LETICIA AYALA MARAGH ML NPI 1003022112

Family Medicine in Newcastle, WA

NPI 1003022112 Individual Female Family Medicine PECOS Enrolled MIPS Quality Score 96.3

NPI Profile for LETICIA AYALA MARAGH ML

Leticia Maragh is a primary care provider established in Newcastle, Washington and her medical specialization is family medicine. The NPI number of Leticia Maragh is 1003022112 and was assigned on May 2007. The practitioner's primary taxonomy code is 207Q00000X with license number MD60508339 (WA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

A primary care provider (PCP) like Leticia Ayala Maragh Ml sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Leticia Maragh 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..

Leticia Maragh is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.3, 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

1003022112

Provider Name LETICIA AYALA MARAGH ML
Provider Location Address7203 129TH AVE SE NEWCASTLE, WA 98056
Provider Mailing AddressPO BOX 34876 SEATTLE, WA 98124
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-15-2007
Last Update Date10-01-2014


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD60508339
License StateWA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

LETICIA AYALA MARAGH ML
7203 129TH AVE SE
NEWCASTLE, WA
ZIP 98056
Phone: (425) 656-5406
Fax: (425) 656-5040

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Mailing Address

LETICIA AYALA MARAGH ML
PO BOX 34876
SEATTLE, WA
ZIP 98124
Phone: (425) 656-5412
Fax: (425) 656-4096



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
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% 100
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% 78
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 - 96.3
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.

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.
1003022112
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200302412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 4 + 1 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003022112 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 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821045972 TRISHA LEE POLLARA MD
Individual
Family Medicine7203 129TH AVE SE STE 200
NEWCASTLE, WA 98056
(425) 656-5428
1609823491DR. MARILYN ROSA BRAY MD
Individual
Internal Medicine7203 129TH AVE SE STE 100
NEWCASTLE, WA 98056
(425) 656-5428
1497702161PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Organization
Family Medicine (Adult Medicine)7203 129TH AVE SE SUITE 100
NEWCASTLE, WA 98056
(425) 656-5406
1588814669 HEATHER D CHIBAMBO MD
Individual
Family Medicine7203 129TH AVE SE STE 100
NEWCASTLE, WA 98056
(425) 656-5406
1285647925 JAMES E PARK MD
Individual
Family Medicine7203 129TH AVE SE STE 100
NEWCASTLE, WA 98056
(425) 656-5406
1780790469 AMIT JOSHI MD
Individual
Internal Medicine7203 129TH AVE SE STE 100
NEWCASTLE, WA 98056
(425) 656-5406
1780882233 SHAWN AKAVAN M.D.
Individual
Family Medicine7203 129TH AVE SE STE 200
NEWCASTLE, WA 98056
(425) 656-5590
1417425141 ALLISON PAIGE VEIDENHEIMER ARNP
Individual
Nurse Practitioner (Family)7203 129TH AVE SE
NEWCASTLE, WA 98056
(425) 690-3455
1316231962 ADAM M STEPHENSON DO
Individual
Family Medicine7203 129TH AVE SE STE 100
NEWCASTLE, WA 98056
(425) 690-3455
1912947540PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Organization
Internal Medicine7203 129TH AVE SE SUITE 200
NEWCASTLE, WA 98056
(425) 656-5428

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
Leticia Ayala Maragh Ml 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.