DAVID O MELTZER MD NPI 1013079565
Hospitalist in Burr Ridge, IL

About DAVID O MELTZER MD

David Meltzer is a provider established in Burr Ridge, Illinois and his medical specialization is Hospitalist with more than 30 years of experience. He graduated from University Of Chicago, Pritzker School Of Medicine in 1993. The NPI number of David Meltzer is 1013079565 and was assigned on December 2006. The practitioner's primary taxonomy code is 208M00000X with license number 036092694 (IL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1013079565
Provider Name DAVID O MELTZER MD
Location Address180 HARVESTER DR STE 110 BURR RIDGE, IL 60527
Location Phone(773) 702-1150
Mailing Address5841 S MARYLAND AVE # MC5000 CHICAGO, IL 60637
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Enumeration Date12-14-2006
Last Update Date09-26-2014

David Meltzer 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.

David Meltzer 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 The University Of Chicago Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.6, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $35.78 for a new patient copayment and $27.54 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 Code208M00000X
ClassificationHospitalist
TypeAllopathic & Osteopathic Physicians
License No.036092694
License StateIL
Taxonomy DescriptionHospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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

DAVID O MELTZER MD
180 HARVESTER DR STE 110
BURR RIDGE, IL
ZIP 60527
Phone: (773) 702-1150

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Mailing Address

DAVID O MELTZER MD
5841 S MARYLAND AVE # MC5000
CHICAGO, IL
ZIP 60637
Phone: (773) 702-0836


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 ID2163432295
PECOS Enrollment IDI20060503000408
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 60527 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
$62.5 $188.97 $143.14
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.62 $47.24 $35.78
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.4 $153.84 $110.19
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.85 $38.46 $27.54

* 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% 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% 70.2
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 - 95.6
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.

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. David Meltzer is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
THE UNIVERSITY OF CHICAGO MEDICAL CENTER5841 SOUTH MARYLAND
CHICAGO, IL 60637
(773) 702-1000Acute Care Hospitals140088

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
L55260MEDICARE ID-TYPE UNSPECIFIED (04)
036092694MEDICAID (05)IL

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.
1013079565
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230718512
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 + 8 + 5 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1013079565 is valid because the calculated check digit 5 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
1083773527 SAMUEL HELLMAN MD
Individual
Radiology (Radiation Oncology)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1164583993 DAVID S HOWES MD
Individual
Emergency Medicine180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1982765715 HOLLY J HUMPHREY MD
Individual
Internal Medicine (Pulmonary Disease)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1710048541 ELMER D ABBO MD
Individual
Internal Medicine180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1538220363 JAFAR M AL-SADIR MD
Individual
Internal Medicine (Cardiovascular Disease)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1356402184 G CALEB ALEXANDER MD
Individual
Internal Medicine180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1760544217 ORLY KOHN MD
Individual
Internal Medicine (Nephrology)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1023170578 ALAN R LEFF MD
Individual
Internal Medicine (Pulmonary Disease)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1295897742 JOHN F MCCONVILLE MD
Individual
Internal Medicine (Pulmonary Disease)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1659433100 PATRICK T MURRAY MD
Individual
Internal Medicine (Nephrology)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1194887646 OLATOYOSI ODENIKE MD
Individual
Internal Medicine (Hematology & Oncology)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1902968456 DAVID L PITRAK MD
Individual
Internal Medicine (Infectious Disease)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1346302890 EUGENE B CHANG MD
Individual
Internal Medicine (Gastroenterology)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1154483618 JAMES J CURRAN MD
Individual
Internal Medicine (Rheumatology)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1639231186 JAY PURDY MD
Individual
Internal Medicine (Infectious Disease)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1275695728 JOHN R ASPLIN MD
Individual
Internal Medicine (Nephrology)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1528120078 HALINA BRUKNER MD
Individual
Internal Medicine180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1962564427 MURRAY J FAVUS MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1396807848 PATRICIA L KURTZ MD
Individual
Internal Medicine180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064
1205998754 ROBERTO M LANG MD
Individual
Internal Medicine (Cardiovascular Disease)180 HARVESTER DR STE 110
BURR RIDGE, IL 60527
(773) 834-4064

Frequently Asked Questions

What is David Meltzer MD NPI number?

The NPI number assigned to David Meltzer MD is 1013079565, registered as an "individual" on December 14, 2006

Where is David Meltzer MD located?

The provider is located at 180 Harvester Dr Ste 110 Burr Ridge, Il 60527 and the phone number is (773) 702-1150

Which is David Meltzer MD specialty?

The provider's speciality is Hospitalist

How many years of experience does David Meltzer MD have?

The provider has more than 30 years of experience. He graduated from University Of Chicago, Pritzker School Of Medicine in 1993.

What insurance does David Meltzer MD 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 David Meltzer MD 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 David Meltzer MD?

Medicare beneficiaries should expect a typical cost of $143.14 with an average copayment of $35.78 for new patient appointments. Established patients should expect a typical charge of $110.19 and an average copayment of 27.54. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is David Meltzer MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: THE UNIVERSITY OF CHICAGO MEDICAL CENTER. 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 David Meltzer MD was last updated on December 14, 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]