MICHAEL WILLIAMS MD
NPI 1003014838
Family Medicine in Daytona Beach, FL


Quality Rating: 35 out of 100 score

NPI Status: Active since July 03, 2007

Contact Information

303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 254-4165

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  • Individual
  • Male
  • Family Medicine
  • PECOS Enrolled

About MICHAEL WILLIAMS

Michael Williams is a primary care provider established in Daytona Beach, Florida and his medical specialization is Family Medicine. The healthcare provider is registered in the NPI registry with number 1003014838 assigned on July 2007. The practitioner's primary taxonomy code is 207Q00000X with license number TRN9181 (FL). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1003014838
Provider Name
MICHAEL WILLIAMS MD
Gender
Male
Entity Type
Individual
Location Address
303 N CLYDE MORRIS BLVD DAYTONA BEACH, FL 32114
Location Phone
(386) 254-4165
Mailing Address
613 WILLIAMSBURG DR DAYTONA BEACH, FL 32117
Is Sole Proprietor?
No
Enumeration Date
07-03-2007
Last Update Date
07-08-2007
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A primary care provider (PCP) like Michael Williams sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 35, 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.

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
TRN9181
License State
FL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PECOS Enrollment and Medicare Participation Status

Michael Williams 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 32114 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $90.24
  • Minimum New Patient Price $58.4
  • Maximum New Patient Price $178.79
  • Average New Patient Copayment $22.56
  • Minimum New Patient Copayment $14.6
  • Maximum New Patient Copayment $44.69

Established Patients Visit Costs *

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

  • Average Established Patient Price $103.76
  • Minimum Established Patient Price $17.74
  • Maximum Established Patient Price $145.28
  • Average Established Patient Copayment $25.94
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $36.32

* 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: 35 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: 50

    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: 0

    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: 20

    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.

Reviews for MICHAEL WILLIAMS MD

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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.
1003014838
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301886
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 + 8 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1003014838 is valid because the calculated check digit 8 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
1447243423 FRANKLYN DONTFRAID MD
Individual
Internal Medicine (Infectious Disease)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1124092598 CHRISTOPHER D. INGRAM M. D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4127
1861451593MS. LORA J SHEHI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4139
1386603900 STEVEN M POPOK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4139
1346200656MR. WILLIAM P DOUGLASS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4139
1861452120MR. THOMAS J GREEN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4139
1912967225MRS. JANE L CHEN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4139
1538122288 JOYCE ANN BATTLE M.D.
Individual
Radiology (Radiation Oncology)303 N CLYDE MORRIS BLVD RADIATION ONCOLOGY DEPT
DAYTONA BEACH, FL 32114
(386) 254-4210
1417908658HALIFAX HEALTHCARE SYSTEMS INC
Organization
Radiology (Radiation Oncology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1134173461HALIFAX HEALTHCARE SYSTEMS INC
Organization
Internal Medicine (Hematology & Oncology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1114964129HALIFAX HEALTHCARE SYSTEMS INC
Organization
Emergency Medicine303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1619919057HALIFAX HEALTHCARE SYSTEMS INC
Organization
Psychiatry & Neurology (Child & Adolescent Psychiatry)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1275576647HALIFAX HEALTHCARE SYSTEMS INC
Organization
Surgery (Trauma Surgery)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1588607824HALIFAX HEALTHCARE SYSTEMS INC
Organization
Internal Medicine303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1437194453HALIFAX HEALTHCARE SYSTEMS INC
Organization
Surgery (Trauma Surgery)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1962438531DR. BRAD ANTHONY FACTOR MD
Individual
Radiology (Radiation Oncology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4212
1073545364HALIFAX HEALTHCARE SYSTEMS INC
Organization
Obstetrics & Gynecology303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1295760445HALIFAX HEALTHCARE SYSTEMS INC
Organization
Internal Medicine (Gastroenterology)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1801815865HHCSI HALIFAX ENDOCRINOLOGY
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000
1518977032HALIFAX HEALTHCARE SYSTEMS INC
Organization
Internal Medicine (Infectious Disease)303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
(386) 254-4000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003014838, enumerated in the NPI registry as an "individual" on July 03, 2007

The provider is located at 303 N Clyde Morris Blvd Daytona Beach, Fl 32114 and the phone number is (386) 254-4165

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

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.

Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 03, 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.