PHILLIP RICHTER PARAS M.D. NPI 1003016064
Pediatrics in Grand Rapids, MI
About PHILLIP RICHTER PARAS M.D.
Phillip Paras is a pediatrician established in Grand Rapids, Michigan and his medical specialization is Pediatrics. The NPI number of this provider is 1003016064 and was assigned on July 2007. The practitioner's primary taxonomy code is 208000000X with license number 4301090796 (MI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
| NPI | 1003016064 |
| Provider Name | PHILLIP RICHTER PARAS M.D. |
| Location Address | 330 BARCLAY AVE NE SUITE 300 GRAND RAPIDS, MI 49503 |
| Location Phone | (616) 391-8810 |
| Mailing Address | 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-18-2007 |
| Last Update Date | 01-05-2021 |
A pediatrician like Phillip Paras is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.Phillip Paras 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.3, 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.
Primary Taxonomy
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.
| Taxonomy Code | 208000000X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 4301090796 |
| License State | MI |
| Taxonomy Description | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Business Address
330 BARCLAY AVE NE
SUITE 300
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-8810
Fax: (616) 391-8897
Mailing Address
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS, MI
ZIP 49503
Location Map
PECOS Enrollment and Medicare Participation Status
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 |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 | |
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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. |
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| Promoting Interoperability (PI) | 25% | 80.9 | |
|
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. |
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| 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. |
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| 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. |
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| MIPS Final Score | - | 94.3 | |
| 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. | |||
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 6 | 0 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 12 | 0 | 12 | |
| 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 + 2 + 0 + 1 + 2 + 24 = 36 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 36 = 4 | 4 | ||||||||
The NPI number 1003016064 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1821088220 | MELINDA E JOHNSON MD Individual | Specialist | 330 BARCLAY AVE NE SUITE 304 GRAND RAPIDS, MI 49503 (616) 391-2967 |
| 1578501573 | DR. DANIEL JOHN ROBERTSON M.D. Individual | Surgery (Pediatric Surgery) | 330 BARCLAY AVE NE SUITE 202 GRAND RAPIDS, MI 49503 (616) 458-1722 |
| 1255373270 | JAMES A CHAMNESS MD Individual | Pediatrics | 330 BARCLAY AVE NE STE 200 GRAND RAPIDS, MI 49503 (616) 391-2125 |
| 1073542395 | MRS. ANGELA KAY BARTON Individual | Audiologist | 330 BARCLAY AVE NE SUITE GL1 GRAND RAPIDS, MI 49503 (616) 459-2424 |
| 1679622765 | DR. ROBERT ROBERT CONNORS MD Individual | Surgery (Pediatric Surgery) | 330 BARCLAY AVE NE SUITE 202 GRAND RAPIDS, MI 49503 (616) 458-1722 |
| 1326197625 | DR. JAMES MICHAEL DECOU MD Individual | Surgery (Pediatric Surgery) | 330 BARCLAY AVE NE SUITE 202 GRAND RAPIDS, MI 49503 (616) 458-1722 |
| 1326197476 | DR. NEAL DUANE UITVLUGT MD Individual | Surgery (Pediatric Surgery) | 330 BARCLAY AVE NE SUITE 202 GRAND RAPIDS, MI 49503 (616) 458-1722 |
| 1235288317 | DR. MARC GODFREY SCHLATTER MD Individual | Surgery (Pediatric Surgery) | 330 BARCLAY AVE NE SUITE202 GRAND RAPIDS, MI 49503 (616) 458-1722 |
| 1679701601 | GRAND RAPIDS MEDICAL EDUCATION AND RESEARCH CENTER Organization | General Acute Care Hospital | 330 BARCLAY AVE NE SUITE 304 GRAND RAPIDS, MI 49503 (616) 391-2160 |
| 1861705022 | LAAMY NASSARA TIADJERI M.D. Individual | Obstetrics & Gynecology | 330 BARCLAY AVE NE SUITE 304 GRAND RAPIDS, MI 49503 (616) 391-1929 |
| 1609180389 | SPECTRUM HEALTH PRIMARY CARE PARTNERS Organization | Ophthalmology | 330 BARCLAY AVE NE SUITE 104 GRAND RAPIDS, MI 49503 (616) 391-7948 |
| 1265734933 | SPECTRUM HEALTH PRIMARY CARE PARTNERS Organization | Pediatrics | 330 BARCLAY AVE NE SUITE 303 GRAND RAPIDS, MI 49503 (616) 391-7999 |
| 1619274834 | SPECTRUM HEALTH HOSPITAL Organization | Pediatrics | 330 BARCLAY AVE NE SUITE 303 GRAND RAPIDS, MI 49503 (616) 391-7999 |
| 1710240551 | DR. JONATHAN MCKEE M.D. Individual | Obstetrics & Gynecology | 330 BARCLAY AVE NE SUITE 102 GRAND RAPIDS, MI 49503 (616) 391-1929 |
| 1083977813 | DR. DAVID JAMES DEWITT M.D. Individual | Obstetrics & Gynecology | 330 BARCLAY AVE NE SUITE 102 GRAND RAPIDS, MI 49503 (616) 391-1929 |
| 1659341790 | BENJAMIN G SARVER MD Individual | Pediatrics | 330 BARCLAY AVE NE SUITE 300 GRAND RAPIDS, MI 49503 (616) 391-1719 |
| 1356508295 | DR. JARED LYON SKILLINGS PHD Individual | Psychologist (Clinical) | 330 BARCLAY AVE NE GRAND RAPIDS, MI 49503 (616) 391-2802 |
| 1952384372 | DR. ANGELA KAY THOMPSON-BUSCH M.D.,PH.D Individual | Pediatrics | 330 BARCLAY AVE NE SUITE 300 GRAND RAPIDS, MI 49503 (616) 391-8100 |
| 1760792311 | ASGHAR KHAGHANI MD Individual | Transplant Surgery | 330 BARCLAY AVE NE SUITE 200 GRAND RAPIDS, MI 49503 (616) 391-2802 |
| 1386694958 | EMILY T DURKIN M.D. Individual | Surgery (Pediatric Surgery) | 330 BARCLAY AVE NE SUITE 202 GRAND RAPIDS, MI 49503 (616) 458-1722 |
Frequently Asked Questions
What is Phillip Paras M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003016064, registered as an "individual" on July 18, 2007
Where is Phillip Paras M.D. located?
The provider is located at 330 Barclay Ave Ne Suite 300 Grand Rapids, Mi 49503 and the phone number is (616) 391-8810
Which is Phillip Paras M.D. specialty?
The provider's speciality is Pediatrics
Is Phillip Paras M.D. registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are Phillip Paras M.D. Quality Ratings?
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.
How much is a visit to Phillip Paras M.D.?
Medicare beneficiaries should expect a typical cost of $87.16 with an average copayment of $21.79 for new patient appointments. Established patients should expect a typical charge of $100.65 and an average copayment of 25.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Phillip Paras M.D. was last updated on July 18, 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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