RAKESH BARAK M.D. NPI 1003014473

Radiology (Diagnostic Radiology) in Reading, PA

NPI 1003014473 Individual Male Years of Experience 18 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 95.1 Medicare Quality Reporting

NPI Profile for RAKESH BARAK M.D.

Rakesh Barak is a provider established in Reading, Pennsylvania and his medical specialization is radiology (diagnostic radiology) with more than 18 years of experience. He graduated from University Of Toledo College Of Medicine in 2004. The NPI number of Rakesh Barak is 1003014473 and was assigned on July 2007. The practitioner's primary taxonomy code is 2085R0202X with license number MD439457 (PA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

Rakesh Barak 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.

Rakesh Barak 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 Piedmont Hospital, Wellspan Ephrata Community Hospital, Wellspan Good Samaritan Hospital, Piedmont Newnan Hospital, Inc and Milton S Hershey 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 95.1, 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 provider also has detailed performance information the following quality measures: radiology: exposure dose indices or exposure time and number of images reported for procedures using fluoroscopy.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.99 for a new patient copayment and $17.88 for an established patient copayment.

NPI

1003014473

Provider Name RAKESH BARAK M.D.
Provider Location Address2500 BERNVILLE RD READING, PA 19605
Provider Mailing AddressPO BOX 200068 PITTSBURGH, PA 15251
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-06-2007
Last Update Date07-03-2019


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.MD439457
License StatePA
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

RAKESH BARAK M.D.
2500 BERNVILLE RD
READING, PA
ZIP 19605
Phone: (610) 373-0165
Fax: (610) 373-5251

Get Directions


Mailing Address

RAKESH BARAK M.D.
PO BOX 200068
PITTSBURGH, PA
ZIP 15251
Phone: (888) 276-1003
Fax: (717) 390-2455



Secondary Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
(302) 733-1806

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 ID2365534260
PECOS Enrollment IDI20100923000702, I20211013000750
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 19605 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$57.02 $174.05 $87.96
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.25 $43.51 $21.99
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.59 $142.08 $71.53
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.39 $35.52 $17.88

* 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% 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% 73.7
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% 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.
MIPS Final Score - 95.1
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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Radiology: Exposure Dose Indices or Exposure Time and Number of Images Reported for Procedures Using Fluoroscopy 96% 27
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)

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.

  • 673X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 457X-ray of chest, 1 view, front (HCPCS:71010)
  • 91CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 82CT scan of abdomen and pelvis (HCPCS:74176)
  • 62X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 59X-ray of knee, 4 or more views (HCPCS:73564)
  • 45X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 41X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 25Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 21X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 20X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 14Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • 12Ultrasound pelvis through vagina (HCPCS:76830)
  • 12X-ray of abdomen, single view (HCPCS:74000)

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. Rakesh Barak is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PIEDMONT HOSPITAL1968 PEACHTREE RD NW
ATLANTA, GA 30309
(404) 605-5000Acute Care Hospitals110083
WELLSPAN EPHRATA COMMUNITY HOSPITAL169 MARTIN AVENUE
EPHRATA, PA 17522
(717) 733-0311Acute Care Hospitals390225
WELLSPAN GOOD SAMARITAN HOSPITALFOURTH AND WALNUT STREETS
LEBANON, PA 17042
(717) 270-7500Acute Care Hospitals390066
PIEDMONT NEWNAN HOSPITAL, INC745 POPLAR ROAD
NEWNAN, GA 30265
(770) 400-2300Acute Care Hospitals110229
MILTON S HERSHEY MEDICAL CENTER500 UNIVERSITY DRIVE
HERSHEY, PA 17033
(717) 531-8521Acute Care Hospitals390256

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
12085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyC1-0013159DENo

Taxonomy Description: a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

22085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyC1-0013159DENo

Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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 Identifier Issuer
4214704OTHER (01)MEDICARE ID

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.
1003014473
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003018414
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 + 4 + 1 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003014473 is valid because the calculated check digit 3 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
1013918663DR. LAWRENCE MICHAEL KAPLAN MD
Individual
Radiology (Diagnostic Radiology)2500 BERNVILLE RD
READING, PA 19605
(610) 373-0165
1083601603 EDWARD F. SAYRES CRNA
Individual
Nurse Anesthetist, Certified Registered2500 BERNVILLE RD
READING, PA 19605
(610) 378-2823
1134108848 GEORGE CONNERTON MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)2500 BERNVILLE RD BOX 316
READING, PA 19605
(610) 378-2200
1750344180 MICHAEL LEE AMATO CRNA
Individual
Nurse Anesthetist, Certified Registered2500 BERNVILLE RD
READING, PA 19605
(610) 278-2459
1184682023DR. JORGE H ARBOLEDA D.O.
Individual
Family Medicine2500 BERNVILLE RD
READING, PA 19605
(610) 378-2440
1407808678BERKS EMERGENCY PHYSICIANS, LLC
Organization
Emergency Medicine2500 BERNVILLE RD
READING, PA 19605
(610) 371-7700
1760692206 ZHI-GANG ZHU MD
Individual
Anesthesiology2500 BERNVILLE RD
READING, PA 19605
(610) 378-2000
1053506477DR. SONIA KAUR AHLUWALIA MD
Individual
Internal Medicine2500 BERNVILLE RD
READING, PA 19605
(610) 208-4649
1700052677BERKS PATHOLOGY ASSOCIATES, INC
Organization
Pathology (Clinical Pathology/Laboratory Medicine)2500 BERNVILLE RD ROUTE 183
READING, PA 19605
(610) 378-2496
1497017800 RAVINDER BHOGAL CRNP
Individual
Nurse Practitioner2500 BERNVILLE RD
READING, PA 19605
(610) 378-2000
1770850125 OLGA BENNETT CRNP
Individual
Nurse Practitioner (Adult Health)2500 BERNVILLE RD
READING, PA 19605
(610) 678-2000
1205836228DR. BARRY MICHAEL TOM MD
Individual
Radiology (Diagnostic Radiology)2500 BERNVILLE RD
READING, PA 19605
(610) 373-0165
1922009570DR. JEFFREY BRIAN NEMEROFF MD
Individual
Radiology (Diagnostic Radiology)2500 BERNVILLE RD
READING, PA 19605
(610) 373-0165
1003817651DR. STEVEN RICHARD CHMIELEWSKI MD
Individual
Radiology (Diagnostic Radiology)2500 BERNVILLE RD
READING, PA 19605
(610) 373-0165
1639170186DR. SOONG GONG LEE MD
Individual
Radiology (Diagnostic Radiology)2500 BERNVILLE RD
READING, PA 19605
(610) 373-0165
1538494877DR. CHRISTOPHER JOSEPH TESTA MD
Individual
Radiology (Diagnostic Radiology)2500 BERNVILLE RD
READING, PA 19605
(610) 373-0165
1194727040J M WINSTON RADIOLOGY ASSOCIATES INC
Organization
Radiology (Diagnostic Radiology)2500 BERNVILLE RD
READING, PA 19605
(610) 373-0165
1134204225MS. JUDITH GALTER APN
Individual
Nurse Practitioner (Neonatal, Critical Care)2500 BERNVILLE RD
READING, PA 19605
(610) 378-2000
1972668390 PHILIP A POMERANTZ MD
Individual
Internal Medicine2500 BERNVILLE RD
READING, PA 19605
(610) 378-2000
1407821101DR. VINOD K THANGADA MD
Individual
Internal Medicine2500 BERNVILLE RD
READING, PA 19605
(610) 378-2000

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
Rakesh Barak 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.