RAKESH BARAK M.D.
NPI 1003014473
Radiology - Diagnostic Radiology in Reading, PA


Quality Rating: 91.79 out of 100 score

NPI Status: Active since July 06, 2007

Contact Information

2500 BERNVILLE RD
READING, PA
ZIP 19605
Phone: (610) 373-0165
Fax: (610) 373-5251

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  • Individual
  • Male
  • Years of Experience 20
  • Radiology
  • Diagnostic Radiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About RAKESH BARAK

Rakesh Barak is a provider established in Reading, Pennsylvania and his medical specialization is Radiology with a focus in diagnostic radiology with more than 20 years of experience. He graduated from University Of Toledo College Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1003014473 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 5 years ago.

NPI
1003014473
Provider Name
RAKESH BARAK M.D.
Gender
Male
Entity Type
Individual
Location Address
2500 BERNVILLE RD READING, PA 19605
Location Phone
(610) 373-0165
Location Fax
(610) 373-5251
Mailing Address
PO BOX 200068 PITTSBURGH, PA 15251
Mailing Phone
(888) 276-1003
Mailing Fax
(610) 373-5251
Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
07-06-2007
Last Update Date
07-03-2019
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Rakesh Barak is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.79, 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: .

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.

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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
MD439457
License State
PA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085N0904XAllopathic & Osteopathic Physicians

Radiology
Nuclear Radiology

C1-0013159 (DE)
22085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

C1-0013159 (DE)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Alliant Health Plans

    • SoloCare Bronze No Referral HMO Chiro HDHP 7050 - HMO
    • SoloCare Bronze No Referral HMO HDHP 7050 - HMO
    • SoloCare Bronze PPO Chiro HDHP 7050 - PPO
    • SoloCare Bronze PPO HDHP 7050 - PPO
    • SoloCare Catastrophic No Referral HMO - HMO
    • SoloCare Catastrophic No Referral HMO Chiro - HMO
    • SoloCare Catastrophic PPO - PPO
    • SoloCare Catastrophic PPO Chiro - PPO
    • SoloCare Exp Bronze No Referral HMO 9450 - $0 Generic Rx - HMO
    • SoloCare Exp Bronze No Referral HMO Chiro 9450 - $0 Generic Rx - HMO
    • SoloCare Exp Bronze PPO 9450 - $0 Generic Rx - PPO
    • SoloCare Exp Bronze PPO Chiro 9450 - $0 Generic Rx - PPO
    • SoloCare Gold No Referral HMO 1500 - 3 Free PCP Visits - HMO
    • SoloCare Gold No Referral HMO 2300 - 3 Free PCP Visits, $5 Generic Rx - HMO
    • SoloCare Gold No Referral HMO Chiro 1500 - 3 Free PCP Visits - HMO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway HMO 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Pathway HMO 7450/0% (+ Incentives) - HMO
    • Anthem Bronze Pathway HMO 7500/50% Standard (Cleveland) - HMO
    • Anthem Bronze Pathway HMO 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Pathway HMO 9450 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Catastrophic Pathway HMO 9450 ( + Incentives) - HMO
    • Anthem Gold Pathway HMO 2000/25% Standard (Cincinnati) - HMO
    • Anthem Silver Pathway HMO 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Silver Pathway HMO 5000 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Silver Pathway HMO 5400/0% ( + Incentives) - HMO
    • Anthem Silver Pathway HMO 5800/40% Standard (Cleveland) - HMO
    • Anthem Silver Pathway HMO 6000/25% ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Cigna HealthCare of Georgia, Inc

    • Connect Bronze 0 Indiv Med Deductible - HMO
    • Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Bronze 6500 Indiv Med Deductible - HMO
    • Connect Bronze 8500 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
    • Connect Gold 500 Indiv Med Deductible - HMO
    • Connect Gold CMS Standard - HMO
    • Connect Silver 2700 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Silver 3700 Indiv Med Deductible - HMO
    • Connect Silver 5000 Indiv Med Deductible - HMO
    • Connect Silver 7000 Indiv Med Deductible - HMO
    • Connect Silver CMS Standard - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4214704OTHER (01)MEDICARE ID

PECOS Enrollment and Medicare Participation Status

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.

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

  • PECOS PAC ID: 2365534260

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100923000702, I20211013000750

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 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 19605 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $87.96
  • Minimum New Patient Price $57.02
  • Maximum New Patient Price $174.05
  • Average New Patient Copayment $21.99
  • Minimum New Patient Copayment $14.25
  • Maximum New Patient Copayment $43.51

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.53
  • Minimum Established Patient Price $17.59
  • Maximum Established Patient Price $142.08
  • Average Established Patient Copayment $17.88
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $35.52

* 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: 91.79 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: 96.56

    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: 78.39

    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

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 987

    Ct scan head or brain (HCPCS:70450)

  • 230

    X-ray of chest, 1 view (HCPCS:71045)

  • 210

    Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

  • 168

    X-ray of chest, 2 views (HCPCS:71046)

  • 127

    Ct scan of abdomen and pelvis (HCPCS:74176)

  • 56

    Mammography of both breasts (HCPCS:77067)

  • 51

    Ct scan chest (HCPCS:71250)

  • 30

    Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

  • 24

    X-ray of shoulder, minimum of 2 views (HCPCS:73030)

  • 23

    Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

  • 21

    X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

  • 20

    Ct scan of face (HCPCS:70486)

  • 19

    X-ray of knee, 4 or more views (HCPCS:73564)

  • 14

    X-ray of foot, minimum of 3 views (HCPCS:73630)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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 Overall Rating
PIEDMONT HOSPITAL1968 PEACHTREE RD NW
ATLANTA, GA 30309
(404) 605-5000Acute Care Hospitals
PIEDMONT FAYETTE HOSPITAL1255 HIGHWAY 54 WEST
FAYETTEVILLE, GA 30214
(770) 719-7000Acute Care Hospitals
WELLSPAN GOOD SAMARITAN HOSPITAL252 SOUTH 4TH STREET
LEBANON, PA 17042
(717) 270-7500Acute Care Hospitals
WELLSPAN EPHRATA COMMUNITY HOSPITAL169 MARTIN AVENUE
EPHRATA, PA 17522
(717) 733-0311Acute Care Hospitals

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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.
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
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
1437192549 LEONARD M GOLUB MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)2500 BERNVILLE RD
READING, PA 19605
(610) 378-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003014473, enumerated in the NPI registry as an "individual" on July 06, 2007

The provider is located at 2500 Bernville Rd Reading, Pa 19605 and the phone number is (610) 373-0165

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 20 years of experience. He graduated from University Of Toledo College Of Medicine in 2004.

The provider might be accepting Accepts: Alliant Health Plans, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 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.

Medicare beneficiaries should expect a typical cost of $87.96 with an average copayment of $21.99 for new patient appointments. Established patients should expect a typical charge of $71.53 and an average copayment of 17.88. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Ct scan head or brain, X-ray of chest, 1 view, Ct scan of abdomen and pelvis with contrast, X-ray of chest, 2 views, Ct scan of abdomen and pelvis, Mammography of both breasts, Ct scan chest, Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, X-ray of shoulder, minimum of 2 views, Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers, X-ray of hip with pelvis, 2-3 views, Ct scan of face, X-ray of knee, 4 or more views and X-ray of foot, minimum of 3 views.

The practitioner is affiliated to the following hospital(s): PIEDMONT HOSPITAL, PIEDMONT FAYETTE HOSPITAL, WELLSPAN GOOD SAMARITAN HOSPITAL and WELLSPAN EPHRATA COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 06, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.