
| 1124017017 | MRS. MELISSA KIMBERLY MAISENBACHER M.S.,C.G.C. Individual | Genetic Counselor, MS | 1600 SW ARCHER RD UF PEDIATRIC GENETICS GAINESVILLE, FL 32610 (352) 392-4104 |
| 1215918487 | DR. WILLIAM ALISON CUMMING M.D. Individual | Radiology (Pediatric Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0102 |
| 1871575183 | BELINDA WESLEY SELLI MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-9900 |
| 1306828793 | DR. SCOTT L. MYERS MD Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1600 SW ARCHER RD SUITE 3341 GAINESVILLE, FL 32610 (352) 265-5471 |
Frequently Asked Questions
What is Dr. Julio Sokolich MD NPI number?
The NPI number assigned to this healthcare provider is 1003010794, registered as an "individual" on June 14, 2007
Where is Dr. Julio Sokolich MD located?
The provider is located at 1600 Sw Archer Rd Gainesville, Fl 32610 and the phone number is (352) 265-0680
Which is Dr. Julio Sokolich MD specialty?
The provider's speciality is Transplant Surgery
How many years of experience does Dr. Julio Sokolich MD have?
The provider has more than 23 years of experience.
What insurance does Dr. Julio Sokolich MD accept?
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.
Is Dr. Julio Sokolich MD registered in PECOS?
Yes, as of March 13, 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 Dr. Julio Sokolich MD Quality Ratings?
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.
How do I update my NPI information?
The NPI record of Dr. Julio Sokolich MD was last updated on June 14, 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.