MARK A ISAACS CRNA NPI 1013092253
Nurse Anesthetist, Certified Registered in Birmingham, AL

About MARK A ISAACS CRNA

Mark Isaacs is a provider established in Birmingham, Alabama and his medical specialization is Nurse Anesthetist, Certified Registered with more than 20 years of experience. The NPI number of Mark Isaacs is 1013092253 and was assigned on October 2006. The practitioner's primary taxonomy code is 367500000X with license number 1-074501 (AL). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013092253
Provider Name MARK A ISAACS CRNA
Location Address1600 CARRAWAY BLVD BIRMINGHAM, AL 35234
Location Phone(205) 502-6000
Mailing AddressPO BOX 830469 MSC 511 BIRMINGHAM, AL 35283
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Enumeration Date10-26-2006
Last Update Date07-08-2007

Mark Isaacs 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 58.2, 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: participation in an ahrq-listed patient safety organization., provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, use of qcdr data for quality improvement such as comparative analysis reports across patient populations, use of qcdr for feedback reports that incorporate population health and use of qcdr to support clinical decision making.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.48 for a new patient copayment and $24.83 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 Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.1-074501
License StateAL
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

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

MARK A ISAACS CRNA
1600 CARRAWAY BLVD
BIRMINGHAM, AL
ZIP 35234
Phone: (205) 502-6000
Fax: (205) 502-5720

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Mailing Address

MARK A ISAACS CRNA
PO BOX 830469
MSC 511
BIRMINGHAM, AL
ZIP 35283
Phone: (205) 979-5882
Fax: (205) 979-1248


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 ID7719967124
PECOS Enrollment IDI20040724000115
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.

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 35234 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
$55.54 $170.61 $85.95
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.88 $42.65 $21.48
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
$16.93 $139.08 $99.33
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.23 $34.77 $24.83

* 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% 55
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% 20
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% 65.3
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 - 58.2
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
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
- Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Use of QCDR data for quality improvement such as comparative analysis reports across patient populationsYesN/A
Participation in a QCDR, clinical data registries, or other registries run by other government agencies such as FDA, or private entities such as a hospital or medical or surgical society. Activity must include use of QCDR data for quality improvement (e.g., comparative analysis across specific patient populations for adverse outcomes after an outpatient surgical procedure and corrective steps to address adverse outcome).
Use of QCDR for feedback reports that incorporate population healthYesN/A
Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations.
Use of QCDR to support clinical decision makingYesN/A
Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities.

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.

  • 164Anesthesia for lens surgery (HCPCS:00142)
  • 24Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 15Anesthesia for procedure in upper abdomen including use of an endoscope (HCPCS:00790)

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. Mark Isaacs is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
RIVERVIEW REGIONAL MEDICAL CENTER600 SOUTH THIRD STREET
GADSDEN, AL 35901
(256) 543-5200Acute Care Hospitals10046
MARSHALL MEDICAL CENTERS2505 U S HIGHWAY 431 NORTH
BOAZ, AL 35957
(256) 593-8310Acute Care Hospitals10005

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
51528684OTHER (01)ALBC/BS

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.
1013092253
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023094210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 4 + 2 + 1 + 0 + 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 1013092253 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
1962462374MRS. JENNIFER W DEVILLENEUVE CRNP
Individual
Nurse Practitioner1600 CARRAWAY BLVD SUITE 402
BIRMINGHAM, AL 35234
(205) 297-9801
1013961192 TEDDY W. SARTIN M.D.
Individual
Anesthesiology1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6817
1588619175 BEVERLY S. HARRISON M.D.
Individual
Anesthesiology1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6817
1588602601 MARK S. WILLIAMS M.D.
Individual
Anesthesiology1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6817
1891733036 JOHN G. NICHOLAS M.D.
Individual
Anesthesiology1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6817
1992723415 HARRY CHANEY ADERHOLT MD
Individual
Radiology (Diagnostic Radiology)1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 871-4274
1679593487DR. TARA M BRYANT MB
Individual
Internal Medicine1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6000
1295743227MR. ROBERT POSEY CARRAWAY MD
Individual
Surgery1600 CARRAWAY BLVD CARRAWAY PHYSICIANS PLAZA STE 200
BIRMINGHAM, AL 35234
(205) 502-3600
1205847100DR. CAROL JEAN DASHIFF R.N., L.M.F.T.; PH.D
Individual
Marriage & Family Therapist1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-5089
1790877744 JUDY ANN COLLIER CRNP
Individual
Nurse Practitioner (Family)1600 CARRAWAY BLVD SUITE 460
BIRMINGHAM, AL 35234
(205) 502-6600
1730251927 LISA C GALLAGHER CRNA
Individual
Nurse Anesthetist, Certified Registered1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6817
1265504674MR. RAY G MCAFEE CRNA
Individual
Nurse Anesthetist, Certified Registered1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6817
1275605453 LAURIE MOORE LUDVIK CRNA
Individual
Nurse Anesthetist, Certified Registered1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6817
1194897439MR. TERRY C BONVILLE CRNA
Individual
Nurse Anesthetist, Certified Registered1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6187
1548333859DR. KIMBALL IVAN MAULL MD
Individual
Surgery1600 CARRAWAY BLVD CARRAWAY PHYSICIANS PLAZA SUITE 200
BIRMINGHAM, AL 35234
(205) 502-3600
1417022666 CATHERINE POST CRNA
Individual
Nurse Anesthetist, Certified Registered1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6817
1356416564 MELISSA H BENTON CRNA
Individual
Nurse Anesthetist, Certified Registered1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6817
1366596447MR. KIMBERLEE S REDWINE CRNP
Individual
Registered Nurse1600 CARRAWAY BLVD SUITE 402
BIRMINGHAM, AL 35234
(205) 297-9801
1235251810PHYSICIANS MEDICAL CENTER, LLC
Organization
Nurse Anesthetist, Certified Registered1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-6000
1114119567PHYSICIAN MEDICAL CENTER, LLC
Organization
Family Medicine1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234
(205) 502-5610

Frequently Asked Questions

What is Mark Isaacs CRNA NPI number?

The NPI number assigned to Mark Isaacs CRNA is 1013092253, registered as an "individual" on October 26, 2006

Where is Mark Isaacs CRNA located?

The provider is located at 1600 Carraway Blvd Birmingham, Al 35234 and the phone number is (205) 502-6000

Which is Mark Isaacs CRNA specialty?

The provider's speciality is Nurse Anesthetist, Certified Registered

How many years of experience does Mark Isaacs CRNA have?

The provider has more than 20 years of experience.

What insurance does Mark Isaacs CRNA 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.

How much is a visit to Mark Isaacs CRNA?

Medicare beneficiaries should expect a typical cost of $85.95 with an average copayment of $21.48 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Mark Isaacs CRNA?

The most common procedures or services performed by this practitioner are: Anesthesia for lens surgery, Anesthesia for procedure on gastrointestinal tract using an endoscope and Anesthesia for procedure in upper abdomen including use of an endoscope.

Is Mark Isaacs CRNA affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: RIVERVIEW REGIONAL MEDICAL CENTER and MARSHALL MEDICAL CENTERS. 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 Mark Isaacs CRNA was last updated on October 26, 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]