TANYA DENISE BECKFORD M.D. NPI 1003017526
Obstetrics & Gynecology in Fayetteville, GA
About TANYA DENISE BECKFORD M.D.
Tanya Beckford is a women's health care provider established in Fayetteville, Georgia and her medical specialization is Obstetrics & Gynecology with more than 20 years of experience. She graduated from State University Of Ny Upstate Medical University in 2003. The NPI number of this provider is 1003017526 and was assigned on May 2007. The practitioner's primary taxonomy code is 207V00000X with license number 060703 (GA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
| NPI | 1003017526 |
| Provider Name | TANYA DENISE BECKFORD M.D. |
| Location Address | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 |
| Location Phone | (770) 991-2200 |
| Mailing Address | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY |
| Graduation Year | 2003 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-31-2007 |
| Last Update Date | 06-06-2014 |
Women's health care providers like Tanya Beckford treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.Tanya Beckford 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.
Tanya Beckford 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 she 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 34, 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 following quality measures were reported for this provider: preventive care and screening: body mass index (bmi) screening and follow-up plan.
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.8 for a new patient copayment and $18.4 for an established patient copayment.
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 | 207V00000X |
| Classification | Obstetrics & Gynecology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 060703 |
| License State | GA |
| Taxonomy Description | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1279 HIGHWAY 54 W
SUITE 220
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 991-2200
Fax: (770) 716-8672
Mailing Address
1279 HIGHWAY 54 W
SUITE 220
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 991-2200
Fax: (770) 716-8672
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 | 9739273343 |
| PECOS Enrollment ID | I20080611000603 |
| 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 |
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 30214 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.88 | $178.51 | $135.21 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.72 | $44.62 | $33.8 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.36 | $145.86 | $73.63 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.59 | $36.46 | $18.4 |
* 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% | 40 | |
|
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% | 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. |
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| Improvement Activities | 15% | 0 | |
|
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 | - | 34 | |
| 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 Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 80 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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.
- 61Urinalysis, manual test (HCPCS:81002)
- 35Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
- 12Ultrasound pelvis through vagina (HCPCS:76830)
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | 244284 | NY | No |
Taxonomy Description: a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| RB4560 | MEDICARE PIN (08) | NY |
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 | 5 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 14 | 5 | 4 | |
| 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 + 5 + 4 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1003017526 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1629062153 | MICHLENE BROADNEY MD Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1942284922 | HEATHER S. TURNER M.D. Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1427098276 | DR. DEBORAH KAY SHEPARD M.D. Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1295741379 | DR. EDWIN BELLO M.D. Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1346251121 | DR. WILLIAM DARRELL MARTIN M.D. Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1154332542 | DR. CRYSTAL O SLADE MD Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1285645671 | DR. BENITA L BONSER MD Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1477565083 | DR. ELIZABETH W KILLEBREW MD Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1427061589 | SOUTHERN CRESCENT WOMEN'S HEALTHCARE Organization | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1750490504 | DR. SHARON A LYNCH-MILLER MD Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1689753360 | SHERRY K FLOWERS RN, CNM Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1942419973 | CHARLOTTE THOMPSON CNM Individual | Advanced Practice Midwife | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1902007321 | SHIRLEY WILLIAMS NP Individual | Nurse Practitioner (Women's Health) | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1790985653 | DR. KRISTIE YANCY DYSON MD Individual | Obstetrics & Gynecology | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1093950685 | GEORGIA CANCER SPECIALISTS I PC Organization | Internal Medicine (Hematology & Oncology) | 1279 HIGHWAY 54 W SUITE 210 FAYETTEVILLE, GA 30214 (770) 719-1299 |
| 1922382274 | JAKKI NICOLE ROBINSON CNM, FNP-BC Individual | Advanced Practice Midwife | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1740250992 | MRS. SHERRI DEANNE FRANKLIN CNM Individual | Advanced Practice Midwife | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
| 1861668337 | DR. NICOLE L SROKA M.D. Individual | Surgery | 1279 HIGHWAY 54 W SUITE 210 FAYETTEVILLE, GA 30214 (770) 719-5710 |
| 1891860094 | AMBER RENEE MAYFIELD PA-C Individual | Physician Assistant (Medical) | 1279 HIGHWAY 54 W SUITE 100 FAYETTEVILLE, GA 30214 (770) 460-8988 |
| 1841491032 | KAREN UYESUGI CNM Individual | Advanced Practice Midwife | 1279 HIGHWAY 54 W SUITE 220 FAYETTEVILLE, GA 30214 (770) 991-2200 |
Frequently Asked Questions
What is Tanya Beckford M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003017526, registered as an "individual" on May 31, 2007
Where is Tanya Beckford M.D. located?
The provider is located at 1279 Highway 54 W Suite 220 Fayetteville, Ga 30214 and the phone number is (770) 991-2200
Which is Tanya Beckford M.D. specialty?
The provider's speciality is Obstetrics & Gynecology
How many years of experience does Tanya Beckford M.D. have?
The provider has more than 20 years of experience. She graduated from State University Of Ny Upstate Medical University in 2003.
What insurance does Tanya Beckford M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Tanya Beckford 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.
How much is a visit to Tanya Beckford M.D.?
Medicare beneficiaries should expect a typical cost of $135.21 with an average copayment of $33.8 for new patient appointments. Established patients should expect a typical charge of $73.63 and an average copayment of 18.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Tanya Beckford M.D.?
The most common procedures or services performed by this practitioner are: Urinalysis, manual test, Cervical or vaginal cancer screening; pelvic and clinical breast examination and Ultrasound pelvis through vagina.
How do I update my NPI information?
The NPI record of Tanya Beckford M.D. was last updated on May 31, 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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