ERIN TERAVEST PA NPI 1003014259

Physician Assistant (Surgical) in Aurora, CO

NPI 1003014259 Individual Female Years of Experience 16 Physician Assistant Surgical PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 88.6

NPI Profile for ERIN TERAVEST PA

Erin Teravest is a provider established in Aurora, Colorado and her medical specialization is physician assistant (surgical) with more than 16 years of experience. She graduated from Rutgers School Of Dental Medicine in 2007. The NPI number of Erin Teravest is 1003014259 and was assigned on July 2007. The practitioner's primary taxonomy code is 363AS0400X with license number PA.0002433 (CO). The provider is registered as an individual and her NPI record was last updated 4 years ago.

Erin Teravest 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.

Erin Teravest 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 88.6, 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.

NPI

1003014259

Provider Name ERIN TERAVEST PA
Provider Location Address13123 E 16TH AVE AURORA, CO 80045
Provider Mailing AddressPO BOX 110429 AURORA, CO 80042
GenderFemale
NPI Entity TypeIndividual
Medical School NameRUTGERS SCHOOL OF DENTAL MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-10-2007
Last Update Date10-22-2018


Primary Taxonomy

Taxonomy Code363AS0400X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationSurgical
License No.PA.0002433
License StateCO

Business Address

ERIN TERAVEST PA
13123 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 777-1234

Get Directions


Mailing Address

ERIN TERAVEST PA
PO BOX 110429
AURORA, CO
ZIP 80042
Phone: (303) 493-7000



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 ID6204977937
PECOS Enrollment IDI20100104000293
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% 94.8
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 (PI) 25% 75
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% 66.1
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 - 88.6
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.

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
1363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant2433CONo

Taxonomy Description: a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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
62951211MEDICAID (05)CO

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003014259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003018210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 8 + 2 + 1 + 0 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003014259 is valid because the calculated check digit 9 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
1841288065 LISA WANGER PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1972586436 JOYCE MARIE GIBBONS PA C
Individual
Physician Assistant13123 E 16TH AVE B145
AURORA, CO 80045
(720) 777-6652
1316921398 DAVID ECKHARDT PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1699753376 RAJEEV VIBHAKAR MD
Individual
Pediatrics (Pediatric Hematology-Oncology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1992771091 STANLEY LOFTNESS MD
Individual
Anesthesiology13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1134196538 SEAN O'LEARY MD
Individual
Pediatrics (Pediatric Infectious Diseases)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1073582706 FREDERICK SUCHY M.D.
Individual
Pediatrics (Pediatric Gastroenterology)13123 E 16TH AVE THE CHILDRENS HOSPITAL
AURORA, CO 80045
(720) 777-1234
1154385987 ROBIN SAWARYNSKI PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1649238593 DUNCAN WILCOX MD
Individual
Urology (Pediatric Urology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1902856511DR. KRISTA A YORK MD
Individual
Pediatrics13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1225074594 KENDRA BJORAKER PHD
Individual
Clinical Neuropsychologist13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1144258815 ERIKA SIDNEY MD
Individual
Pediatrics (Pediatric Emergency Medicine)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1003844143 ROBERT KRAMER MD
Individual
Pediatrics (Pediatric Gastroenterology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1356379952 TRISTA BOWYER MD
Individual
Pediatrics13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1104854645 RICHARD HENDERSHOT MD
Individual
Anesthesiology13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1679504039 TRAVIS HEARE MD
Individual
Orthopaedic Surgery13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1427089440 BETSEY H BUCCA LCSW
Individual
Social Worker (Clinical)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1932
1376561183 PATRICIA LAVESSER OTR
Individual
Occupational Therapist13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1184645806DR. DESMOND K RUNYAN MD
Individual
Pediatrics13123 E 16TH AVE B390
AURORA, CO 80045
(303) 864-5364
1659395127MS. MELANIE SABERIAN PNP
Individual
Nurse Practitioner (Pediatrics)13123 E 16TH AVE THE CHILDREN'S HOSPITAL
AURORA, CO 80045
(720) 777-1234

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
Erin Teravest Pa 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.