DR. JORDAN SCALO MD NPI 1013089218
Pediatrics - Pediatric Pulmonology in Austin, TX

About DR. JORDAN SCALO MD

Jordan Scalo is a pediatrician established in Austin, Texas and his medical specialization is Pediatrics with a focus in pediatric pulmonology . The NPI number of Jordan Scalo is 1013089218 and was assigned on November 2006. The practitioner's primary taxonomy code is 2080P0214X with license number H73442 (TX). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1013089218
Provider NameDR. JORDAN SCALO MD
Location Address11111 RESEARCH BLVD SUITE 300 AUSTIN, TX 78759
Location Phone(512) 380-9200
Mailing Address11111 RESEARCH BLVD SUITE 300 AUSTIN, TX 78759
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date11-14-2006
Last Update Date12-16-2014

A pediatrician like Dr. Jordan Scalo Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.Jordan Scalo 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..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.9, 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: chronic care and preventative care management for empaneled patients, clinical data registry reporting, e-prescribing, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, provide patients electronic access to their health information, public health registry reporting, security risk analysis and use of decision support and standardized treatment protocols.



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 Code2080P0214X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Pulmonology
License No.H73442
License StateTX
Taxonomy DescriptionA pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

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. JORDAN SCALO MD
11111 RESEARCH BLVD
SUITE 300
AUSTIN, TX
ZIP 78759
Phone: (512) 380-9200
Fax: (512) 380-9201

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Mailing Address

DR. JORDAN SCALO MD
11111 RESEARCH BLVD
SUITE 300
AUSTIN, TX
ZIP 78759
Phone: (512) 380-9200
Fax: (512) 380-9201


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
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% 82.4
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% 54
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 - 80.9
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
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
In order to receive credit for this activity, a MIPS eligible clinician must manage chronic and preventive care for empaneled patients (that is, patients assigned to care teams for the purpose of population health management), which could include one or more of the following actions:-   Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions;-   Use evidence based, condition-specific pathways for care of chronic conditions (for example, hypertension, diabetes, depression, asthma, and heart failure). These might include, but are not limited to, the NCQA Diabetes Recognition Program (DRP)93 and the NCQA Heart/Stroke Recognition Program (HSRP)94;-   Use pre-visit planning, that is, preparations for conversations or actions to propose with patient before an in-office visit to optimize preventive care and team management of patients with chronic conditions;-   Use panel support tools, (that is, registry functionality) or other technology that can use clinical data to identify trends or data points in patient records to identify services due;-   Use predictive analytical models to predict risk, onset and progression of chronic diseases; and/orUse reminders and outreach (e.g., phone calls, emails, postcards, patient portals, and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Clinical Data Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.
e-Prescribing 90% 3714
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Provide Patients Electronic Access to Their Health Information 60% 829
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).
Public Health Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries.
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.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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
153942103MEDICAID (05)TX
H73442MEDICARE UPIN (02)TX

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.
1013089218
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 8 + 2 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1013089218 is valid because the calculated check digit 8 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
1164407615DR. CHRISTOPHER M GODELL M.D.
Individual
Internal Medicine (Gastroenterology)11111 RESEARCH BLVD SUITE 390
AUSTIN, TX 78759
(512) 244-2273
1033194592DR. GLENN ROBINSON M.D.
Individual
Internal Medicine (Gastroenterology)11111 RESEARCH BLVD SUITE 390
AUSTIN, TX 78759
(512) 244-2273
1114902228DR. KENNETH K ELLIS M.D.
Individual
Internal Medicine (Gastroenterology)11111 RESEARCH BLVD SUITE 390
AUSTIN, TX 78759
(512) 244-2273
1205811296DR. JOHN J ZIEBERT M.D.
Individual
Internal Medicine (Gastroenterology)11111 RESEARCH BLVD SUITE 390
AUSTIN, TX 78759
(512) 244-2273
1902849805DR. JASON MICHAEL MELEAR M.D.
Individual
Internal Medicine (Medical Oncology)11111 RESEARCH BLVD SUITE 400
AUSTIN, TX 78759
(512) 419-9733
1215047402DR. PATRICIA JEANNE MORRISON MD
Individual
Surgery11111 RESEARCH BLVD STE 380
AUSTIN, TX 78759
(512) 338-5201
1104907492DR. MARILYN MEADE MCCLUSKEY M.D.
Individual
Specialist11111 RESEARCH BLVD STE 170
AUSTIN, TX 78759
(512) 338-5222
1760558555PREMIER EYE CARE, PA
Organization
Specialist11111 RESEARCH BLVD SUITE 170
AUSTIN, TX 78759
(512) 338-5222
1174778625TEXAS CARDIOVASCULAR CONSULTANTS, PA
Organization
Internal Medicine (Cardiovascular Disease)11111 RESEARCH BLVD SUITE 360
AUSTIN, TX 78759
(512) 617-6000
1790010585AUSTIN TEXAS RADIATION ONCOLOGY GROUP, PA
Organization
Specialist11111 RESEARCH BLVD
AUSTIN, TX 78759
(512) 531-5200
1104139575CARDIOVASCULAR ASSOCIATES NORTHWEST PLLC
Organization
Internal Medicine (Cardiovascular Disease)11111 RESEARCH BLVD SUITE 360
AUSTIN, TX 78759
(512) 617-1916
1679851901DEIRDRE M RHOAD M D P A
Organization
Specialist11111 RESEARCH BLVD SUITE 310
AUSTIN, TX 78759
(512) 476-9149
1376545186 MARSHA HILLARY ONAN M.D.
Individual
Ophthalmology11111 RESEARCH BLVD SUITE 220
AUSTIN, TX 78759
(512) 324-6755
1538326871INTERVENTIONAL PAIN ASSOCIATES
Organization
Anesthesiology (Pain Medicine)11111 RESEARCH BLVD SUITE 370
AUSTIN, TX 78759
(512) 795-7575
1720223449 LAN T HOANG M.D.
Individual
Ophthalmology11111 RESEARCH BLVD SUITE 220
AUSTIN, TX 78759
(512) 324-6755
1679632905 GREGORY J MCCLELLAND P.A.
Individual
Physician Assistant11111 RESEARCH BLVD SUITE 300
AUSTIN, TX 78759
(512) 380-9200
1184796401DR. JASON FULLMER MD
Individual
Pediatrics (Pediatric Pulmonology)11111 RESEARCH BLVD SUITE 300
AUSTIN, TX 78759
(512) 380-9200
1144415936 BAOPING QIAN M.D.
Individual
Pediatrics11111 RESEARCH BLVD STE 295
AUSTIN, TX 78759
(877) 800-5722
1447215249 LARRY BRIT LAWRENCE MD
Individual
Obstetrics & Gynecology11111 RESEARCH BLVD SUITE 230
AUSTIN, TX 78759
(877) 800-5722
1730164591 BRIAN JAY SHIMKUS MD
Individual
Internal Medicine (Hematology & Oncology)11111 RESEARCH BLVD STE. 450
AUSTIN, TX 78759
(512) 334-2103

Frequently Asked Questions

What is Dr. Jordan Scalo MD NPI number?

The NPI number assigned to Dr. Jordan Scalo MD is 1013089218, registered as an "individual" on November 14, 2006

Where is Dr. Jordan Scalo MD located?

The provider is located at 11111 Research Blvd Suite 300 Austin, Tx 78759 and the phone number is (512) 380-9200

Which is Dr. Jordan Scalo MD specialty?

The provider's speciality is Pediatrics with a focus in Pediatric Pulmonology

What insurance does Dr. Jordan Scalo 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 Dr. Jordan Scalo 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 do I update my NPI information?

The NPI record of Dr. Jordan Scalo MD was last updated on November 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]