MS. NANCY ANN NORTHWAY MS CCA NPI 1013091909
Audiologist-Hearing Aid Fitter in Madison Hgts, MI

About MS. NANCY ANN NORTHWAY MS CCA

Nancy Northway is a provider established in Madison Hgts, Michigan and her medical specialization is Audiologist-hearing Aid Fitter with more than 40 years of experience. The NPI number of Nancy Northway is 1013091909 and was assigned on October 2006. The practitioner's primary taxonomy code is 237600000X with license number 3501004618 (MI). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1013091909
Provider NameMS. NANCY ANN NORTHWAY MS CCA
Location Address27483 DEQUINDRE STE 201 MADISON HGTS, MI 48071
Location Phone(248) 541-0100
Mailing Address27483 DEQUINDRE STE 201 MADISON HGTS, MI 48071
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1983
Is Sole Proprietor?No
Enumeration Date10-25-2006
Last Update Date09-09-2008

Nancy Northway 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.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 76.1, 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: security risk analysis.



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 Code237600000X
ClassificationAudiologist-Hearing Aid Fitter
TypeSpeech, Language and Hearing Service Providers
License No.3501004618
License StateMI
Taxonomy DescriptionAn audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.

Accepted Insurance

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
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

MS. NANCY ANN NORTHWAY MS CCA
27483 DEQUINDRE
STE 201
MADISON HGTS, MI
ZIP 48071
Phone: (248) 541-0100
Fax: (248) 399-3960

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Mailing Address

MS. NANCY ANN NORTHWAY MS CCA
27483 DEQUINDRE
STE 201
MADISON HGTS, MI
ZIP 48071
Phone: (248) 541-0100
Fax: (248) 399-3960


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.

PECOS PAC ID143397075
PECOS Enrollment IDI20080918000571
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.

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% 93.9
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% 21.8
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 - 76.1
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
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.

Clinician Utilization

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.

  • 214Eardrum testing using ear probe (HCPCS:92567)
  • 163Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • 68Assessment and recording of balance system during irrigation of both ears (HCPCS:92543)
  • 17Observation, testing, and recording of abnormal eye movement (HCPCS:92540)

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
1231H00000XSpeech, Language and Hearing Service ProvidersAudiologist1601000094MINo

Taxonomy Description: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

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 Identifier Issuer
4812620MEDICAID (05)MI
4812649MEDICAID (05)MI
4812630MEDICAID (05)MI
64OF336900OTHER (01)MIBCBSMI
4812602MEDICAID (05)MI

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.
1013091909
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202309290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 2 + 9 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1013091909 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124208335OAKLAND MACOMB SURGICAL GROUP PLLC
Organization
Surgery27483 DEQUINDRE #301
MADISON HEIGHTS, MI 48071
(248) 546-2600
1780823427TRI-COUNTY UROLOGISITS PC
Organization
Urology27483 DEQUINDRE STE 308
MADISON HEIGHTS, MI 48071
(248) 398-6980

Frequently Asked Questions

What is Ms. Nancy Northway MS CCA NPI number?

The NPI number assigned to Ms. Nancy Northway MS CCA is 1013091909, registered as an "individual" on October 25, 2006

Where is Ms. Nancy Northway MS CCA located?

The provider is located at 27483 Dequindre Ste 201 Madison Hgts, Mi 48071 and the phone number is (248) 541-0100

Which is Ms. Nancy Northway MS CCA specialty?

The provider's speciality is Audiologist-Hearing Aid Fitter

How many years of experience does Ms. Nancy Northway MS CCA have?

The provider has more than 40 years of experience.

What insurance does Ms. Nancy Northway MS CCA accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and 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 Ms. Nancy Northway MS CCA?

The most common procedures or services performed by this practitioner are: Eardrum testing using ear probe, Air and bone conduction assessment of hearing loss and speech recognition, Assessment and recording of balance system during irrigation of both ears and Observation, testing, and recording of abnormal eye movement.

How do I update my NPI information?

The NPI record of Ms. Nancy Northway MS CCA was last updated on October 25, 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]