DR. CHARLES LUTHER M.D. NPI 1003017104
Psychiatry & Neurology - Psychiatry in Middleburg Heights, OH
About DR. CHARLES LUTHER M.D.
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 22 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2001. The NPI number of this provider is 1003017104 and was 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 2 years ago.
| NPI | 1003017104 |
| Provider Name | DR. CHARLES LUTHER M.D. |
| Location Address | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 |
| Location Phone | (440) 816-8200 |
| Mailing Address | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 |
| Gender | Male |
| NPI Entity Type | Individual |
| 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 |
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 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.
Charles Luther 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 .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.5, 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 | 2084P0800X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Psychiatry |
| 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. |
Business Address
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 816-8200
Mailing Address
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 816-8200
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 |
| PECOS PAC ID | 3173715273 |
| PECOS Enrollment ID | I20150813011806 |
| 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 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% | 94.9 | |
|
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 | - | 98.5 | |
| 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 | 7 | 1 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 14 | 1 | 0 | |
| 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 = 4 | 4 | ||||||||
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 |
|---|---|---|---|
| 1538166731 | DR. DAVE JAMES FERRIS PHARMD Individual | Pharmacist | 18697 BAGLEY RD CLEVELAND, OH 44130 (440) 816-6396 |
| 1942293907 | DR. GARY MARMOLYA M.D. Individual | Radiology (Diagnostic Radiology) | 18697 BAGLEY RD RADIOLOGY DEPARTMENT CLEVELAND, OH 44130 (440) 816-8000 |
| 1154316149 | DR. VICTOR A. CEICYS M.D. Individual | Radiology (Diagnostic Radiology) | 18697 BAGLEY RD RADIOLOGY DEPARTMENT CLEVELAND, OH 44130 (440) 816-8000 |
| 1750372066 | MRS. JANET JANE SHIN MD Individual | Physical Medicine & Rehabilitation | 18697 BAGLEY RD MIDDLEBURG HTS, OH 44130 (440) 816-8007 |
| 1962488866 | WILLIAM A GRYNIEWICZ PA-C Individual | Physician Assistant | 18697 BAGLEY RD CLEVELAND, OH 44130 (440) 816-8000 |
| 1578549309 | ANN C SMITH PA-C Individual | Physician Assistant | 18697 BAGLEY RD CLEVELAND, OH 44130 (440) 816-8000 |
| 1023095635 | PATRICK M CLEARY PA-C Individual | Physician Assistant | 18697 BAGLEY RD CLEVELAND, OH 44130 (440) 816-8000 |
| 1932186541 | PAUL A WALLIS PA-C Individual | Physician Assistant | 18697 BAGLEY RD CLEVELAND, OH 44130 (440) 816-8000 |
| 1841277456 | PAUL S REYNOLDS PA-C Individual | Physician Assistant | 18697 BAGLEY RD CLEVELAND, OH 44130 (440) 816-8000 |
| 1942280284 | MUKHTAR S NIJJAR PA-C Individual | Physician Assistant | 18697 BAGLEY RD CLEVELAND, OH 44130 (440) 816-8000 |
| 1669428900 | EWEN CURRIER MC EWEN MD Individual | Emergency Medicine | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8000 |
| 1952357089 | CONSTANCE SKALSKY PA-C Individual | Physician Assistant | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8000 |
| 1720035355 | CLIVE ANDREW JENKINS MD Individual | Emergency Medicine | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8000 |
| 1780624379 | KAU-WUN CHANG MD Individual | Emergency Medicine | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8000 |
| 1669413266 | NEAL JAY KLATZKO MD Individual | Emergency Medicine | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8000 |
| 1902847528 | DEBRA RUSSELL MD Individual | Emergency Medicine | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8000 |
| 1053352674 | JAMES JOS RYBAK MD Individual | Emergency Medicine | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8000 |
| 1083654610 | ROBERT SPEICHER PA-C Individual | Physician Assistant | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8000 |
| 1437190220 | DR. ILONA A MARR M.D. Individual | Anesthesiology | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8736 |
| 1669413464 | GEORGE S SUCHY A.A. Individual | Anesthesiologist Assistant | 18697 BAGLEY RD MIDDLEBURG HEIGHTS, OH 44130 (440) 816-8736 |
Frequently Asked Questions
What is Dr. Charles Luther M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003017104, registered as an "individual" on May 29, 2007
Where is Dr. Charles Luther M.D. located?
The provider is located at 18697 Bagley Rd Middleburg Heights, Oh 44130 and the phone number is (440) 816-8200
Which is Dr. Charles Luther M.D. specialty?
The provider's speciality is Psychiatry & Neurology with a focus in Psychiatry
How many years of experience does Dr. Charles Luther M.D. have?
The provider has more than 22 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2001.
Is Dr. Charles Luther 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 Dr. Charles Luther 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 do I update my NPI information?
The NPI record of Dr. Charles Luther M.D. 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]
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