DR. NAUMAN J AKHTAR M.D. NPI 1003017682

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) in Leesburg, VA

NPI 1003017682 Individual Male Years of Experience 18 Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 80.2

NPI Profile for DR. NAUMAN J AKHTAR M.D.

Nauman Akhtar is a provider established in Leesburg, Virginia and his medical specialization is orthopaedic surgery (adult reconstructive orthopaedic surgery) with more than 18 years of experience. He graduated from Tufts University School Of Medicine in 2004. The NPI number of Nauman Akhtar is 1003017682 and was assigned on May 2007. The practitioner's primary taxonomy code is 207XS0114X with license number 0101247280 (VA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

Nauman Akhtar 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.

Nauman Akhtar 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 Inova Loudoun Hospital and Berkeley Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.2, 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

1003017682

Provider NameDR. NAUMAN J AKHTAR M.D.
Provider Location Address224D CORNWALL ST NW STE 204 LEESBURG, VA 20176
Provider Mailing Address224D CORNWALL ST NW STE 403 LEESBURG, VA 20176
GenderMale
NPI Entity TypeIndividual
Medical School NameTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-30-2007
Last Update Date04-15-2020


Primary Taxonomy

Taxonomy Code207XS0114X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
SpecializationAdult Reconstructive Orthopaedic Surgery
License No.0101247280
License StateVA
Taxonomy DescriptionRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Business Address

DR. NAUMAN J AKHTAR M.D.
224D CORNWALL ST NW STE 204
LEESBURG, VA
ZIP 20176
Phone: (703) 777-3262
Fax: (703) 777-3365

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Mailing Address

DR. NAUMAN J AKHTAR M.D.
224D CORNWALL ST NW STE 403
LEESBURG, VA
ZIP 20176
Phone: (703) 737-6001
Fax: (703) 443-8643



Secondary Locations

19450 Deerfield Ave Ste 200
Leesburg, VA 20176
(571) 209-1875

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 ID42366981
PECOS Enrollment IDI20110210000770, I20121002000326, I20160907000547
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

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% 92.6
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% 41
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 - 80.2
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.

  • 144X-ray of knee, 3 views (HCPCS:73562)
  • 128Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • 122X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 40Repair of knee joint (HCPCS:27447)
  • 34Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 31X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 23X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 19Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

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. Nauman Akhtar is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
INOVA LOUDOUN HOSPITAL44045 RIVERSIDE PARKWAY
LEESBURG, VA 20176
(703) 858-6600Acute Care Hospitals490043
BERKELEY MEDICAL CENTER2500 HOSPITAL DRIVE
MARTINSBURG, WV 25401
(304) 264-1000Acute Care Hospitals510008

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
1003017682MEDICAID (05)VA

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.
1003017682
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114616
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 + 6 + 1 + 6 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003017682 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588655740 MICHAEL ANDREW KAVANAGH MD
Individual
Orthopaedic Surgery224D CORNWALL ST NW STE 204
LEESBURG, VA 20176
(703) 777-3262
1124317409DR. ABDURRAHMAN KANDIL MD
Individual
Orthopaedic Surgery224D CORNWALL ST NW STE 204
LEESBURG, VA 20176
(703) 665-2720
1174110308LOUDOUN MEDICAL GROUP . P.C
Organization
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)224D CORNWALL ST NW STE 204
LEESBURG, VA 20176
(703) 777-3262
1386311850LOUDOUN MEDICAL GROUP . P.C
Organization
Orthopaedic Surgery224D CORNWALL ST NW STE 204
LEESBURG, VA 20176
(703) 777-3262
1891462362LOUDOUN MEDICAL GROUP . P.C
Organization
Podiatrist224D CORNWALL ST NW STE 204
LEESBURG, VA 20176
(540) 751-4451

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. Nauman J Akhtar 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.