|Provider Name||TOMAS MANUEL MACHIN MD|
|Location Address||508 E HICKORY STREET LOMPOC DISTRICT HOSPITAL LOMPOC, CA 93438|
|Location Phone||(805) 737-5718|
|Mailing Address||PO BOX 3857 SAN LUIS OBISPO, CA 93403|
|NPI Entity Type||Individual|
|Is Sole Proprietor?||No|
|Last Update Date||05-16-2013|
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 78.5, 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 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.
|Type||Allopathic & Osteopathic Physicians|
|Specialization||Anatomic Pathology & Clinical Pathology|
|Taxonomy Description||A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.|
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
- Blue Cross Blue Shield
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
TOMAS MANUEL MACHIN MD
508 E HICKORY STREET
LOMPOC DISTRICT HOSPITAL
Phone: (805) 737-5718
Fax: (805) 735-4027
TOMAS MANUEL MACHIN MD
PO BOX 3857
SAN LUIS OBISPO, CA
Phone: (800) 472-9116
Fax: (805) 439-0324
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|
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.
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.
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||-||78.5|
|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.|
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.
- 2022Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- 83Special stained specimen slides to examine tissue (HCPCS:88341)
- 75Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- 44Tissue or cell analysis by immunologic technique (HCPCS:88342)
- 39Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
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|
|1356409379||OTHER (01)||CA||GROUP NPI|
|A402330||OTHER (01)||CA||MEDICAL BOARD OF CA|
|220018774||OTHER (01)||CA||RAILROAD MEDICARE|
|ZZZ42967Z||OTHER (01)||CA||BLUE SHIELD|
|A85417||MEDICARE UPIN (02)|
|HW8260||MEDICARE PIN (08)||CA|
|HW8260A||MEDICARE PIN (08)||CA|
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 2 + 3 + 0 + 8 + 6 + 7 + 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 = 5||5|
The NPI number 1013083765 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
What is Tomas Machin MD NPI number?
The NPI number assigned to Tomas Machin MD is 1013083765, registered as an "individual" on November 27, 2006
Where is Tomas Machin MD located?
The provider is located at 508 E Hickory Street Lompoc District Hospital Lompoc, Ca 93438 and the phone number is (805) 737-5718
Which is Tomas Machin MD specialty?
The provider's speciality is Pathology with a focus in Anatomic Pathology & Clinical Pathology
What insurance does Tomas Machin MD accept?
The provider might be accepting Blue Cross Blue Shield, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.
What are some of the services provided by Tomas Machin MD?
The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity, Special stained specimen slides to examine tissue, Pathology examination of tissue using a microscope, moderately low complexity, Tissue or cell analysis by immunologic technique and Pathology examination of tissue using a microscope, moderately high complexity.
How do I update my NPI information?
The NPI record of Tomas Machin MD was last updated on November 27, 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]