CRAIG MICHAEL COMBS MD NPI 1003010828
Anesthesiology in Winston Salem, NC
About CRAIG COMBS
Craig Combs is a provider established in Winston Salem, North Carolina and his medical specialization is anesthesiology with more than 18 years of experience. He graduated from Louisiana State University School Of Medicine In Shreveport in 2004. The NPI number of Craig Combs is 1003010828 and was assigned on June 2007. The practitioner's primary taxonomy code is 207L00000X with license number 2010-00366 (NC). The provider is registered as an individual and his NPI record was last updated 12 years ago.
An anesthesiologist like Craig Michael Combs Md 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.
Craig Combs is enrolled in PECOS and is eligible to order or refer healthcare 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
Craig Combs 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 University Health System, Inc.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.2, 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 | 1003010828 |
| Provider Name | CRAIG MICHAEL COMBS MD |
| Provider Location Address | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 |
| Provider Mailing Address | PO BOX 344 WINSTON SALEM, NC 27102 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2004 |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 06-14-2007 |
| Last Update Date | 04-19-2010 |
Primary Taxonomy
| Taxonomy Code | 207L00000X |
| Classification | Anesthesiology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 2010-00366 |
| License State | NC |
| 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. |
Business Address
CRAIG MICHAEL COMBS MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
Mailing Address
CRAIG MICHAEL COMBS MD
PO BOX 344
WINSTON SALEM, NC
ZIP 27102
Phone: (336) 716-2255
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 ID | 6507936416 |
| PECOS Enrollment ID | I20080604000415 |
| 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% | 73.5 | |
|
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. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
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. |
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| 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. |
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| Cost | 20% | 74.4 | |
|
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. |
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| MIPS Final Score | - | 80.2 | |
| 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.
- 52Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
- 12Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Craig Combs is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| UNIVERSITY HEALTH SYSTEM, INC | 1924 ALCOA HIGHWAY KNOXVILLE, TN 37920 | (865) 544-9000 | Acute Care Hospitals | 440015 |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811990815 | MR. GARY LEE RAY MSN, CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-2555 |
| 1548264310 | PETER A VALEN MD Individual | Internal Medicine (Rheumatology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1427044973 | CATHERINE MESSICK JONES MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1053393306 | MR. JAMES BOYD THOMAS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1962484212 | MARTHA SCHELL SOOTS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-3069 |
| 1659352961 | MS. LINDA MARIE SANGIULIANO CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6701 |
| 1376524686 | KAREN M HARP CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1962483297 | MRS. ALISA LAWSON STARBUCK RN NNP Individual | Nurse Practitioner (Neonatal) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-6498 |
| 1477535599 | RICHARD HENRY DEAN MD Individual | Surgery (Vascular Surgery) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1366424483 | CHERYL B KIRKPATRICK CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1386626349 | CAROLYN RUTH FERREE MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1538141585 | EDWARD GUS SHAW MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1356323307 | ARTHUR WILLIAM BLACKSTOCK JR. MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1447232400 | MARK CAUTHEN WILLINGHAM MD Individual | Pathology (Anatomic Pathology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1528040581 | BART ALAN FRIZZELL MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1396727996 | RAMON VELEZ MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1154303519 | PETER RIBACK LICHSTEIN MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1538141999 | DAVID PHILIP MILLER JR. MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1497737894 | MRS. DONNA LEA MYERS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-2540 |
| 1114900354 | MRS. GWENDOLYN DALY ROARKE CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-3069 |
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
The code describing 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.