DR. JOSHUA WEBER TODD M.D. NPI 1003017963
Internal Medicine (Interventional Cardiology) in Knoxville, TN
NPI Profile for DR. JOSHUA WEBER TODD M.D.
Joshua Todd is an internal medicine provider established in Knoxville, Tennessee and his medical specialization is internal medicine (interventional cardiology) with more than 19 years of experience. He graduated from Medical College Of Georgia School Of Medicine in 2004. The NPI number of Joshua Todd is 1003017963 and was assigned on May 2007. The practitioner's primary taxonomy code is 207RI0011X with license number 47160 (TN). The provider is registered as an individual and his NPI record was last updated 6 years ago.
An internist like Dr. Joshua Weber Todd M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Joshua Todd 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.
Joshua Todd is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with Fort Sanders Regional Medical Center, Claiborne Medical Center, Leconte Medical Center and Morristown Hamblen Hospital Association.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.9, 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 provider also has detailed performance information the following quality measures: collection and follow-up on patient experience and satisfaction data on beneficiary engagement, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, falls: screening for future fall risk, implementation of use of specialist reports back to referring clinician or group to close referral loop, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention and use of high-risk medications in the elderly.
| NPI | 1003017963 |
| Provider Name | DR. JOSHUA WEBER TODD M.D. |
| Provider Location Address | 1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916 |
| Provider Mailing Address | 1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 05-29-2007 |
| Last Update Date | 04-13-2016 |
Primary Taxonomy
| Taxonomy Code | 207RI0011X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Interventional Cardiology |
| License No. | 47160 |
| License State | TN |
| Taxonomy Description | An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Business Address
DR. JOSHUA WEBER TODD M.D.
1819 W CLINCH AVE
SUITE 108
KNOXVILLE, TN
ZIP 37916
Phone: (865) 546-5111
Fax: (865) 541-4018
Mailing Address
DR. JOSHUA WEBER TODD M.D.
1819 W CLINCH AVE
SUITE 108
KNOXVILLE, TN
ZIP 37916
Phone: (865) 546-5111
Fax: (865) 541-4018
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 ID | 4183716749 |
| PECOS Enrollment ID | I20110809000570 |
| Accepts Medicare Assignment? | Maybe "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% | 83.6 | |
|
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. |
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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% | 30 | |
|
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 | - | 84.9 | |
| 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. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Diabetes: Medical Attention for Nephropathy | 91% | 288 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 97% | 1510 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Falls: Screening for Future Fall Risk | 99% | 758 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 43% | 1200 |
| 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 encounterNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 18% | 34 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Use of High-Risk Medications in the Elderly | 1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 759 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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.
- 621Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
- 210Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
- 199Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
- 102Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
- 99Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
- 58Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
- 18Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)
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. Joshua Todd is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| FORT SANDERS REGIONAL MEDICAL CENTER | 1901 W CLINCH AVE KNOXVILLE, TN 37916 | (865) 541-1101 | Acute Care Hospitals | 440125 | |
| CLAIBORNE MEDICAL CENTER | 1850 OLD KNOXVILLE HIGHWAY TAZEWELL, TN 37879 | (423) 626-4211 | Acute Care Hospitals | 440057 | |
| LECONTE MEDICAL CENTER | 742 MIDDLECREEK ROAD SEVIERVILLE, TN 37862 | (865) 446-7500 | Acute Care Hospitals | 440081 | |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION | 908 W 4TH NORTH ST MORRISTOWN, TN 37814 | (423) 586-4231 | Acute Care Hospitals | 440030 |
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 |
|---|---|---|
| 1525406 | MEDICAID (05) | TN |
| 103I063118 | MEDICARE PIN (08) | TN |
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 7 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 14 | 9 | 12 | |
| 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 + 9 + 1 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1003017963 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1821087628 | KNOXVILLE HEART GROUP PC Organization | Internal Medicine (Cardiovascular Disease) | 1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916 (865) 546-5111 |
| 1699745273 | MARK W JACKSON MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1144290727 | MUHAMMED IQBAL MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1497725089 | ROBERT A POLLACK MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1730159310 | JEFFREY I BROWN MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1033150461 | JAMES B RIVERS JR. MD Individual | Internal Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1922049824 | RICHARD C ROSE III MD Individual | Internal Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1578504478 | ANTHONY W MORTON MD Individual | Internal Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1174567598 | KELLY L BAKER MD Individual | Family Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1336183763 | JOHN F COOPER MD Individual | Internal Medicine | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1194910919 | KNOXVILLE GASTROINTESTINAL SPECIALISTS, PC Organization | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1710218508 | KNOXVILLE HEART GROUP, INC. Organization | Internal Medicine (Cardiovascular Disease) | 1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916 (865) 546-5111 |
| 1295705879 | RICHARD A COHN MD Individual | Internal Medicine (Gastroenterology) | 1819 W CLINCH AVE SUITE 212 KNOXVILLE, TN 37916 (865) 523-6418 |
| 1629010749 | DR. DAVID KENT TUTOR MD Individual | General Practice | 1819 W CLINCH AVE SUITE 100 KNOXVILLE, TN 37916 (865) 524-5365 |
| 1538101209 | MRS. CAROL D CRYE NP Individual | Nurse Practitioner | 1819 W CLINCH AVE KNOXVILLE, TN 37916 (865) 541-2835 |
| 1255446175 | MR. WILLIAM STUART REID JR. MD Individual | Neurological Surgery | 1819 W CLINCH AVE SUITE 214 KNOXVILLE, TN 37916 (865) 541-2835 |
| 1588088629 | CHARLES PETERS Individual | Physical Therapist | 1819 W CLINCH AVE SUITE 106 KNOXVILLE, TN 37916 (865) 524-5365 |
| 1356326011 | DR. JOHN E B HARRISON MD Individual | Orthopaedic Surgery (Hand Surgery) | 1819 W CLINCH AVE SUITE 100 KNOXVILLE, TN 37916 (865) 524-5365 |
| 1194121723 | LORI A. WILKERSON FNP Individual | Nurse Practitioner (Family) | 1819 W CLINCH AVE SUITE 114 KNOXVILLE, TN 37916 (865) 524-1631 |
| 1275907685 | ERIK TAYLOR FNP Individual | Nurse Practitioner (Family) | 1819 W CLINCH AVE SUITE 200 KNOXVILLE, TN 37916 (865) 524-3695 |
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. Joshua Weber Todd 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.