DR. MARK THOMAS REUTTER D.O. NPI 1003012154
Emergency Medicine in Media, PA

Individual Male Emergency Medicine PECOS Enrolled MIPS Quality Score 100 Medicare Quality Reporting

About DR. MARK THOMAS REUTTER D.O.

Mark Reutter is a provider established in Media, Pennsylvania and his medical specialization is Emergency Medicine. The NPI number of Mark Reutter is 1003012154 and was assigned on June 2007. The practitioner's primary taxonomy code is 207P00000X with license number OS014688 (PA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1003012154
Provider NameDR. MARK THOMAS REUTTER D.O.
Provider Location Address1068 W BALTIMORE PIKE MEDIA, PA 19063
Provider Mailing Address1842 MEERBROOK CT CHERRY HILL, NJ 08003
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-25-2007
Last Update Date02-10-2010

Mark Reutter 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..

Mark Reutter is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, 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 following quality measures were reported for this provider: annual registration in the prescription drug monitoring program, consultation of the prescription drug monitoring program, engage patients and families to guide improvement in the system of care, implementation of formal quality improvement methods, practice changes, or other practice improvement processes, improved practices that disseminate appropriate self-management materials, leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes, measurement and improvement at the practice and panel level, tcpi participation and use of decision support and standardized treatment protocols.



Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.OS014688
License StatePA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. MARK THOMAS REUTTER D.O.
1068 W BALTIMORE PIKE
MEDIA, PA
ZIP 19063
Phone: (610) 891-3214

Get Directions


Mailing Address

DR. MARK THOMAS REUTTER D.O.
1842 MEERBROOK CT
CHERRY HILL, NJ
ZIP 08003
Phone:


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
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% 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% 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.
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% 100
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 - 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 Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Consultation of the Prescription Drug Monitoring ProgramYesN/A
Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance.
Engage Patients and Families to Guide Improvement in the System of CareYesN/A
Engage patients and families to guide improvement in the system of care by leveraging digital tools for ongoing guidance and assessments outside the encounter, including the collection and use of patient data for return-to-work and patient quality of life improvement. Platforms and devices that collect patient-generated health data (PGHD) must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient, including patient reported outcomes (PROs). Examples include patient engagement and outcomes tracking platforms, cellular or web-enabled bi-directional systems, and other devices that transmit clinically valid objective and subjective data back to care teams. Because many consumer-grade devices capture PGHD (for example, wellness devices), platforms or devices eligible for this improvement activity must be, at a minimum, endorsed and offered clinically by care teams to patients to automatically send ongoing guidance (one way). Platforms and devices that additionally collect PGHD must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient (e.g. automated patient-facing instructions based on glucometer readings). Therefore, unlike passive platforms or devices that may collect but do not transmit PGHD in real or near-real time to clinical care teams, active devices and platforms can inform the patient or the clinical care team in a timely manner of important parameters regarding a patient’s status, adherence, comprehension, and indicators of clinical concern.
Implementation of formal quality improvement methods, practice changes, or other practice improvement processesYesN/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Improved Practices that Disseminate Appropriate Self-Management MaterialsYesN/A
Provide self-management materials at an appropriate literacy level and in an appropriate language.
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changesYesN/A
Ensure full engagement of clinical and administrative leadership in practice improvement that could include one or more of the following: Make responsibility for guidance of practice change a component of clinical and administrative leadership roles; Allocate time for clinical and administrative leadership for practice improvement efforts, including participation in regular team meetings; and/or Incorporate population health, quality and patient experience metrics in regular reviews of practice performance.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
TCPI ParticipationYesN/A
Participation in the CMS Transforming Clinical Practice Initiative
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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.
1003012154
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003014110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 1 + 1 + 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 1003012154 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
1295714186MS. LISA B KANEHANN MD
Individual
Radiology (Diagnostic Radiology)1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1912986811MS. SHIKHA P MUDGIL MD
Individual
Radiology (Diagnostic Radiology)1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1518946334MRS. TINA R STEIN MD
Individual
Radiology (Diagnostic Radiology)1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1700866787MR. WILLIAM M MERENICH MD
Individual
Radiology (Diagnostic Radiology)1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1972574606 GEORGE J WOLTERS DO
Individual
Emergency Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1952372682 MONTE S GROSSMAN MD
Individual
Emergency Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1366414963 MICHELLE DINICOLA MD
Individual
Emergency Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1356318612 NOEMI S YARON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1366410854 VSEVOLOD KOHUTIAK MD
Individual
Internal Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1609845254 ROQUE GUERZON MD
Individual
Surgery1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1306815956 AGNES M. HEWITT M.D.
Individual
Family Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1679542229 NENITA V VICTORIA MD
Individual
Internal Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1801865464 KHUZEMA KANCHWALA MD
Individual
Surgery1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 627-4216
1376503813 JOHN A KOTYO MD
Individual
Internal Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1124088513DR. MARLOWE R SCHAEFFER POLK D.O.
Individual
Internal Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1417918889 ABDUL SAFI MD
Individual
Surgery1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1346296688RMH VASCULAR LAB GROUP, P.C.
Organization
Internal Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1841246188RMH CARDIOLOGY GROUP, PC
Organization
Internal Medicine (Cardiovascular Disease)1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1700833746RMH EMERGENCY PHYSICIAN ASSOC, PC
Organization
Emergency Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388
1255371324 MADHU SHARMA MD
Individual
Internal Medicine1068 W BALTIMORE PIKE
MEDIA, PA 19063
(610) 891-3388

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. Mark Thomas Reutter D.o. 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.