DR. SYDNEY GEORGE MCCALLA M.B.B.S NPI 1013081231
Surgery in Bronx, NY

About DR. SYDNEY GEORGE MCCALLA M.B.B.S

Sydney Mccalla is a provider established in Bronx, New York and his medical specialization is Surgery with more than 41 years of experience. The NPI number of Sydney Mccalla is 1013081231 and was assigned on November 2006. The practitioner's primary taxonomy code is 208600000X with license number 174941 (NY). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013081231
Provider NameDR. SYDNEY GEORGE MCCALLA M.B.B.S
Location Address234 E 149TH ST BRONX, NY 10451
Location Phone(718) 579-5000
Mailing Address1780 JASEN AVE VALLEY STREAM, NY 11580
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1982
Is Sole Proprietor?No
Enumeration Date11-20-2006
Last Update Date07-08-2007

A surgeon like Dr. Sydney George Mccalla M.b.b.s treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.Sydney Mccalla 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.

Sydney Mccalla 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 Lincoln Medical & Mental Health 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 100, 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: $27.39 for a new patient copayment and $22.04 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 Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.174941
License StateNY
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

DR. SYDNEY GEORGE MCCALLA M.B.B.S
234 E 149TH ST
BRONX, NY
ZIP 10451
Phone: (718) 579-5000
Fax: (718) 579-4620

Get Directions


Mailing Address

DR. SYDNEY GEORGE MCCALLA M.B.B.S
1780 JASEN AVE
VALLEY STREAM, NY
ZIP 11580
Phone:


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 ID3971796517
PECOS Enrollment IDI20101015000185
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 10451 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$71.49 $215.02 $109.58
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.87 $53.75 $27.39
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
$22.05 $174.06 $88.17
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.51 $43.51 $22.04

* 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% 94
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 - 100
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. Sydney Mccalla is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LINCOLN MEDICAL & MENTAL HEALTH CENTER234 EAST 149TH STREET
BRONX, NY 10451
(718) 579-5000Acute Care Hospitals330080

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.
1013081231
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308226
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 2 + 2 + 6 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013081231 is valid because the calculated check digit 1 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
1073589602MR. JEFFERY JASON VIRGO OTC, OPA-C, RSA
Individual
Specialist234 E 149TH ST
BRONX, NY 10451
(718) 579-5919
1942278080DR. PAOLA CARUGNO MD
Individual
Pediatrics (Neurodevelopmental Disabilities)234 E 149TH ST
BRONX, NY 10451
(718) 579-5800
1710947932DR. JEANNINE LORI WEISS DDS
Individual
Dentist (Dental Public Health)234 E 149TH ST LINCOLN HOSPITAL DENTAL DEPARTMENT
BRONX, NY 10451
(718) 579-5691
1366488520 ANDREW ALAN BURGER MD
Individual
Psychiatry & Neurology (Neurology)234 E 149TH ST
BRONX, NY 10451
(718) 579-6027
1982631479 GEORGE TRISTER M.D.
Individual
Anesthesiology234 E 149TH ST LINCOLN HOSP, DEPT OF ANESTHESIA, SUITE2B1
BRONX, NY 10451
(718) 579-5717
1700817061 MICHAEL F BOTHWELL P.A.
Individual
Physician Assistant234 E 149TH ST
BRONX, NY 10451
(718) 579-5900
1487687844DR. RAJASEKHAR V ADDEPALLI MD
Individual
Psychiatry & Neurology (Psychiatry)234 E 149TH ST 10C
BRONX, NY 10451
(917) 699-6408
1881791119DR. DAVID P AKMAN M.D.
Individual
Internal Medicine (Cardiovascular Disease)234 E 149TH ST LINCOLN HOSPITAL, DEPT. OF MEDICINE
BRONX, NY 10451
(718) 579-5000
1629164777DR. AMY HOFFMAN MD
Individual
Psychiatry & Neurology (Psychiatry)234 E 149TH ST SUITE 8D-200
BRONX, NY 10451
(718) 579-4862
1366529745 SHUYAN ALEX WONG P.T. M.A. DPT
Individual
Physical Therapist234 E 149TH ST
BRONX, NY 10451
(718) 579-5651
1659458784DR. AUBREY LOWELL FREIBERG D.O.
Individual
Radiology (Radiation Oncology)234 E 149TH ST
BRONX, NY 10451
(718) 579-4655
1174693584DR. OM P AGGARWAL M.D.
Individual
Internal Medicine234 E 149TH ST
BRONX, NY 10451
(718) 579-5000
1720159163DR. VIHREN GUEORGUIEV DIMITROV M.D.
Individual
Internal Medicine234 E 149TH ST LINCOLN MEDICAL CENTER
BRONX, NY 10451
(718) 579-5910
1770653123DR. ROBERT JOHN LEGGIADRO M.D.
Individual
Pediatrics (Pediatric Infectious Diseases)234 E 149TH ST ROOM 420
BRONX, NY 10451
(718) 579-5800
1518037928DR. MICHAEL STAVROS RADEOS MD MPH
Individual
Emergency Medicine234 E 149TH ST ROOM 1-685
BRONX, NY 10451
(718) 579-5370
1093886327DR. MARY T RYAN M.D.,
Individual
Emergency Medicine234 E 149TH ST EMERGENCY DEPARTMENT
BRONX, NY 10451
(718) 579-6010
1497826770 ANTONIO PIERRE M.D.
Individual
Pediatrics234 E 149TH ST
BRONX, NY 10451
(718) 579-5000
1528139631DR. JOHNNY HUBERT JOHNSON M.D.
Individual
Internal Medicine234 E 149TH ST ROOM 9-29
BRONX, NY 10451
(718) 579-5000
1053482794DR. MAGDA DESIREE MENDEZ MD
Individual
Pediatrics234 E 149TH ST
BRONX, NY 10451
(718) 579-5030
1982775649DR. JEAN PRATT DANIEL M.D.
Individual
Internal Medicine234 E 149TH ST
BRONX, NY 10451
(718) 579-5000

Frequently Asked Questions

What is Dr. Sydney Mccalla M.B.B.S NPI number?

The NPI number assigned to Dr. Sydney Mccalla M.B.B.S is 1013081231, registered as an "individual" on November 20, 2006

Where is Dr. Sydney Mccalla M.B.B.S located?

The provider is located at 234 E 149th St Bronx, Ny 10451 and the phone number is (718) 579-5000

Which is Dr. Sydney Mccalla M.B.B.S specialty?

The provider's speciality is Surgery

How many years of experience does Dr. Sydney Mccalla M.B.B.S have?

The provider has more than 41 years of experience.

Is Dr. Sydney Mccalla M.B.B.S 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. Sydney Mccalla M.B.B.S?

Medicare beneficiaries should expect a typical cost of $109.58 with an average copayment of $27.39 for new patient appointments. Established patients should expect a typical charge of $88.17 and an average copayment of 22.04. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Dr. Sydney Mccalla M.B.B.S affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: LINCOLN MEDICAL & MENTAL HEALTH 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 Dr. Sydney Mccalla M.B.B.S was last updated on November 20, 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]