DR. REBECCA MARIE BIERDEN M.D. NPI 1003010802

Physical Medicine & Rehabilitation in Johnstown, CO

Individual Female Years of Experience 17 Physical Medicine & Rehabilitation PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 42.3

About DR. REBECCA MARIE BIERDEN M.D.

Rebecca Bierden is a provider established in Johnstown, Colorado and her medical specialization is Physical Medicine & Rehabilitation with more than 17 years of experience. The NPI number of Rebecca Bierden is 1003010802 and was assigned on June 2007. The practitioner's primary taxonomy code is 208100000X with license number DR-50353 (CO). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI

1003010802

Provider NameDR. REBECCA MARIE BIERDEN M.D.
Provider Location Address4401 UNION ST JOHNSTOWN, CO 80534
Provider Mailing Address72 EAGLE RIDGE DR GRANBY, CO 80446
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Enumeration Date06-14-2007
Last Update Date06-22-2021



Rebecca Bierden 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.

Rebecca Bierden 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.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 42.3, 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

Taxonomy Code208100000X
ClassificationPhysical Medicine & Rehabilitation
TypeAllopathic & Osteopathic Physicians
License No.DR-50353
License StateCO
Taxonomy DescriptionPhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Business Address

DR. REBECCA MARIE BIERDEN M.D.
4401 UNION ST
JOHNSTOWN, CO
ZIP 80534
Phone: (970) 619-3400

Get Directions


Mailing Address

DR. REBECCA MARIE BIERDEN M.D.
72 EAGLE RIDGE DR
GRANBY, CO
ZIP 80446
Phone: (207) 756-9445


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
PECOS PAC ID1254504475
PECOS Enrollment IDI20111103000887, I20190724000300
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
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% 35.7
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% 0
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% 43.4
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 - 42.3
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
80914333MEDICAID (05)CO

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.
1003010802
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301080
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 + 8 + 0 + 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 1003010802 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 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134518947MRS. AMANDA LOUISE AGUILAR FNP
Individual
Nurse Practitioner (Family)4401 UNION ST
JOHNSTOWN, CO 80534
(970) 619-3400
1922172600 REVELYN GILOK ARROGANTE M.D.
Individual
Physical Medicine & Rehabilitation4401 UNION ST
JOHNSTOWN, CO 80534
(970) 619-3400
1013157189DR REVELYN G ARROGANTE MD A PROFESSIONAL CORPORATION
Organization
Physical Medicine & Rehabilitation4401 UNION ST
JOHNSTOWN, CO 80534
(970) 619-3400
1356782270NATHAN SWARTZ INC
Organization
Physical Medicine & Rehabilitation4401 UNION ST
JOHNSTOWN, CO 80534
(970) 619-3400
1356480982ADAMSON MEDICAL CORPORATION PC
Organization
Clinic/Center (Multi-Specialty)4401 UNION ST
JOHNSTOWN, CO 80534
(303) 761-1215
1124006119 INDIRA S LANIG MD
Individual
Physical Medicine & Rehabilitation4401 UNION ST NORTHERN COLORADO REHABILITATION HOSPITAL
JOHNSTOWN, CO 80534
(303) 761-1215
1992212815 MANDIE SCHAKE MOTR/L
Individual
Occupational Therapist4401 UNION ST
JOHNSTOWN, CO 80534
(970) 619-3400
1841780400COLORADO REHABILITATION ASSOCIATES LLC
Organization
Physical Medicine & Rehabilitation4401 UNION ST
JOHNSTOWN, CO 80534
(505) 264-8972
1881224830MRS. MARY LODS BSN, RN
Individual
Registered Nurse4401 UNION ST
JOHNSTOWN, CO 80534
(970) 619-3400
1316570310DYNAMIC REHABILITATION CONSULTANTS INC
Organization
Physical Medicine & Rehabilitation4401 UNION ST
JOHNSTOWN, CO 80534
(316) 641-8808
1417582982 CARLY FROUNFELKER PTA
Individual
Physical Therapy Assistant4401 UNION ST
JOHNSTOWN, CO 80534
(970) 619-3400
1154960318 CHERIE PATTERSON
Individual
Nurse Practitioner (Acute Care)4401 UNION ST
JOHNSTOWN, CO 80534
(970) 222-3669
1699055483RMBMD LLC
Organization
Physical Medicine & Rehabilitation4401 UNION ST
JOHNSTOWN, CO 80534
(207) 756-9445
1659705424VIBRA PHYSICIANS LLC
Organization
Hospitalist4401 UNION ST
JOHNSTOWN, CO 80534
(970) 278-9340
1558905943DR. MELISSA LEROUX MOSLEY D.P.T.
Individual
Physical Therapist4401 UNION ST
JOHNSTOWN, CO 80534
(970) 619-3400

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. Rebecca Marie Bierden M.d. 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.