DR. STEVEN ROBERT REIMAN MD NPI 1003018276

Radiology (Diagnostic Radiology) in Plano, TX

NPI 1003018276 Individual Male Years of Experience 21 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 97.2 Medicare Quality Reporting

NPI Profile for DR. STEVEN ROBERT REIMAN MD

Steven Reiman is a provider established in Plano, Texas and his medical specialization is radiology (diagnostic radiology) with more than 21 years of experience. He graduated from Baylor College Of Medicine in 2002. The NPI number of Steven Reiman is 1003018276 and was assigned on June 2007. The practitioner's primary taxonomy code is 2085R0202X with license number M9607 (TX). The provider is registered as an individual and his NPI record was last updated 6 years ago.

Steven Reiman 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.

Steven Reiman 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 Baylor Scott & White The Heart Hospital - Plano, Baylor Scott & White Medical Center Plano, Baylor Scott And White Medical Center Mckinney, The Heart Hospital Baylor Denton and Baylor Scott & White Medical Center - Centennial.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.2, 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. The following quality measures were reported for this provider: .

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.84 for a new patient copayment and $17.81 for an established patient copayment.

NPI

1003018276

Provider NameDR. STEVEN ROBERT REIMAN MD
Provider Location Address3901 W 15TH ST PLANO, TX 75075
Provider Mailing Address1820 PRESTON PARK BLVD 1825 PLANO, TX 75093
GenderMale
NPI Entity TypeIndividual
Medical School NameBAYLOR COLLEGE OF MEDICINE
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-01-2007
Last Update Date05-17-2016


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.M9607
License StateTX
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. STEVEN ROBERT REIMAN MD
3901 W 15TH ST
PLANO, TX
ZIP 75075
Phone: (972) 596-6800

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Mailing Address

DR. STEVEN ROBERT REIMAN MD
1820 PRESTON PARK BLVD
1825
PLANO, TX
ZIP 75093
Phone: (972) 867-7862
Fax: (972) 612-1623



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 ID3072603968
PECOS Enrollment IDI20080806000475
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

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 75075 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.75 $172.6 $87.36
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.15 $21.84
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
$17.72 $141.29 $71.24
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $35.32 $17.81

* 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% 95
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% 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 - 97.2
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.

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

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.

  • 2401X-ray of chest, 1 view, front (HCPCS:71010)
  • 606X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 295Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 143CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 142CT scan of abdomen and pelvis (HCPCS:74176)
  • 133X-ray of abdomen, single view (HCPCS:74000)
  • 98Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 94Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 63Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 61X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 41X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 40X-ray of knee, 3 views (HCPCS:73562)
  • 37Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • 29Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • 29Bone and/or joint imaging, whole body (HCPCS:78306)
  • 28X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 27Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • 20Nuclear medicine study with CT imaging whole body (HCPCS:78816)
  • 20X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 15Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • 13X-ray of hand, minimum of 3 views (HCPCS:73130)

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. Steven Reiman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - PLANO1100 ALLIED DRIVE
PLANO, TX 75093
(469) 814-3278Acute Care Hospitals670025
BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO4700 ALLIANCE BOULEVARD
PLANO, TX 75093
(469) 814-2000Acute Care Hospitals450890
BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY5252 WEST UNIVERSITY DRIVE
MC KINNEY, TX 75071
(469) 764-2200Acute Care Hospitals670082
THE HEART HOSPITAL BAYLOR DENTON2801 SOUTH MAYHILL ROAD
DENTON, TX 76208
(940) 220-0600Acute Care Hospitals450893
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL12505 LEBANON ROAD
FRISCO, TX 75035
(972) 963-3333Acute Care Hospitals450885

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
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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.
1003018276
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030116214
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 + 6 + 2 + 1 + 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 = 66

The NPI number 1003018276 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
1760467799DR. MICHAEL JOHN CARRASCO M.D.
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1801871686DR. JAMES W BALL MD
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3523
1871579540DR. ROBERT D BROWN M.D.
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1407832173DR. MARK A GAMBER D.O.
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1487630893DR. NICOLE LYNN ROGERS M.D.
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1861478349DR. JOHN C HALL M.D.
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1386620458 GREGORY SAMUEL LACHAR MD
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1649256694DR. RICHARD S HONAKER M.D.
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1427034313DR. SHAMEEM R NAZEER MD
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1689650426DR. MICHAEL BRANDON MEEK D.O.
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1033198536DR. DENISE D. PEERS D.O.
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 519-1444
1265411367DR. JOHN MIKHAIL SAAD MD
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1255311882DR. JEFFREY ALAN SCHAFFER
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 519-1444
1609856384DR. BLAKE T SMITH M.D.
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 519-1444
1245210699 JAMES Q TOUCHY MD
Individual
Emergency Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 758-3598
1083694228 CAROL L. BROWN-ELLIOTT MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)3901 W 15TH ST #200
PLANO, TX 75075
(972) 519-1328
1801856190MR. STANLEY WAYNE MIGHT CRNA
Individual
Nurse Anesthetist, Certified Registered3901 W 15TH ST
PLANO, TX 75075
(972) 519-1115
1760430789 ROGER LELAND RIAN MD
Individual
Radiology (Diagnostic Radiology)3901 W 15TH ST
PLANO, TX 75075
(972) 596-6800
1932143898 KHEIM B. CHU DO
Individual
Internal Medicine3901 W 15TH ST
PLANO, TX 75075
(972) 596-6800
1619197902 DEONNA LOVING CRNA
Individual
Nurse Anesthetist, Certified Registered3901 W 15TH ST
PLANO, TX 75075
(972) 596-6800

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. Steven Robert Reiman Md 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.