DR. SALLY G TAMAYO M.D. NPI 1013082163
Internal Medicine - Cardiovascular Disease in Portsmouth, VA

About DR. SALLY G TAMAYO M.D.

Sally Tamayo is an internist established in Portsmouth, Virginia and her medical specialization is Internal Medicine with a focus in cardiovascular disease with more than 27 years of experience. She graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1996. The NPI number of Sally Tamayo is 1013082163 and was assigned on November 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 0101266740 (VA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1013082163
Provider NameDR. SALLY G TAMAYO M.D.
Location Address620 JOHN PAUL JONES CIR PORTSMOUTH, VA 23708
Location Phone(757) 953-9804
Mailing Address1108 LAUDERDALE DR CHESAPEAKE, VA 23322
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year1996
Is Sole Proprietor?Yes
Enumeration Date11-22-2006
Last Update Date08-09-2019

An internist like Dr. Sally G Tamayo M.d. 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.Sally Tamayo 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.

Sally Tamayo 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 she has hospital affiliations with Sentara Albemarle Medical Center and Chesapeake General 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 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: $33.75 for a new patient copayment and $26.08 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 Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.0101266740
License StateVA
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

DR. SALLY G TAMAYO M.D.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23708
Phone: (757) 953-9804
Fax: (757) 953-0811

Get Directions


Mailing Address

DR. SALLY G TAMAYO M.D.
1108 LAUDERDALE DR
CHESAPEAKE, VA
ZIP 23322
Phone: (757) 546-8218
Fax: (757) 953-0811


Secondary Locations

612 Kingsborough Sq Ste 100
Chesapeake, VA 23320
(757) 547-92942000 Meade Pkwy
Suffolk, VA 23434
(757) 934-94201708 Old Donation Pkwy
Virginia Beach, VA 23454
(757) 419-3000


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 ID5294817433
PECOS Enrollment IDI20080128000452, I20190918001266
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 23708 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
$58.76 $178.23 $135
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.69 $44.55 $33.75
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
$18.32 $145.63 $104.32
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.58 $36.4 $26.08

* 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% N/A
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. Sally Tamayo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SENTARA ALBEMARLE MEDICAL CENTER1144 N ROAD ST
ELIZABETH CITY, NC 27909
(252) 335-0531Acute Care Hospitals340109
CHESAPEAKE GENERAL HOSPITAL736 BATTLEFIELD BLVD, NORTH
CHESAPEAKE, VA 23320
(757) 312-8121Acute Care Hospitals490120

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
1207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseA65303CANo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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.
1013082163
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023084112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 4 + 1 + 1 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1013082163 is valid because the calculated check digit 3 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
1427054840 DEBRA TOOKE CROWELL RN, CNM
Individual
Registered Nurse620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
(757) 953-0399
1720084007DR. DEIDRA BARNES FLANARY DDS
Individual
Dentist (Periodontics)620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
(757) 953-0501
1467447128 REBEKAH R. BROOKS CRNA
Individual
Nurse Anesthetist, Certified Registered620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
(757) 953-3182
1942297395 CLAUDIA EDITH GONZALEZ MD
Individual
Family Medicine620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
(757) 953-8454
1518948827 CHAN W PARK M.D.
Individual
Emergency Medicine620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
(757) 953-1365
1730163627DR. GARY L. MUNN M.D.
Individual
Psychiatry & Neurology (Psychiatry)620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER DEPT OF PSYCHIATRY
PORTSMOUTH, VA 23708
(757) 953-5269
1558345389DR. JAMES DAVID BARRY MD
Individual
Emergency Medicine (Medical Toxicology)620 JOHN PAUL JONES CIR ATTN: EMERGENCY MEDICINE RESIDENCY DIRECTOR
PORTSMOUTH, VA 23708
(757) 953-1407
1306821335MR. THOMAS L HUTCHISON MA
Individual
Audiologist620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
(757) 953-0773
1225016496DR. CRAIG IAN SCHRANZ M.D.
Individual
Emergency Medicine620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
(619) 532-6400
1982683462DR. PHILIP JOSEPH BLAINE PHARM.D.
Individual
Pharmacist620 JOHN PAUL JONES CIR SUITE 1400
PORTSMOUTH, VA 23708
(757) 953-7718
1679552178MR. ROGER NELSON HIRSH RPH MS MBA
Individual
Pharmacist620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PHARMACY
PORTSMOUTH, VA 23708
(757) 953-0246
1457330979 LISA K BOGAN OTR, CHT, CLT-LANA
Individual
Occupational Therapist (Hand)620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH OCCUPATIONAL THERAPY
PORTSMOUTH, VA 23708
(757) 953-5419
1366421638DR. ANN PATRICIA FALLON M.D., M.P.H.
Individual
Preventive Medicine (Public Health & General Preventive Medicine)620 JOHN PAUL JONES CIR SUITE 1100
PORTSMOUTH, VA 23708
(757) 953-0731
1508845835DR. ELIZABETH ANN TONON MD
Individual
Ophthalmology620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER OPHTHALMOLOGY DEPT
PORTSMOUTH, VA 23708
(757) 953-2682
1295714582DR. FRED MARTIN ASHBROOK O.D.
Individual
Optometrist620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
(757) 953-7575
1821077116MR. MICHAEL STEVEN EVANS RPH
Individual
Pharmacist620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
(757) 953-0284
1942280094DR. DAVID ARCHIE LEAL DDS
Individual
Dentist620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
(757) 953-7550
1568442614MR. ROBERT BRUCE FERKI R.PH.
Individual
Pharmacist620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH/PHARMACY
PORTSMOUTH, VA 23708
(757) 953-7462
1376523340DR. CYNTHIA B. PICCIRILLI M.D.
Individual
Neurological Surgery620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
(757) 953-9399
1780664698DR. MELISSA ANN MOHON M.D. M.P.H.
Individual
Preventive Medicine (Occupational Medicine)620 JOHN PAUL JONES CIR SUITE 1100
PORTSMOUTH, VA 23708
(757) 953-0778

Frequently Asked Questions

What is Dr. Sally Tamayo M.D. NPI number?

The NPI number assigned to Dr. Sally Tamayo M.D. is 1013082163, registered as an "individual" on November 22, 2006

Where is Dr. Sally Tamayo M.D. located?

The provider is located at 620 John Paul Jones Cir Portsmouth, Va 23708 and the phone number is (757) 953-9804

Which is Dr. Sally Tamayo M.D. specialty?

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

How many years of experience does Dr. Sally Tamayo M.D. have?

The provider has more than 27 years of experience. She graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1996.

Is Dr. Sally Tamayo 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. Sally Tamayo M.D.?

Medicare beneficiaries should expect a typical cost of $135 with an average copayment of $33.75 for new patient appointments. Established patients should expect a typical charge of $104.32 and an average copayment of 26.08. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Dr. Sally Tamayo M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: SENTARA ALBEMARLE MEDICAL CENTER and CHESAPEAKE GENERAL 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. Sally Tamayo M.D. was last updated on November 22, 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]