PETER MYLES MCGOUGH NPI 1013092824
Family Medicine in Bellevue, WA

About PETER MYLES MCGOUGH

Peter Mcgough is a primary care provider established in Bellevue, Washington and his medical specialization is Family Medicine. The NPI number of Peter Mcgough is 1013092824 and was assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MD00018447 (WA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1013092824
Provider Name PETER MYLES MCGOUGH
Location Address13231 SE 36TH ST STE 110 BELLEVUE, WA 98006
Location Phone(425) 957-9000
Mailing AddressPO BOX 50095 SEATTLE, WA 98145
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date10-27-2006
Last Update Date08-21-2012

A primary care provider (PCP) like Peter Myles Mcgough sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.5, 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.



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 Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD00018447
License StateWA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

PETER MYLES MCGOUGH
13231 SE 36TH ST STE 110
BELLEVUE, WA
ZIP 98006
Phone: (425) 957-9000

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Mailing Address

PETER MYLES MCGOUGH
PO BOX 50095
SEATTLE, WA
ZIP 98145
Phone: (206) 543-6420


Location Map

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% 84.3
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% 68
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% 67
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 - 82.5
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.

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.

  • 46Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 17Administration of influenza virus vaccine (HCPCS:G0008)

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
69480OTHER (01)INTERNAL ID-MOTOR VEHICLE ID
A06822MEDICARE UPIN (02)
8881868MEDICARE PIN (08)WA
0160766OTHER (01)WAL&I
1013092824MEDICAID (05)WA

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.
1013092824
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202309484
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 + 8 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1013092824 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164503314 BRYNA DUNAWAY MCCOLLUM PA-C
Individual
Physician Assistant (Medical)13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(425) 957-9000
1962587766 NEETILEKHA CHOUDHURY
Individual
Internal Medicine13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(425) 957-9000
1629153440 JANET H PIEHL
Individual
Family Medicine13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(425) 957-9000
1720163553 MAURA ELLEN GLYNN-THAMI
Individual
Family Medicine13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(425) 957-9000
1386729119 PAMELA MEI YUNG
Individual
Family Medicine13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(425) 957-9000
1548346711 DIANA J. KAO M.D.
Individual
Family Medicine13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(425) 957-9000
1811251192DR. SARAH ELIZABETH HALTER M.D.
Individual
Family Medicine13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(425) 957-9000
1750510608 TRICIA NIELSEN D.O.
Individual
Family Medicine13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(425) 957-9000
1427503903 KAREN IKENO LICSW
Individual
Social Worker (Clinical)13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(425) 957-9000
1184934861MS. CATHERINE EILENE RAMSEY ARNP
Individual
Nurse Practitioner (Family)13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(206) 520-5000
1760885701 HEIDI S GILMORE ARNP
Individual
Nurse Practitioner (Adult Health)13231 SE 36TH ST STE 110
BELLEVUE, WA 98006
(206) 520-5000

Frequently Asked Questions

What is Peter Mcgough NPI number?

The NPI number assigned to Peter Mcgough is 1013092824, registered as an "individual" on October 27, 2006

Where is Peter Mcgough located?

The provider is located at 13231 Se 36th St Ste 110 Bellevue, Wa 98006 and the phone number is (425) 957-9000

Which is Peter Mcgough specialty?

The provider's speciality is Family Medicine

What insurance does Peter Mcgough 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.

What are some of the services provided by Peter Mcgough ?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample and Administration of influenza virus vaccine.

How do I update my NPI information?

The NPI record of Peter Mcgough was last updated on October 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]