DR. JEFFREY MICHAEL GUTMAN DO NPI 1013077866
Internal Medicine - Nephrology in Allen Park, MI

About DR. JEFFREY MICHAEL GUTMAN DO

Jeffrey Gutman is an internist established in Allen Park, Michigan and his medical specialization is Internal Medicine with a focus in nephrology with more than 20 years of experience. He graduated from Midwestern University, Chicago College Of Osteopathic Med in 2003. The NPI number of Jeffrey Gutman is 1013077866 and was assigned on December 2006. The practitioner's primary taxonomy code is 207RN0300X with license number 5101016246 (MI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1013077866
Provider NameDR. JEFFREY MICHAEL GUTMAN DO
Location Address16407 SOUTHFIELD RD ALLEN PARK, MI 48101
Location Phone(313) 271-3000
Mailing AddressPO BOX 77000 DEPT 771255 DETROIT, MI 48277
GenderMale
NPI Entity TypeIndividual
Medical School NameMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year2003
Is Sole Proprietor?No
Enumeration Date12-11-2006
Last Update Date01-30-2019

An internist like Dr. Jeffrey Michael Gutman Do is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Jeffrey Gutman 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.

Jeffrey Gutman 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 Beaumont Hospital - Trenton, Henry Ford Wyandotte Hospital, Beaumont Hospital - Dearborn and Promedica Monroe Regional 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 85.2, 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: documentation of current medications in the medical record, e-prescribing, falls: risk assessment, preventive care and screening: body mass index (bmi) screening and follow-up plan, 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 patients electronic access to their health information and security risk analysis.



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 Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.5101016246
License StateMI
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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. JEFFREY MICHAEL GUTMAN DO
16407 SOUTHFIELD RD
ALLEN PARK, MI
ZIP 48101
Phone: (313) 271-3000
Fax: (313) 271-3003

Get Directions


Mailing Address

DR. JEFFREY MICHAEL GUTMAN DO
PO BOX 77000 DEPT 771255
DETROIT, MI
ZIP 48277
Phone: (313) 271-3000
Fax: (313) 271-8136


Secondary Locations

16407 Southfield Rd
Allen Park, MI 48101
(313) 271-300014752 Northline Rd
Southgate, MI 48195
(734) 285-5030


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 ID9436258001
PECOS Enrollment IDI20120210000585
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% 94.9
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% 33
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 - 85.2
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
Documentation of Current Medications in the Medical Record 100% 1573
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 72% 213
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Falls: Risk Assessment 100% 45
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 855
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 encounterNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 51
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/orProvision 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 Patients Electronic Access to Their Health Information 29% 348
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).
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 electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

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.

  • 397Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • 214Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • 55Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • 32Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

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. Jeffrey Gutman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BEAUMONT HOSPITAL - TRENTON5450 FORT STREET
TRENTON, MI 48183
(734) 671-3800Acute Care Hospitals230176
HENRY FORD WYANDOTTE HOSPITAL2333 BIDDLE AVE
WYANDOTTE, MI 48192
(734) 246-6000Acute Care Hospitals230146
BEAUMONT HOSPITAL - DEARBORN18101 OAKWOOD BLVD
DEARBORN, MI 48124
(313) 593-7125Acute Care Hospitals230020
PROMEDICA MONROE REGIONAL HOSPITAL718 N MACOMB ST
MONROE, MI 48162
(734) 240-8400Acute Care Hospitals230099

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology005280AZNo

Taxonomy Description: an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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
450852MEDICAID (05)AZ

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.
1013077866
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230714812
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 + 8 + 1 + 2 + 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 1013077866 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 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477554699DR. SYED SHAH ALI AKBAR MD
Individual
Internal Medicine (Nephrology)16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
(313) 271-3000
1821099045DR. PINNAMANENI RAMAKRISHNA PRASAD M.D.
Individual
Internal Medicine (Nephrology)16407 SOUTHFIELD RD STE A
ALLEN PARK, MI 48101
(313) 271-3000
1538160742 KRISHNAPILLAI THAVARAJAH MD
Individual
Internal Medicine (Nephrology)16407 SOUTHFIELD RD STE A
ALLEN PARK, MI 48101
(313) 271-3000
1962403170 NAUSHAD PERVEZ MD
Individual
Internal Medicine (Nephrology)16407 SOUTHFIELD RD STE A
ALLEN PARK, MI 48101
(313) 271-3000
1437118106DR. SUDHEER R UMMADI MD
Individual
Internal Medicine (Nephrology)16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
(313) 271-3000
1689696106DR. PRAVEENA KONERU MD
Individual
Internal Medicine (Nephrology)16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
(313) 271-3000
1225103740NEPHROLOGY HYPERTENSION CLINIC PC
Organization
Internal Medicine (Nephrology)16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
(313) 271-3000
1396869665DR. FADI MUSA ABUHMAID MD
Individual
Internal Medicine (Nephrology)16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
(313) 271-3000
1790310530 KRISTIN ASHLEY GLAAB-CHANDY NP
Individual
Nurse Practitioner16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
(313) 271-3000

Frequently Asked Questions

What is Dr. Jeffrey Gutman DO NPI number?

The NPI number assigned to Dr. Jeffrey Gutman DO is 1013077866, registered as an "individual" on December 11, 2006

Where is Dr. Jeffrey Gutman DO located?

The provider is located at 16407 Southfield Rd Allen Park, Mi 48101 and the phone number is (313) 271-3000

Which is Dr. Jeffrey Gutman DO specialty?

The provider's speciality is Internal Medicine with a focus in Nephrology

How many years of experience does Dr. Jeffrey Gutman DO have?

The provider has more than 20 years of experience. He graduated from Midwestern University, Chicago College Of Osteopathic Med in 2003.

What insurance does Dr. Jeffrey Gutman DO 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. Jeffrey Gutman DO 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.

What are some of the services provided by Dr. Jeffrey Gutman DO?

The most common procedures or services performed by this practitioner are: Hemodialysis procedure with one physician evaluation, Dialysis services (4 or more physician visits per month), patient 20 years of age and older, Dialysis services (2-3 physician visits per month), patient 20 years of age and older and Injection beneath the skin or into muscle for therapy, diagnosis, or prevention.

Is Dr. Jeffrey Gutman DO affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: BEAUMONT HOSPITAL - TRENTON, HENRY FORD WYANDOTTE HOSPITAL, BEAUMONT HOSPITAL - DEARBORN and PROMEDICA MONROE REGIONAL 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. Jeffrey Gutman DO 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]