DR. JASON ANDREW FELTON M.D.
NPI 1003015967
Neurological Surgery in Lubbock, TX


Quality Rating: 95.62 out of 100 score

NPI Status: Active since July 12, 2007

Contact Information

3502 9TH ST STE 430
LUBBOCK, TX
ZIP 79415
Phone: (806) 761-0535
Fax: (806) 761-0534

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  • Individual
  • Male
  • Years of Experience 21
  • Neurological Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JASON FELTON

Jason Felton is a provider established in Lubbock, Texas and his medical specialization is Neurological Surgery with more than 21 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1003015967 assigned on July 2007. The practitioner's primary taxonomy code is 207T00000X with license number P0208 (TX). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1003015967
Provider Name
DR. JASON ANDREW FELTON M.D.
Gender
Male
Entity Type
Individual
Location Address
3502 9TH ST STE 430 LUBBOCK, TX 79415
Location Phone
(806) 761-0535
Location Fax
(806) 761-0534
Mailing Address
5219 CITY BANK PKWY STE 35 LUBBOCK, TX 79407
Mailing Phone
(806) 761-0333
Mailing Fax
(806) 761-0534
Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
07-12-2007
Last Update Date
03-18-2021
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Jason Felton 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 95.62, 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: $32.67 for a new patient copayment and $17.81 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

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License No.
P0208
License State
TX
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

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)
1207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

2003014735 (MO)

Insurance Plans Accepted

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

  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway 20% for HSA - EPO
    • Anthem Bronze Pathway 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 6500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 7500/50% Standard - EPO
    • Anthem Bronze Pathway 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Catastrophic Pathway 9450 - EPO
    • Anthem Gold Pathway 1500/25% Standard - EPO
    • Anthem Silver Pathway 2950 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Silver Pathway 3950 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Silver Pathway 4950 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Silver Pathway 5900/40% Standard - EPO
    • Anthem Silver Pathway 7050 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
    • Blue Advantage Gold HMO℠ 603 - HMO
    • Blue Advantage Gold HMO℠ 706 - HMO
    • Blue Advantage Plus Bronze℠ 303 - POS
    • Blue Advantage Plus Bronze℠ 305 - POS
    • Blue Advantage Plus Bronze℠ 707 - POS
    • Blue Advantage Plus Gold℠ 203 - POS
    • Blue Advantage Plus Gold℠ 706 - POS
    • Blue Advantage Plus Gold℠ 803 - POS
    • Blue Advantage Plus Silver℠ 202 - POS
    • Blue Advantage Plus Silver℠ 605 - POS
  • Cigna Healthcare

    • Connect Bronze 5500 Indiv Med Deductible - HMO
    • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Bronze 8500 Indiv Med Deductible - HMO
    • Connect Bronze 9450 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
    • Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Gold 3500 Indiv Med Deductible - HMO
    • Connect Gold CMS Standard - HMO
    • Connect Silver 3000 Indiv Med Deductible - HMO
    • Connect Silver 4000 Indiv Med Deductible - HMO
    • Connect Silver 5000 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Silver 7000 Indiv Med Deductible - HMO
    • Connect Silver CMS Standard - HMO

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

PECOS Enrollment and Medicare Participation Status

Jason Felton 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: 840314175

    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: I20111021000563

    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 79415 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.71
  • Minimum New Patient Price $56.75
  • Maximum New Patient Price $172.6
  • Average New Patient Copayment $32.67
  • Minimum New Patient Copayment $14.18
  • Maximum New Patient Copayment $43.15

Established Patients Visit Costs *

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

  • Average Established Patient Price $71.24
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $141.29
  • Average Established Patient Copayment $17.81
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $35.32

* 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: 95.62 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: 91.25

    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: 100

    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.

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. Jason Felton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY MEDICAL CENTER602 INDIANA AVENUE
LUBBOCK, TX 79415
(806) 775-8200Acute 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.
1003015967
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030110912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 9 + 1 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003015967 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750535365DR. GENEVIEVE LAPOINTE MD
Individual
Neurological Surgery3502 9TH ST STE 430
LUBBOCK, TX 79415
(806) 761-0535
1114254620 BRANDON WELLS PA-C
Individual
Physician Assistant3502 9TH ST STE 430
LUBBOCK, TX 79415
(067) 610-5358
1609178409 JOEY STONE FNP
Individual
Nurse Practitioner (Family)3502 9TH ST STE 430
LUBBOCK, TX 79415
(806) 761-0535
1912209073 CODY RAY MANDRELL
Individual
Nurse Practitioner3502 9TH ST STE 430
LUBBOCK, TX 79415
(806) 761-0535
1053516310DR. BENEDICTO CORTES BARONIA M.D.
Individual
Neurological Surgery3502 9TH ST STE 430
LUBBOCK, TX 79415
(806) 761-0535
1194346585DR. MOHAMMED YANALLAH ALGHAMDI MD
Individual
Neurological Surgery3502 9TH ST STE 430
LUBBOCK, TX 79415
(806) 761-0535
1881322758 CURTIS SANCHEZ APRN FNP-C
Individual
Nurse Practitioner (Family)3502 9TH ST STE 430
LUBBOCK, TX 79415
(806) 761-0535

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015967, enumerated in the NPI registry as an "individual" on July 12, 2007

The provider is located at 3502 9th St Ste 430 Lubbock, Tx 79415 and the phone number is (806) 761-0535

The provider's speciality is Neurological Surgery with taxonomy code 207T00000X

The provider has more than 21 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2003.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. 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 , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $130.71 with an average copayment of $32.67 for new patient appointments. Established patients should expect a typical charge of $71.24 and an average copayment of 17.81. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): UNIVERSITY MEDICAL CENTER. 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 12, 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].
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