GORDON WHEAT M.D. NPI 1013074699
Family Medicine in Olympia, WA

About GORDON WHEAT M.D.

Gordon Wheat is a primary care provider established in Olympia, Washington and his medical specialization is Family Medicine. The NPI number of Gordon Wheat is 1013074699 and was assigned on January 2007. The practitioner's primary taxonomy code is 207Q00000X with license number MD00025391 (WA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013074699
Provider Name GORDON WHEAT M.D.
Location Address700 LILLY RD NE OLYMPIA, WA 98506
Location Phone(360) 923-7000
Mailing AddressPO BOX 34584 SEATTLE, WA 98124
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date01-02-2007
Last Update Date05-09-2008

A primary care provider (PCP) like Gordon Wheat M.d. 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 Gordon Wheat 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..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.7, 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.



Primary Taxonomy

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.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD00025391
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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

GORDON WHEAT M.D.
700 LILLY RD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 923-7000

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Mailing Address

GORDON WHEAT M.D.
PO BOX 34584
SEATTLE, WA
ZIP 98124
Phone: (509) 241-7349
Fax: (509) 241-7628


Location Map

PECOS Enrollment and Medicare Participation Status

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% 79.7
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 - 96.7
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.

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
G8872578MEDICARE PIN (08)WA
G8809561MEDICARE PIN (08)WA
G001046122MEDICARE PIN (08)WA
D38241MEDICARE UPIN (02)WA
8111122MEDICAID (05)WA

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.
1013074699
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023078618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 8 + 6 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1013074699 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
1891769170MR. MARK CHRISTOPHER STEWART RPH
Individual
Pharmacist (Pharmacotherapy)700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1467416560MRS. HEATHER KAY WILLIAMS PHARM D.
Individual
Pharmacist700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1457319071 REBECCA JO RENN M.D.
Individual
Psychiatry & Neurology (Psychiatry)700 LILLY RD NE
OLYMPIA, WA 98506
(508) 923-7000
1861584864DR. CRAIG FLEMING MD
Individual
Internal Medicine700 LILLY RD NE
OLYMPIA, WA 98506
(360) 493-5323
1386731818DR. DEBRA R ZIMMERMAN MD
Individual
Internal Medicine700 LILLY RD NE
OLYMPIA, WA 98506
(650) 923-7000
1477640910DR. RICHARD W. ZIMMERMAN MD
Individual
Internal Medicine700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1639246762 RICHARD MELTZER M.D,
Individual
Surgery700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7530
1487715728 WILLIAM NEWMANN MD
Individual
Family Medicine700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7750
1649331257 FRANKLIN B. RETHERFORD MD
Individual
Family Medicine700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7300
1326100777 BRITT DAVID SMITH MD
Individual
Family Medicine700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1508920505 TERESA A ANDERS A.R.N.P.
Individual
Nurse Practitioner700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1306901723 DOUGLAS O. GREEN M.D.
Individual
Psychiatry & Neurology (Psychiatry)700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1669537007 JAMES S. HANNUM M.D.
Individual
Otolaryngology700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1518022060 JAMES S EDSTAM M.D.
Individual
Internal Medicine (Geriatric Medicine)700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1487719969 RICHARD A GAILEY P.A.
Individual
Physician Assistant700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1275698730 FREDRICK A EGGERS P.A..
Individual
Physician Assistant700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1437214590 KATHLEEN A. JONES C.N.M.
Individual
Advanced Practice Midwife700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1376608406 GEORGE O. LAMB M.D.
Individual
Internal Medicine700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1508921685 NANCY J. KENNEDY O.D.
Individual
Optometrist (Corneal and Contact Management)700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000
1376609156 LORI J. MCCLINTOCK C.N.M.
Individual
Midwife700 LILLY RD NE
OLYMPIA, WA 98506
(360) 923-7000

Frequently Asked Questions

What is Gordon Wheat M.D. NPI number?

The NPI number assigned to Gordon Wheat M.D. is 1013074699, registered as an "individual" on January 02, 2007

Where is Gordon Wheat M.D. located?

The provider is located at 700 Lilly Rd Ne Olympia, Wa 98506 and the phone number is (360) 923-7000

Which is Gordon Wheat M.D. specialty?

The provider's speciality is Family Medicine

What insurance does Gordon Wheat M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Gordon Wheat M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Gordon Wheat M.D.?

Medicare beneficiaries should expect a typical cost of $90.52 with an average copayment of $22.63 for new patient appointments. Established patients should expect a typical charge of $104.62 and an average copayment of 26.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Gordon Wheat M.D. was last updated on January 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]