DR. JOSHUA WEBER TODD M.D. NPI 1003017963

Internal Medicine (Interventional Cardiology) in Knoxville, TN

NPI 1003017963 Individual Male Years of Experience 19 Internal Medicine Interventional Cardiology PECOS Enrolled May Accept Medicare Approved Payment MIPS Quality Score 84.9 Medicare Quality Reporting

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 NameDR. JOSHUA WEBER TODD M.D.
Provider Location Address1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916
Provider Mailing Address1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916
GenderMale
NPI Entity TypeIndividual
Medical School NameMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-29-2007
Last Update Date04-13-2016


Primary Taxonomy

Taxonomy Code207RI0011X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInterventional Cardiology
License No.47160
License StateTN
Taxonomy DescriptionAn 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

Get Directions


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 ID4183716749
PECOS Enrollment IDI20110809000570
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 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% 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.
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.
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.
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 - 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 engagementYesN/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 LoopYesN/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 CENTER1901 W CLINCH AVE
KNOXVILLE, TN 37916
(865) 541-1101Acute Care Hospitals440125
CLAIBORNE MEDICAL CENTER1850 OLD KNOXVILLE HIGHWAY
TAZEWELL, TN 37879
(423) 626-4211Acute Care Hospitals440057
LECONTE MEDICAL CENTER742 MIDDLECREEK ROAD
SEVIERVILLE, TN 37862
(865) 446-7500Acute Care Hospitals440081
MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION908 W 4TH NORTH ST
MORRISTOWN, TN 37814
(423) 586-4231Acute Care Hospitals440030

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
1525406MEDICAID (05)TN
103I063118MEDICARE 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.
1003017963
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114912
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 = 33

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
1821087628KNOXVILLE 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 Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1922049824 RICHARD C ROSE III MD
Individual
Internal Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1578504478 ANTHONY W MORTON MD
Individual
Internal Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1174567598 KELLY L BAKER MD
Individual
Family Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1336183763 JOHN F COOPER MD
Individual
Internal Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1194910919KNOXVILLE GASTROINTESTINAL SPECIALISTS, PC
Organization
Internal Medicine (Gastroenterology)1819 W CLINCH AVE SUITE 212
KNOXVILLE, TN 37916
(865) 523-6418
1710218508KNOXVILLE 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
1629010749DR. DAVID KENT TUTOR MD
Individual
General Practice1819 W CLINCH AVE SUITE 100
KNOXVILLE, TN 37916
(865) 524-5365
1538101209MRS. CAROL D CRYE NP
Individual
Nurse Practitioner1819 W CLINCH AVE
KNOXVILLE, TN 37916
(865) 541-2835
1255446175MR. WILLIAM STUART REID JR. MD
Individual
Neurological Surgery1819 W CLINCH AVE SUITE 214
KNOXVILLE, TN 37916
(865) 541-2835
1588088629 CHARLES PETERS
Individual
Physical Therapist1819 W CLINCH AVE SUITE 106
KNOXVILLE, TN 37916
(865) 524-5365
1356326011DR. 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.