DR. GEOFFREY WILLIAM HORN DO NPI 1013117977
Radiology (Diagnostic Radiology) in Saint Helena, CA
About GEOFFREY HORN
Geoffrey Horn is a provider established in Saint Helena, California and his medical specialization is radiology (diagnostic radiology) with more than 18 years of experience. The NPI number of Geoffrey Horn is 1013117977 and was assigned on July 2007. The practitioner's primary taxonomy code is 2085R0202X with license number 20A11701 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
Geoffrey Horn is enrolled in PECOS and is eligible to order or refer healthcare 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
Geoffrey Horn 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. According to Medicare claims data he has hospital affiliations with Adventist Health Ukiah Valley, Adventist Health Clearlake and Adventist Health Howard Memorial.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.8, 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 following quality measures were reported for this provider: .
The typical physician office visit costs for Medicare beneficiaries in this area are: $25.04 for a new patient copayment and $20.46 for an established patient copayment.
| NPI | 1013117977 |
| Provider Name | DR. GEOFFREY WILLIAM HORN DO |
| Provider Location Address | 10 WOODLAND RD SAINT HELENA, CA 94574 |
| Provider Mailing Address | PO BOX 3222 NAPA, CA 94558 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 07-19-2007 |
| Last Update Date | 04-25-2012 |
Primary Taxonomy
| Taxonomy Code | 2085R0202X |
| Classification | Radiology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Diagnostic Radiology |
| License No. | 20A11701 |
| License State | CA |
| Taxonomy Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Business Address
DR. GEOFFREY WILLIAM HORN DO
10 WOODLAND RD
SAINT HELENA, CA
ZIP 94574
Phone: (707) 963-6430
Fax: (707) 256-3508
Mailing Address
DR. GEOFFREY WILLIAM HORN DO
PO BOX 3222
NAPA, CA
ZIP 94558
Phone: (707) 261-7821
Fax: (707) 256-3508
Medicare Participation
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 |
| PECOS PAC ID | 5395875934 |
| PECOS Enrollment ID | I20110819000170 |
| 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. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 94574 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 |
| $65.83 | $195.58 | $100.16 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $16.45 | $48.89 | $25.04 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $21.39 | $160.84 | $81.86 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.34 | $40.21 | $20.46 |
* 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% | 100 | |
|
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. |
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| Promoting Interoperability (PI) | 25% | 52 | |
|
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. |
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| 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. |
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| Cost | 20% | 68.5 | |
|
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. |
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| MIPS Final Score | - | 85.8 | |
| 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. | |||
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|
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.
- 2153X-ray of chest, 1 view, front (HCPCS:71010)
- 767X-ray of chest, 2 views, front and side (HCPCS:71020)
- 217CT scan of abdomen and pelvis with contrast (HCPCS:74177)
- 185CT scan of abdomen and pelvis (HCPCS:74176)
- 167Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
- 145X-ray of knee, 3 views (HCPCS:73562)
- 110X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- 103X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
- 95X-ray of abdomen, single view (HCPCS:74000)
- 95Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
- 90Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
- 81X-ray of foot, minimum of 3 views (HCPCS:73630)
- 75X-ray of hand, minimum of 3 views (HCPCS:73130)
- 44Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
- 40X-ray of wrist, minimum of 3 views (HCPCS:73110)
- 30Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
- 26Ultrasound of head and neck (HCPCS:76536)
- 25Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
- 24Bone and/or joint imaging, whole body (HCPCS:78306)
- 24X-ray of fingers, minimum of 2 views (HCPCS:73140)
- 21Ultrasound study of arteries of both arms and legs (HCPCS:93922)
- 18Ultrasound pelvis through vagina (HCPCS:76830)
- 15Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
- 12Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
- 11Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
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. Geoffrey Horn is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| ADVENTIST HEALTH UKIAH VALLEY | 275 HOSPITAL DRIVE UKIAH, CA 95482 | (707) 462-3111 | Acute Care Hospitals | 50301 | |
| ADVENTIST HEALTH CLEARLAKE | 15630 18TH AVE - HWY 53 CLEARLAKE, CA 95422 | (707) 994-6486 | Critical Access Hospitals | 51317 | |
| ADVENTIST HEALTH HOWARD MEMORIAL | 1 MARCELA DR WILLITS, CA 95490 | (707) 456-3031 | Critical Access Hospitals | 51310 |
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 |
|---|---|---|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 4369 | OK | No |
Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. | |||||||
| 2 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2063 | TN | No |
Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. | |||||||
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275535700 | WILLIAM DUGE MD Individual | Radiology (Diagnostic Radiology) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 261-7821 |
| 1104812585 | DR. HIROFUMI HASHIMOTO MD Individual | Internal Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6399 |
| 1619950193 | EDWARD STUMP M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6311 |
| 1033192547 | DAN CLAY M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6311 |
| 1174507552 | EDWIN CARLSON M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-3611 |
| 1912981382 | GARY MISHKIN M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-3611 |
| 1508840513 | JOSE RENE MIRANDA M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-3611 |
| 1851355705 | ANDREW DEMETRIUS HORPENIUK M.D., M.P.H. Individual | Preventive Medicine (Occupational Medicine) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6491 |
| 1083679781 | DR. DAVID R RACKER M.D. Individual | Radiology (Diagnostic Radiology) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6430 |
| 1659320703 | DR. ETHAN DALIERE SCHRAM M.D. Individual | Internal Medicine (Medical Oncology) | 10 WOODLAND RD MARTIN-O'NEIL CANCER CENTER SAINT HELENA, CA 94574 (707) 967-5721 |
| 1336194497 | RCOA-ADVENTIST HEALTH, LLC Organization | Clinic/Center (Radiology, Mobile) | 10 WOODLAND RD SAINT HELENA, CA 94574 (866) 293-3500 |
| 1922020221 | DAVID KIM M.D. Individual | Hospitalist | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6399 |
| 1205859683 | DIANE LYNN HAMBRICK M.D. Individual | Family Medicine (Addiction Medicine) | 10 WOODLAND RD ST. HELENA HOSPITAL SAINT HELENA, CA 94574 (707) 967-5720 |
| 1689778987 | DR. STEVEN CARLTON HERBER MD Individual | Surgery (Plastic and Reconstructive Surgery) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 967-5981 |
| 1962508960 | CAROL L ISAACS MD Individual | Dermatology | 10 WOODLAND RD LLOYD BLDG STE 501 ST HELENA, CA 94574 (707) 963-5450 |
| 1386856888 | JOANNE HATCH R.D. Individual | Dietitian, Registered | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6218 |
| 1730396433 | MAILE SHUBIN Individual | Dietitian, Registered | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-3218 |
| 1558578013 | PETRA SCHLENKE R.D. Individual | Dietitian, Registered | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6432 |
| 1174793574 | ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. Organization | Psychiatry & Neurology (Neurology) | 10 WOODLAND RD SUITE 502 SAINT HELENA, CA 94574 (707) 963-1882 |
| 1467786400 | DAVID F. JADWIN D.O. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6483 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.