DANIELLE MARIE PESCE DO NPI 1003017047

Emergency Medicine in Fort Hood, TX

NPI 1003017047 Individual Female Emergency Medicine PECOS Enrolled MIPS Quality Score 30

NPI Profile for DANIELLE MARIE PESCE DO

Danielle Pesce is a provider established in Fort Hood, Texas and her medical specialization is emergency medicine. The NPI number of Danielle Pesce is 1003017047 and was assigned on May 2007. The practitioner's primary taxonomy code is 207P00000X with license number 243943-1 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.

Danielle Pesce 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..

Danielle Pesce is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, 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.

NPI

1003017047

Provider Name DANIELLE MARIE PESCE DO
Provider Location Address36000 DARNALL LOOP DEM BOX 31 FORT HOOD, TX 76544
Provider Mailing Address36000 DARNALL LOOP DEM BOX 31 FORT HOOD, TX 76544
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-29-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.243943-1
License StateNY
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DANIELLE MARIE PESCE DO
36000 DARNALL LOOP
DEM BOX 31
FORT HOOD, TX
ZIP 76544
Phone: (254) 288-8303
Fax: (254) 286-7055

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Mailing Address

DANIELLE MARIE PESCE DO
36000 DARNALL LOOP
DEM BOX 31
FORT HOOD, TX
ZIP 76544
Phone: (254) 288-8303
Fax: (254) 286-7055



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
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

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% N/A
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% N/A
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% N/A
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 - 30
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 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.
1003017047
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011408
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 + 4 + 0 + 8 + 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 1003017047 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447253828 ERIN MICHELLE HALL PAC
Individual
Physician Assistant36000 DARNALL LOOP CARL R DARNALL AMC
FORT HOOD, TX 76544
(254) 288-8000
1538166699DR. NANCY ANNE RADEBAUGH PHARMD
Individual
Pharmacist (Pharmacotherapy)36000 DARNALL LOOP
FORT HOOD, TX 76544
(254) 286-7069
1538168224MS. GEORGIA BUTLER CNM
Individual
Midwife36000 DARNALL LOOP CRDAMC
FT. HOOD, TX 76544
(254) 288-8106
1477553220MS. YANIRA VAZQUEZ R.PH.
Individual
Pharmacist36000 DARNALL LOOP DARNALL ARMY COMMUNITY HOSPITAL, PHARMACY DEPT.
FORT HOOD, TX 76544
(254) 286-7710
1902887383DR. JAMES GRANT MILLER JR. M.D.
Individual
Radiology (Diagnostic Radiology)36000 DARNALL LOOP CRDAMC
FORT HOOD, TX 76544
(254) 288-8945
1568442796DR. WESLEY B LUEG PHARMD
Individual
Pharmacist36000 DARNALL LOOP
FORT HOOD, TX 76544
(254) 288-8801
1700858172MS. CARMEN DININO ALSPACH L.P.C., L.C.D.C.
Individual
Counselor (Professional)36000 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER,
FORT HOOD, TX 76544
(512) 694-1261
1881667384MR. PHILIP P AINSLIE R.PH.
Individual
Pharmacist (Pharmacotherapy)36000 DARNALL LOOP
FORT HOOD, TX 76544
(254) 286-7335
1720047368MRS. LESLIE SUSAN RENDEIRO RN, MSN, CNM
Individual
Advanced Practice Midwife36000 DARNALL LOOP ATTN: CREDENTIALS (CMC)
FORT HOOD, TX 76544
(254) 288-8387
1629037015MS. LAURA MAY HUBBARD PA-C, RD,LD
Individual
Physician Assistant36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
(254) 288-8025
1659334019 TERESA BAKER NNP
Individual
Nurse Practitioner (Neonatal)36000 DARNALL LOOP
FORT HOOD, TX 76544
(254) 288-8415
1538119896DR. CLIFFORD DAVID FRIESEN M. D.
Individual
Allergy & Immunology36000 DARNALL LOOP ALLERGY CLINIC, CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
(254) 285-6335
1467402743DR. GARY PAUL HOLMES M.D.
Individual
Internal Medicine (Infectious Disease)36000 DARNALL LOOP MCXI-MED
FORT HOOD, TX 76544
(254) 288-8090
1326090176DR. ERIC JACQUES RUBEL M.D.
Individual
Family Medicine36000 DARNALL LOOP DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
(254) 288-8482
1366482291MS. CHRISTINE MARIE CONDE LVN
Individual
Licensed Vocational Nurse36000 DARNALL LOOP CARL R DARNALL ARMY MED CTR GEN SURGERY UROLOGY CLINIC
FORT HOOD, TX 76544
(254) 288-8048
1811937691 KAREN JONES SPANGLE MD
Individual
Emergency Medicine36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
(254) 288-8302
1437190121MR. JEFFREY LYNN SPIVEY PAC
Individual
Physician Assistant36000 DARNALL LOOP DEPT OF ORTHOPEADIC & REHABILITATION SERVICES
FORT HOOD, TX 76544
(254) 286-7973
1720023716MR. TERRY PAUL VALENTINO LPN
Individual
Licensed Practical Nurse36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER PODIATRY CLINIC
FORT HOOD, TX 76544
(254) 288-8196
1538104534MRS. KATHLEEN DEANNE MARTIN MSPT
Individual
Physical Therapist36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
(254) 288-8040
1124054796MS. TERRY OKEEFE MD
Individual
Radiology (Diagnostic Radiology)36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER DEPT OF RADIOLOGY
FORT HOOD, TX 76544
(254) 288-8300

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
Danielle Marie Pesce Do 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.