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


Quality Rating: 92.9 out of 100 score

NPI Status: Active since June 25, 2007

Contact Information

1068 W BALTIMORE PIKE
MEDIA, PA
ZIP 19063
Phone: (610) 891-3214

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  • Individual
  • Male
  • Emergency Medicine
  • PECOS Enrolled
  • Medicare Quality Reporting

About MARK REUTTER

Mark Reutter is a provider established in Media, Pennsylvania and his medical specialization is Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1003012154 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 14 years ago.

NPI
1003012154
Provider Name
DR. MARK THOMAS REUTTER D.O.
Gender
Male
Entity Type
Individual
Location Address
1068 W BALTIMORE PIKE MEDIA, PA 19063
Location Phone
(610) 891-3214
Mailing Address
1842 MEERBROOK CT CHERRY HILL, NJ 08003
Is Sole Proprietor?
No
Enumeration Date
06-25-2007
Last Update Date
02-10-2010
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The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.9, 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. 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.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS014688
License State
PA
Taxonomy Description
An 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.

PECOS Enrollment and Medicare Participation Status

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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19063 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.31
  • Minimum New Patient Price $62.8
  • Maximum New Patient Price $189.43
  • Average New Patient Copayment $24.07
  • Minimum New Patient Copayment $15.7
  • Maximum New Patient Copayment $47.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $110.85
  • Minimum Established Patient Price $19.68
  • Maximum Established Patient Price $154.62
  • Average Established Patient Copayment $27.71
  • Minimum Established Patient Copayment $4.92
  • Maximum Established Patient Copayment $38.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 92.9 out of 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 Score: 85.8

    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 Score: 100

    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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 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.

  • Cost Score: 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.

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.

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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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012154, enumerated in the NPI registry as an "individual" on June 25, 2007

The provider is located at 1068 W Baltimore Pike Media, Pa 19063 and the phone number is (610) 891-3214

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.

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.

Medicare beneficiaries should expect a typical cost of $96.31 with an average copayment of $24.07 for new patient appointments. Established patients should expect a typical charge of $110.85 and an average copayment of 27.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 25, 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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