MRS. TESSA WAGGONER PT NPI 1003033846
Specialist in Oxnard, CA

Individual Female Specialist MIPS Quality Score 37 Medicare Quality Reporting

About MRS. TESSA WAGGONER PT

Tessa Waggoner is a provider established in Oxnard, California and her medical specialization is Specialist. The NPI number of Tessa Waggoner is 1003033846 and was assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 24735 (CA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1003033846
Provider NameMRS. TESSA WAGGONER PT
Provider Location Address1701 SOLAR DR STE. 155 OXNARD, CA 93030
Provider Mailing Address1701 SOLAR DR. STE. 155 OXNARD, CA 93030
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date04-20-2007
Last Update Date07-08-2007



Tessa Waggoner 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 37, 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: preventive care and screening: body mass index (bmi) screening and follow-up plan.



Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.24735
License StateCA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

MRS. TESSA WAGGONER PT
1701 SOLAR DR
STE. 155
OXNARD, CA
ZIP 93030
Phone: (805) 604-4644
Fax: (805) 604-4434

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Mailing Address

MRS. TESSA WAGGONER PT
1701 SOLAR DR.
STE. 155
OXNARD, CA
ZIP 93030
Phone: (805) 604-4644
Fax: (805) 604-4434


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% 40
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% 0
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 - 37
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
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 53
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 encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

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.

  • 1628Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • 975Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • 972Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • 315Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • 60Physical therapy evaluation (HCPCS:97001)

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.
1003033846
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200303688
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 3 + 6 + 8 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1003033846 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 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326039322MR. LARRY PATRICK BROWN PT
Individual
Physical Therapist1701 SOLAR DR SUITE 155
OXNARD, CA 93030
(805) 604-4644
1598708190DR. MARWOOD M STOUT DDS
Individual
Dentist (Oral and Maxillofacial Surgery)1701 SOLAR DR SUITE 291
OXNARD, CA 93030
(805) 981-8144
1255421707DR. BRYAN RYO FUJII DDS
Individual
Dentist1701 SOLAR DR SUITE 270
OXNARD, CA 93030
(805) 983-3552
1114047628DR. JAMES P SUTTON M.D.
Individual
Psychiatry & Neurology (Neurology)1701 SOLAR DR SUITE 140
OXNARD, CA 93030
(805) 278-4148
1871710814LARRY BROWN D/B/A COAST PHYSICAL THERAPY SPEC
Organization
Specialist1701 SOLAR DR STE. 155
OXNARD, CA 93030
(805) 604-4644
1255668570 RAY JASON FAJARDO MS, PA-C
Individual
Physician Assistant1701 SOLAR DR SUITE 140
OXNARD, CA 93030
(805) 278-4148
1144340662ENCEPHALOGIC MEDICAL GROUP, INC.
Organization
Psychiatry & Neurology (Neurology)1701 SOLAR DR SUITE 140
OXNARD, CA 93030
(805) 278-4148
1619302767CAWTHON DDS INC.
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)1701 SOLAR DR SUITE 290
OXNARD, CA 93030
(805) 479-8706
1235255258 DAVID G MUSGROVE P.T.
Individual
Physical Therapist1701 SOLAR DR STE 155
OXNARD, CA 93030
(805) 654-8127
1972667178DR. PAUL MARTIN PH.D.
Individual
Clinical Neuropsychologist1701 SOLAR DR SUITE 261
OXNARD, CA 93030
(805) 660-0507

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
Mrs. Tessa Waggoner Pt 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.