DANIEL S. STRAND M.D. NPI 1003013210

Internal Medicine - Gastroenterology in Charlottesville, VA

Individual Male Years of Experience 16 Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 82.6

About DANIEL S. STRAND M.D.

Daniel Strand is an internist established in Charlottesville, Virginia and his medical specialization is Internal Medicine with a focus in gastroenterology with more than 16 years of experience. He graduated from University Of Florida College Of Medicine in 2007. The NPI number of Daniel Strand is 1003013210 and was assigned on June 2007. The practitioner's primary taxonomy code is 207RG0100X with license number 0101253643 (VA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

An internist like Daniel S. Strand M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1003013210

Provider Name DANIEL S. STRAND M.D.
Provider Location Address1240 LEE ST CHARLOTTESVILLE, VA 22908
Provider Mailing AddressPO BOX 9007 CHARLOTTESVILLE, VA 22906
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date06-29-2007
Last Update Date10-12-2020



Daniel Strand 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.

Daniel Strand 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 Of Virginia Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.6, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $33.75 for a new patient copayment and $26.08 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.0101253643
License StateVA
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

DANIEL S. STRAND M.D.
1240 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908
Phone: (434) 243-5233
Fax: (434) 244-7526

Get Directions


Mailing Address

DANIEL S. STRAND M.D.
PO BOX 9007
CHARLOTTESVILLE, VA
ZIP 22906
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
PECOS PAC ID6305089533
PECOS Enrollment IDI20130906000713
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 22908 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.76 $178.23 $135
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.69 $44.55 $33.75
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.32 $145.63 $104.32
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.58 $36.4 $26.08

* The physician office visit costs information is obtained by Medicare's 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 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% 91.3
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% 55
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% 71.3
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 - 82.6
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.

  • 71Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 28Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 28Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)

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. Daniel Strand is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY OF VIRGINIA MEDICAL CENTER1215 LEE STREET
CHARLOTTESVILLE, VA 22908
(800) 251-3627Acute Care Hospitals490009

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineTRN11525FLNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.
1003013210
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301622
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 2 + 2 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003013210 is valid because the calculated check digit 0 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
1760764336 JOHN L. DUMINY MBCHB
Individual
Radiology (Radiation Oncology)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-5564
1003075839 HILLARY S. MAITLAND M.D.
Individual
Internal Medicine (Hematology)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-9333
1932158615 THOMAS P. LOUGHRAN JR. M.D.
Individual
Internal Medicine (Hematology & Oncology)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-9333
1215148754 LEONID VOLODIN M.D.
Individual
Internal Medicine (Hematology & Oncology)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(800) 223-9173
1194157230 SANDRA SHONGO N.P.
Individual
Nurse Practitioner1240 LEE ST
CHARLOTTESVILLE, VA 22908
(800) 223-9173
1699071696 LAAHN HO FOSTER M.D.
Individual
Internal Medicine (Hematology)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-9333
1861561490 B. GAIL MACIK MD
Individual
Internal Medicine (Hematology)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-9333
1073909040 KENNETH RAY WHITE PHD, A/G ACNP-BC
Individual
Nurse Practitioner (Acute Care)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 243-3922
1841392164 LINDA W MARTIN M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 243-6828
1497791545 VIRGINIA LEBARON ACNP
Individual
Nurse Practitioner (Acute Care)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 243-3922
1073602850 CLAREEN AUFDERHEIDE WIENCEK ACNP
Individual
Nurse Practitioner (Acute Care)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 243-3922
1114122405 DUSTIN M WALTERS MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 243-6828
1467744672 EINSLEY-MARIE JANOWSKI M.D., PHD
Individual
Radiology (Radiation Oncology)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-5191
1538619432 MARGARET L. MCLEAN FNP
Individual
Nurse Practitioner (Family)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-9333
1124435805 ELIZABETH ANNE SCHUMANN MS, RN, FNP-C
Individual
Nurse Practitioner (Family)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-9333
1649703323 JACQUES FARHI
Individual
Student in an Organized Health Care Education/Training Program1240 LEE ST SUITE 2401
CHARLOTTESVILLE, VA 22908
(434) 243-6297
1750671756 PAUL R. KUNK MD
Individual
Internal Medicine (Medical Oncology)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-9333
1477715811DR. CHRISTOPHER S MUDGE M.D.
Individual
Radiology (Diagnostic Radiology)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-9333
1821435025MS. AUSIA N IQBAL M.D.
Individual
Internal Medicine (Hospice and Palliative Medicine)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 243-3922
1679654065 KESHA A. BILLUPS ANP
Individual
Nurse Practitioner (Adult Health)1240 LEE ST
CHARLOTTESVILLE, VA 22908
(434) 924-9333

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
Daniel S. Strand 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.