DR. CHARLES LUTHER M.D.
NPI 1003017104
Psychiatry & Neurology - Psychiatry in Middleburg Heights, OH


Quality Rating: 91.49 out of 100 score

NPI Status: Active since May 29, 2007

Contact Information

18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 816-8200

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  • Individual
  • Male
  • Years of Experience 24
  • Psychiatry & Neurology
  • Psychiatry
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About CHARLES LUTHER

Charles Luther is a provider established in Middleburg Heights, Ohio and his medical specialization is Psychiatry & Neurology with a focus in psychiatry with more than 24 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2001. The healthcare provider is registered in the NPI registry with number 1003017104 assigned on May 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 227929 (NY). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1003017104
Provider Name
DR. CHARLES LUTHER M.D.
Gender
Male
Entity Type
Individual
Location Address
18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130
Location Phone
(440) 816-8200
Mailing Address
18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130
Mailing Phone
(440) 816-8200
Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year
2001
Is Sole Proprietor?
Yes
Enumeration Date
05-29-2007
Last Update Date
12-16-2020
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A psychiatrist like Charles Luther are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Charles Luther 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 91.49, 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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
227929
License State
NY
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Insurance Plans Accepted

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

  • Aetna CVS Health

    • Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - HMO
    • Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 5: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 6: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver 7: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
    • Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Ambetter from Buckeye Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
    • Complete Silver + Vision + Adult Dental - HMO
  • Ambetter from Meridian

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
  • Ambetter from MHS

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
  • AultCare Insurance Company

    • AultCare Bronze 7000 Select - PPO
    • AultCare Bronze 7050 Select - PPO
    • AultCare Bronze 8550 Select - PPO
    • AultCare Bronze 8550 Select No Pediatric Dental - PPO
    • AultCare Catastrophic Select - PPO
    • AultCare Catastrophic Select No Pediatric Dental - PPO
    • AultCare Gold 1100 Select - PPO
    • AultCare Gold 1100 Select No Pediatric Dental - PPO
    • AultCare Silver 6850 Select - PPO
    • AultCare Silver 6850 Select No Pediatric Dental - PPO
  • CareSource

    • CareSource Marketplace Bronze First - HMO
    • CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Gold - HMO
    • CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Silver - HMO
    • CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Gold - HMO
    • CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Silver - HMO
    • CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
  • MedMutual

    • Market HMO 2500 - HMO
    • Market HMO 3850 - HMO
    • Market HMO 4000 HSA - HMO
    • Market HMO 6900 - HMO
    • Market HMO 7300 HSA - HMO
    • Market HMO 8300 - HMO
    • Market HMO 9450 - HMO
    • Market HMO Select Bronze - HMO
    • Market HMO Select Silver - HMO
    • Market HMO Standard Expanded Bronze - HMO

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

PECOS Enrollment and Medicare Participation Status

Charles Luther 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: 3173715273

    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: I20150813011806

    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

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: 91.49 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: 87.23

    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: 92.9

    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.

  • 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. Charles Luther is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SOUTHWEST GENERAL HEALTH CENTER18697 BAGLEY ROAD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-4012Acute 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.
1003017104
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011410
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 + 1 + 0 + 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 = 44

The NPI number 1003017104 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
1538166731DR. DAVE JAMES FERRIS PHARMD
Individual
Pharmacist18697 BAGLEY RD
CLEVELAND, OH 44130
(440) 816-6396
1942293907DR. GARY MARMOLYA M.D.
Individual
Radiology (Diagnostic Radiology)18697 BAGLEY RD RADIOLOGY DEPARTMENT
CLEVELAND, OH 44130
(440) 816-8000
1154316149DR. VICTOR A. CEICYS M.D.
Individual
Radiology (Diagnostic Radiology)18697 BAGLEY RD RADIOLOGY DEPARTMENT
CLEVELAND, OH 44130
(440) 816-8000
1750372066MRS. JANET JANE SHIN MD
Individual
Physical Medicine & Rehabilitation18697 BAGLEY RD
MIDDLEBURG HTS, OH 44130
(440) 816-8007
1962488866 WILLIAM A GRYNIEWICZ PA-C
Individual
Physician Assistant18697 BAGLEY RD
CLEVELAND, OH 44130
(440) 816-8000
1578549309 ANN C SMITH PA-C
Individual
Physician Assistant18697 BAGLEY RD
CLEVELAND, OH 44130
(440) 816-8000
1023095635 PATRICK M CLEARY PA-C
Individual
Physician Assistant18697 BAGLEY RD
CLEVELAND, OH 44130
(440) 816-8000
1932186541 PAUL A WALLIS PA-C
Individual
Physician Assistant18697 BAGLEY RD
CLEVELAND, OH 44130
(440) 816-8000
1841277456 PAUL S REYNOLDS PA-C
Individual
Physician Assistant18697 BAGLEY RD
CLEVELAND, OH 44130
(440) 816-8000
1942280284 MUKHTAR S NIJJAR PA-C
Individual
Physician Assistant18697 BAGLEY RD
CLEVELAND, OH 44130
(440) 816-8000
1669428900 EWEN CURRIER MC EWEN MD
Individual
Emergency Medicine18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8000
1952357089 CONSTANCE SKALSKY PA-C
Individual
Physician Assistant18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8000
1780624379 KAU-WUN CHANG MD
Individual
Emergency Medicine18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8000
1669413266 NEAL JAY KLATZKO MD
Individual
Emergency Medicine18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8000
1902847528 DEBRA RUSSELL MD
Individual
Emergency Medicine18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8000
1053352674 JAMES JOS RYBAK MD
Individual
Emergency Medicine18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8000
1083654610 ROBERT SPEICHER PA-C
Individual
Physician Assistant18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8000
1437190220DR. ILONA A MARR M.D.
Individual
Anesthesiology18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8736
1669413464 GEORGE S SUCHY A.A.
Individual
Anesthesiologist Assistant18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8736
1487697587 ANGEL RONDA DO
Individual
Emergency Medicine18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003017104, enumerated in the NPI registry as an "individual" on May 29, 2007

The provider is located at 18697 Bagley Rd Middleburg Heights, Oh 44130 and the phone number is (440) 816-8200

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider has more than 24 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2001.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Buckeye Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 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.

The practitioner is affiliated to the following hospital(s): SOUTHWEST GENERAL HEALTH 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 May 29, 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.