JUSTIN HAMWAY RACKLEY MD NPI 1003023359

Anesthesiology in Fredericksburg, VA

Individual Male Years of Experience 19 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 90.1 Medicare Quality Reporting

About JUSTIN HAMWAY RACKLEY MD

Justin Rackley is an anesthesiologist established in Fredericksburg, Virginia and his medical specialization is Anesthesiology with more than 19 years of experience. He graduated from University Of Virginia School Of Medicine in 2004. The NPI number of Justin Rackley is 1003023359 and was assigned on May 2007. The practitioner's primary taxonomy code is 207L00000X with license number 0101239202 (VA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

An anesthesiologist like Justin Hamway Rackley Md manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

NPI

1003023359

Provider Name JUSTIN HAMWAY RACKLEY MD
Provider Location Address1001 SAM PERRY BLVD FREDERICKSBURG, VA 22401
Provider Mailing Address3100 SPRING FOREST RD SUITE 130 RALEIGH, NC 27616
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Enumeration Date05-17-2007
Last Update Date03-17-2018



Justin Rackley 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.

Justin Rackley 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 Mercy Health-anderson Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.1, 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: collection and use of patient experience and satisfaction data on access, engage patients and families to guide improvement in the system of care and post-anesthetic transfer of care measure: procedure room to a post anesthesia care unit (pacu).



Primary Taxonomy

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.0101239202
License StateVA
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

JUSTIN HAMWAY RACKLEY MD
1001 SAM PERRY BLVD
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 741-7614

Get Directions


Mailing Address

JUSTIN HAMWAY RACKLEY MD
3100 SPRING FOREST RD
SUITE 130
RALEIGH, NC
ZIP 27616
Phone: (919) 882-0705
Fax: (919) 873-9821


Secondary Locations

1201 Sam Perry Blvd
Fredericksburg, VA 22401
(540) 741-7614
101 Hospital Center Blvd
Stafford, VA 22554
(540) 741-7614

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 ID2466528294
PECOS Enrollment IDI20180808003473
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

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% 88.3
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% 76
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 - 90.1
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
Collection and use of patient experience and satisfaction data on accessYesN/A
Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs.
Engage Patients and Families to Guide Improvement in the System of CareYesN/A
Engage patients and families to guide improvement in the system of care by leveraging digital tools for ongoing guidance and assessments outside the encounter, including the collection and use of patient data for return-to-work and patient quality of life improvement. Platforms and devices that collect patient-generated health data (PGHD) must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient, including patient reported outcomes (PROs). Examples include patient engagement and outcomes tracking platforms, cellular or web-enabled bi-directional systems, and other devices that transmit clinically valid objective and subjective data back to care teams. Because many consumer-grade devices capture PGHD (for example, wellness devices), platforms or devices eligible for this improvement activity must be, at a minimum, endorsed and offered clinically by care teams to patients to automatically send ongoing guidance (one way). Platforms and devices that additionally collect PGHD must do so with an active feedback loop, either providing PGHD in real or near-real time to the care team, or generating clinically endorsed real or near-real time automated feedback to the patient (e.g. automated patient-facing instructions based on glucometer readings). Therefore, unlike passive platforms or devices that may collect but do not transmit PGHD in real or near-real time to clinical care teams, active devices and platforms can inform the patient or the clinical care team in a timely manner of important parameters regarding a patient’s status, adherence, comprehension, and indicators of clinical concern.
Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) 94% 49
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized

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.

  • 60Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 58Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • 19Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 19Anesthesia for procedure in upper abdomen including use of an endoscope (HCPCS:00790)
  • 18Anesthesia for lens surgery (HCPCS:00142)

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. Justin Rackley is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MERCY HEALTH-ANDERSON HOSPITAL7500 STATE ROAD
CINCINNATI, OH 45255
(513) 624-4006Acute Care Hospitals360001

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
1003023359MEDICAID (05)VA

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.
1003023359
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003026310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 6 + 3 + 1 + 0 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003023359 is valid because the calculated check digit 9 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
1942293238MS. PAULA CARMELA LAURIA MSN-CRNA
Individual
Nurse Anesthetist, Certified Registered1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-7614
1447241708 BRUCE H DORMAN MD
Individual
Anesthesiology1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-7614
1528059888 JAMES W GUNN MD
Individual
Anesthesiology1001 SAM PERRY BLVD C/O JACKIE GOMEZ
FREDERICKSBURG, VA 22401
(540) 741-7614
1609859487DR. PATRICK JAMES MCHUGH DO
Individual
Emergency Medicine1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1215914130 AYE MIN MD
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 361-1000
1144280223 ADAM H SIMS MD
Individual
Emergency Medicine1001 SAM PERRY BLVD EMERGENCY DEPT., MWH
FREDERICKSBURG, VA 22401
(540) 741-1167
1245294750DR. JYOTI AMIN M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1001 SAM PERRY BLVD NEONATOLOGY OFFICE
FREDERICKSBRG, VA 22401
(540) 741-4745
1821047077 GEORGE FISH M.D.
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1571
1508816935 LAWRENCE SOUTHWORTH M.D.
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1571
1457300808 MICHAEL MCDERMOTT M.D.
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1571
1013967488 DAVID SCOTT M.D.
Individual
Radiology (Diagnostic Radiology)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1571
1427008234 NAEL HASAN MD
Individual
Emergency Medicine1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1137
1063467975MEDIDOCTORS PRIMARY CARE LLC
Organization
Internal Medicine (Infectious Disease)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1428
1205874054 TIMOTHY D WEBER MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1023056793 DARIN MICHAEL UPDYKE PA
Individual
Physician Assistant (Medical)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1841238516 PETER C OBER PA
Individual
Physician Assistant (Medical)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1750329421 RICKARD K DALBERG MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1285672956 AMY L BARABASZ MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1265470934 COLEEN A RICKABAUGH MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167
1770521239 ANDREW A GARVIE MD
Individual
Emergency Medicine (Emergency Medical Services)1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
(540) 741-1167

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
Justin Hamway Rackley 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.