MAUREEN VIEIRA N.P. NPI 1003022120

Obstetrics & Gynecology - Gynecology in Modesto, CA

Individual Female Obstetrics & Gynecology Gynecology Opted-Out Medicare Medicare Quality Reporting

About MAUREEN VIEIRA N.P.

Maureen Vieira is a women's health care provider established in Modesto, California and her medical specialization is Obstetrics & Gynecology with a focus in gynecology . The NPI number of Maureen Vieira is 1003022120 and was assigned on May 2007. The practitioner's primary taxonomy code is 207VG0400X with license number E25237 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

Women's health care providers like Maureen Vieira N.p. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

NPI

1003022120

Provider Name MAUREEN VIEIRA N.P.
Provider Location Address200 W COOLIDGE AVE MODESTO, CA 95350
Provider Mailing Address200 W COOLIDGE AVE MODESTO, CA 95350
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date05-15-2007
Last Update Date05-04-2017



Maureen Vieira 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 doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Maureen Vieira opted out of Medicare effective on 08-30-2021 until 08-30-2023. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

The provider has performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities in the following quality measures: breast cancer screening, chronic care and preventative care management for empaneled patients, clinical data registry reporting, documentation of current medications in the medical record, e-prescribing, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, preventive care and screening: body mass index (bmi) screening and follow-up plan, provide patients electronic access to their health information, public health registry reporting, security risk analysis and use of decision support and standardized treatment protocols. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

Taxonomy Code207VG0400X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
SpecializationGynecology
License No.E25237
License StateCA

Business Address

MAUREEN VIEIRA N.P.
200 W COOLIDGE AVE
MODESTO, CA
ZIP 95350
Phone: (209) 577-5005
Fax: (209) 521-1533

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Mailing Address

MAUREEN VIEIRA N.P.
200 W COOLIDGE AVE
MODESTO, CA
ZIP 95350
Phone: (209) 577-5005
Fax: (209) 521-1533


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.

Opted-Out of MedicareYes
Opt-Out Effective Date08-30-2021
Opt-Out End Date08-30-2023
Eligible to Order and ReferNo

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
Breast Cancer Screening 90% 108
Percentage of women 50 - 74 years of age who had a mammogram to screen for breast cancer
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
In order to receive credit for this activity, a MIPS eligible clinician must manage chronic and preventive care for empaneled patients (that is, patients assigned to care teams for the purpose of population health management), which could include one or more of the following actions:-   Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions;-   Use evidence based, condition-specific pathways for care of chronic conditions (for example, hypertension, diabetes, depression, asthma, and heart failure). These might include, but are not limited to, the NCQA Diabetes Recognition Program (DRP)93 and the NCQA Heart/Stroke Recognition Program (HSRP)94;-   Use pre-visit planning, that is, preparations for conversations or actions to propose with patient before an in-office visit to optimize preventive care and team management of patients with chronic conditions;-   Use panel support tools, (that is, registry functionality) or other technology that can use clinical data to identify trends or data points in patient records to identify services due;-   Use predictive analytical models to predict risk, onset and progression of chronic diseases; and/orUse reminders and outreach (e.g., phone calls, emails, postcards, patient portals, and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Clinical Data Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.
Documentation of Current Medications in the Medical Record 99% 396
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
e-Prescribing 97% 4137
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 87% 294
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
Provide Patients Electronic Access to Their Health Information 91% 378
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).
Public Health Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1003022120
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200302414
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 + 4 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003022120 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952491029MS. MARGARET LOUISE GOOD FNP
Individual
Nurse Practitioner (Family)200 W COOLIDGE AVE
MODESTO, CA 95350
(209) 579-2300
1033287685 SUSAN C WAYS PHD MD
Individual
Obstetrics & Gynecology200 W COOLIDGE AVE
MODESTO, CA 95350
(209) 577-5005
1295850048SUSAN WAYS PHD MD INC.
Organization
Obstetrics & Gynecology200 W COOLIDGE AVE
MODESTO, CA 95350
(209) 577-5005
1154537256MS. JANICE KIRSTINE HAMMOND C.N.M.
Individual
Advanced Practice Midwife200 W COOLIDGE AVE
MODESTO, CA 95350
(209) 577-5005
1730380718DR. MEHRI KHATIBI M.D.
Individual
Obstetrics & Gynecology (Gynecology)200 W COOLIDGE AVE
MODESTO, CA 95350
(209) 577-5005
1174506315DR. LISA WYNETTE MURPHY MD
Individual
Obstetrics & Gynecology200 W COOLIDGE AVE
MODESTO, CA 95350
(209) 577-5005
1912264862FIRST CHOICE PHYSICIAN PARTNERS
Organization
Internal Medicine200 W COOLIDGE AVE
MODESTO, CA 95350
(209) 521-1533

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
Maureen Vieira N.p. 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.