DR. VIJAI BRINDABAN MUTHUKRISHNAN M.D. NPI 1003016270

Family Medicine in Bristol, CT

NPI 1003016270 Individual Male Years of Experience 16 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 90.9

NPI Profile for DR. VIJAI BRINDABAN MUTHUKRISHNAN M.D.

Vijai Muthukrishnan is a primary care provider established in Bristol, Connecticut and his medical specialization is family medicine with more than 16 years of experience. The NPI number of Vijai Muthukrishnan is 1003016270 and was assigned on July 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 049730 (CT). The provider is registered as an individual and his NPI record was last updated 11 years ago.

A primary care provider (PCP) like Dr. Vijai Brindaban Muthukrishnan M.d. 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

Vijai Muthukrishnan 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.

Vijai Muthukrishnan 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 Bristol Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.9, 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: $24.29 for a new patient copayment and $28.02 for an established patient copayment.

NPI

1003016270

Provider NameDR. VIJAI BRINDABAN MUTHUKRISHNAN M.D.
Provider Location Address25 COLLINS RD BRISTOL, CT 06010
Provider Mailing Address22 FOOTE RD BURLINGTON, CT 06013
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-24-2007
Last Update Date04-20-2011


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.049730
License StateCT
Taxonomy DescriptionFamily 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.

Business Address

DR. VIJAI BRINDABAN MUTHUKRISHNAN M.D.
25 COLLINS RD
BRISTOL, CT
ZIP 06010
Phone: (860) 253-7236

Get Directions


Mailing Address

DR. VIJAI BRINDABAN MUTHUKRISHNAN M.D.
22 FOOTE RD
BURLINGTON, CT
ZIP 06013
Phone: (413) 301-4252



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 ID3678750494
PECOS Enrollment IDI20110603000414
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 06010 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
$63.47 $190.87 $97.18
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.86 $47.71 $24.29
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.08 $156.18 $112.09
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.02 $39.04 $28.02

* 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% 61
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 - 90.9
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.

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.

  • 168Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 132Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 50Hemoglobin A1C level (HCPCS:83036)
  • 48Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 48Administration of influenza virus vaccine (HCPCS:G0008)
  • 33Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • 27Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 25Urinalysis, manual test (HCPCS:81002)
  • 21Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 19Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)

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. Vijai Muthukrishnan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BRISTOL HOSPITAL41 BREWSTER RD
BRISTOL, CT 6010
(860) 585-3000Acute Care Hospitals70029

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.
1003016270
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030112214
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 + 2 + 1 + 4 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003016270 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154342780 LAWRENCE NEIL RAPPAPORT
Individual
Radiology (Diagnostic Radiology)25 COLLINS RD
BRISTOL, CT 06010
(860) 584-0541
1801806575 DAVID ELLIOT KAYE
Individual
Radiology (Diagnostic Radiology)25 COLLINS RD
BRISTOL, CT 06010
(860) 584-0541
1083624761 DENNIS DONALD FERGUSON MD
Individual
Radiology (Diagnostic Radiology)25 COLLINS RD
BRISTOL, CT 06010
(860) 584-0541
1114937141DR. ANDREW H SELINGER M.D.
Individual
Family Medicine25 COLLINS RD
BRISTOL, CT 06010
(860) 589-8882
1205847134DR. LEA BAILEY MD
Individual
Family Medicine25 COLLINS RD
BRISTOL, CT 06010
(860) 589-8882
1215940135DR. JONATHAN ROSEN MD
Individual
Family Medicine25 COLLINS RD
BRISTOL, CT 06010
(860) 589-8882
1114150802 CORY JAMES MASCALO RPH
Individual
Pharmacist25 COLLINS RD
BRISTOL, CT 06010
(860) 589-5587
1760615546 STACEY SIFODASKALAKIS RPH
Individual
Pharmacist25 COLLINS RD
BRISTOL, CT 06010
(860) 589-5587
1154485472DR. PAYTON DUKE TURPIN M.D.
Individual
Internal Medicine25 COLLINS RD
BRISTOL, CT 06010
(860) 584-4537
1033141528GAB PRESCRIPTIONS INC
Organization
Pharmacy (Community/Retail Pharmacy)25 COLLINS RD
BRISTOL, CT 06010
(860) 589-5587
1942614995DANICO PRESCRIPTIONS INC.
Organization
Pharmacy25 COLLINS RD
BRISTOL, CT 06010
(860) 589-5587
1982150652 SANDRA MERRITT
Individual
Pharmacist25 COLLINS RD
BRISTOL, CT 06010
(860) 589-5587
1760468904 ALLEN A. CURRIER JR. M.D.
Individual
Radiology (Diagnostic Radiology)25 COLLINS RD
BRISTOL, CT 06010
(860) 584-0541
1710997481 CHRISTOPHER JON LEARY MD
Individual
Radiology (Diagnostic Radiology)25 COLLINS RD
BRISTOL, CT 06010
(860) 584-0541
1063777282 MARGARET TALLYN RUSH MD
Individual
Family Medicine25 COLLINS RD
BRISTOL, CT 06010
(860) 589-8882
1093196941DR. DEVORAH DONNELL M.D.
Individual
Family Medicine25 COLLINS RD
BRISTOL, CT 06010
(860) 589-8882
1194738104MS. KELLI MOREAU APRN
Individual
Nurse Practitioner (Family)25 COLLINS RD
BRISTOL, CT 06010
(860) 589-8882
1164174223 CHRISTINA MARIE KASCHAK APRN
Individual
Nurse Practitioner (Family)25 COLLINS RD
BRISTOL, CT 06010
(860) 589-8882

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
Dr. Vijai Brindaban Muthukrishnan 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.