|Provider Name||DR. JOHNAQA SAIDI M.D.|
|Location Address||9220 S PENNSYLVANIA AVE STE A OKLAHOMA CITY, OK 73159|
|Location Phone||(405) 691-4497|
|Mailing Address||9220 S PENNSYLVANIA AVE STE A OKLAHOMA CITY, OK 73159|
|NPI Entity Type||Individual|
|Is Sole Proprietor?||Yes|
|Last Update Date||04-21-2011|
A primary care provider (PCP) like Dr. Johnaqa Saidi 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 Johnaqa Saidi 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 94.8, 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 provider also has detailed performance information the following quality measures: measurement and improvement at the practice and panel level and use of decision support and standardized treatment protocols.
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.
|Type||Allopathic & Osteopathic Physicians|
|Taxonomy Description||Family 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.|
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
DR. JOHNAQA SAIDI M.D.
9220 S PENNSYLVANIA AVE STE A
OKLAHOMA CITY, OK
Phone: (405) 691-4497
Fax: (405) 692-8807
DR. JOHNAQA SAIDI M.D.
9220 S PENNSYLVANIA AVE STE A
OKLAHOMA CITY, OK
Phone: (405) 691-4497
Fax: (405) 692-8807
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 Imaging||Yes|
|Eligible order / refer Durable Medical Equipment||Yes|
|Eligible order / refer Home Health Agency (HHA)||Yes|
|Eligible order / refer Power Mobility Devices||Yes|
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|
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%||75.8|
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.
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.
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||-||94.8|
|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.|
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|
|Measurement and Improvement at the Practice and Panel Level||Yes||N/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.|
|Use of decision support and standardized treatment protocols||Yes||N/A|
|Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.|
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.
- 114Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 79Automated urinalysis test (HCPCS:81003)
- 15Stool analysis for blood to screen for colon tumors (HCPCS:82270)
- 12Administration of influenza virus vaccine (HCPCS:G0008)
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|
|F66490||MEDICARE UPIN (02)||OK|
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 2 + 3 + 0 + 7 + 1 + 4 + 1 + 6 + 24 = 50|
|Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.|
The NPI number 1013077130 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 provider is registered at the same or nearby location.
|NPI||Name / Type||Taxonomy||Address|
|1194104547||HESTER CHIROPRACTIC & ACUPUNCTURE INC. |
|Chiropractor||9220 S PENNSYLVANIA AVE STE A |
OKLAHOMA CITY, OK 73159
Frequently Asked Questions
What is Dr. Johnaqa Saidi M.D. NPI number?
The NPI number assigned to Dr. Johnaqa Saidi M.D. is 1013077130, registered as an "individual" on December 11, 2006
Where is Dr. Johnaqa Saidi M.D. located?
The provider is located at 9220 S Pennsylvania Ave Ste A Oklahoma City, Ok 73159 and the phone number is (405) 691-4497
Which is Dr. Johnaqa Saidi M.D. specialty?
The provider's speciality is Family Medicine
What insurance does Dr. Johnaqa Saidi 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 Dr. Johnaqa Saidi 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 Dr. Johnaqa Saidi M.D.?
Medicare beneficiaries should expect a typical cost of $85.07 with an average copayment of $21.26 for new patient appointments. Established patients should expect a typical charge of $98.45 and an average copayment of 24.61. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Johnaqa Saidi M.D.?
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Automated urinalysis test, Stool analysis for blood to screen for colon tumors and Administration of influenza virus vaccine.
How do I update my NPI information?
The NPI record of Dr. Johnaqa Saidi M.D. was last updated on December 11, 2006. 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]