DR. JOHN MARK MHOON M.D. NPI 1013077510
Urology in Salem, OR

About DR. JOHN MARK MHOON M.D.

John Mhoon is a provider established in Salem, Oregon and his medical specialization is Urology with more than 28 years of experience. He graduated from University Of Arkansas College Of Medicine in 1995. The NPI number of John Mhoon is 1013077510 and was assigned on December 2006. The practitioner's primary taxonomy code is 208800000X with license number MD22170 (OR). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1013077510
Provider NameDR. JOHN MARK MHOON M.D.
Location Address2973 12TH STREET SE SALEM, OR 97302
Location Phone(503) 561-7100
Mailing Address2973 12TH STREET SE SALEM, OR 97302
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year1995
Is Sole Proprietor?No
Enumeration Date12-12-2006
Last Update Date12-07-2016

John Mhoon 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.

John Mhoon 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 Salem Hospital, West Valley Hospital, Santiam Hospital and Samaritan North Lincoln 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 76.3, 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: care plan, documentation of current medications in the medical record, e-prescribing, health information exchange, medication reconciliation, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: influenza immunization, preventive care and screening: tobacco use: screening and cessation intervention, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, secure messaging, security risk analysis and urinary incontinence: assessment of presence or absence of urinary incontinence in women aged 65 years and older.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.48 for a new patient copayment and $17.7 for an established patient copayment.



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 Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.MD22170
License StateOR
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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

DR. JOHN MARK MHOON M.D.
2973 12TH STREET SE
SALEM, OR
ZIP 97302
Phone: (503) 561-7100
Fax: (503) 561-7124

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Mailing Address

DR. JOHN MARK MHOON M.D.
2973 12TH STREET SE
SALEM, OR
ZIP 97302
Phone: (503) 561-7100
Fax: (503) 561-7124


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
PECOS PAC ID7810181385
PECOS Enrollment IDI20101028000665
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 97302 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.38 $171.59 $129.93
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.09 $42.89 $32.48
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.6 $140.51 $70.82
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.4 $35.12 $17.7

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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% 73.2
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% 53
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% 85.5
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 - 76.3
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
Care Plan 86% 1083
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Documentation of Current Medications in the Medical Record 62% 4177
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 85% 2390
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 68% 168
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 92% 2183
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 21% 2187
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 36% 1040
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Influenza Immunization 31% 1092
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81% 1111
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 98% 2187
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 1% 2187
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
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 EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 99% 244
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

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.

  • 320Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 123Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • 22Ultrasound of rectum (HCPCS:76872)
  • 17Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 17Urinalysis, manual test (HCPCS:81002)
  • 17Biopsy of prostate gland (HCPCS:55700)

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. John Mhoon is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SALEM HOSPITAL890 OAK STREET, SE
SALEM, OR 97301
(503) 561-5200Acute Care Hospitals380051
WEST VALLEY HOSPITAL525 SE WASHINGTON STREET
DALLAS, OR 97338
(503) 917-2108Critical Access Hospitals381308
SANTIAM HOSPITAL1401 N 10TH AVENUE
STAYTON, OR 97383
(503) 769-2175Acute Care Hospitals380056
SAMARITAN NORTH LINCOLN HOSPITAL3043 NE 28TH STREET
LINCOLN CITY, OR 97367
(541) 994-3661Critical Access Hospitals381302

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 Identifier Issuer
MD22170OTHER (01)OROR LICENSE
288383MEDICAID (05)OR
H12077MEDICARE UPIN (02)OR

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.
1013077510
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071452
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 + 5 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013077510 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
1598826851DR. DAVID T ELMGREN M.D.
Individual
Urology2973 12TH STREET SE
SALEM, OR 97302
(503) 561-7100
1467512996WILLAMETTE UROLOGY, PC
Organization
Urology2973 12TH STREET SE
SALEM, OR 97302
(503) 561-7100
1417100405 BRADLEY W WARNER M.D.
Individual
Urology2973 12TH STREET SE
SALEM, OR 97302
(503) 561-7100
1801820139 JAFFER H BASHEY M.D.
Individual
Urology2973 12TH STREET SE
SALEM, OR 97302
(503) 561-7100
1194986026 PHILIP A. ROSEN MD
Individual
Urology2973 12TH STREET SE
SALEM, OR 97302
(503) 561-7100
1306291802 CHRISTOPHER M WOODS PA-C
Individual
Urology2973 12TH STREET SE
SALEM, OR 97302
(503) 561-7100
1821159187DR. DAVID A ELKINS M.D., PH.D.
Individual
Urology2973 12TH STREET SE
SALEM, OR 97302
(503) 561-7100

Frequently Asked Questions

What is Dr. John Mhoon M.D. NPI number?

The NPI number assigned to Dr. John Mhoon M.D. is 1013077510, registered as an "individual" on December 12, 2006

Where is Dr. John Mhoon M.D. located?

The provider is located at 2973 12th Street Se Salem, Or 97302 and the phone number is (503) 561-7100

Which is Dr. John Mhoon M.D. specialty?

The provider's speciality is Urology

How many years of experience does Dr. John Mhoon M.D. have?

The provider has more than 28 years of experience. He graduated from University Of Arkansas College Of Medicine in 1995.

What insurance does Dr. John Mhoon 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. John Mhoon 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. John Mhoon M.D.?

Medicare beneficiaries should expect a typical cost of $129.93 with an average copayment of $32.48 for new patient appointments. Established patients should expect a typical charge of $70.82 and an average copayment of 17.7. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. John Mhoon M.D.?

The most common procedures or services performed by this practitioner are: Ultrasound measurement of bladder capacity after voiding, Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope, Ultrasound of rectum, Ultrasonic guidance imaging supervision and interpretation for insertion of needle, Urinalysis, manual test and Biopsy of prostate gland.

Is Dr. John Mhoon M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: SALEM HOSPITAL, WEST VALLEY HOSPITAL, SANTIAM HOSPITAL and SAMARITAN NORTH LINCOLN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. John Mhoon M.D. was last updated on December 12, 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]