DR. ARTHUR EDWARD FRANKEL MD NPI 1013977487

Internal Medicine (Hematology) in Dallas, TX

NPI 1013977487 Individual Male Internal Medicine Hematology PECOS Enrolled MIPS Quality Score 70.8

About ARTHUR FRANKEL

Arthur Frankel is an internal medicine provider established in Dallas, Texas and his medical specialization is internal medicine (hematology) . The NPI number of Arthur Frankel is 1013977487 and was assigned on March 2006. The practitioner's primary taxonomy code is 207RH0000X with license number M1095 (TX). The provider is registered as an individual and his NPI record was last updated 10 years ago.

An internist like Dr. Arthur Edward Frankel Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Arthur Frankel 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.

Arthur Frankel is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 70.8, 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.

NPI

1013977487

Provider NameDR. ARTHUR EDWARD FRANKEL MD
Provider Location Address5323 HARRY HINES BOULEVARD DALLAS, TX 75390
Provider Mailing AddressP.O. BOX 845347 DALLAS, TX 75284
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-28-2006
Last Update Date09-18-2012


Primary Taxonomy

Taxonomy Code207RH0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHematology
License No.M1095
License StateTX
Taxonomy DescriptionAn internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Business Address

DR. ARTHUR EDWARD FRANKEL MD
5323 HARRY HINES BOULEVARD
DALLAS, TX
ZIP 75390
Phone: (214) 645-4673
Fax: (214) 645-2615

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Mailing Address

DR. ARTHUR EDWARD FRANKEL MD
P.O. BOX 845347
DALLAS, TX
ZIP 75284
Phone: (214) 645-4673
Fax: (214) 645-2615



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
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% 52
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% 73
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 - 70.8
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.

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
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineM1095TXNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyM1095TXNo

Taxonomy Description: an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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
1735219-02OTHER (01)TX
A47815MEDICARE UPIN (02)TX
1735219-01MEDICAID (05)TX
8S6320OTHER (01)TX
8D5109MEDICARE ID-TYPE UNSPECIFIED (04)TX

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023078607 SUSAN THERESA IANNACCONE MD
Individual
Psychiatry & Neurology (Neurology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2768
1174584593 CLAUS G ROEHRBORN MD
Individual
Urology5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-0624
1245338623MR. KEMP H KERNSTINE MD, PH.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-7700
1285825505 SHANNON ELIZABETH BLALOCK MD
Individual
Pediatrics (Pediatric Cardiology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2333
1184788416DR. DHARAM JAYDEEP KUMBHANI M.D.
Individual
Internal Medicine (Cardiovascular Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-8000
1013063627 SASAN MIRFAKHRAEE MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1548307481DR. ISABEL CRISTINA ROJAS SANTAMARIA M.D.
Individual
Pediatrics (Pediatric Gastroenterology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-8000
1154539534 TARA MICHELLE DUVAL MD
Individual
Internal Medicine (Geriatric Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-8600
1689834277DR. ABBIE MARTHA EWELL MD
Individual
Psychiatry & Neurology (Psychiatry)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 590-8761
1235387531 MANISH R MOHANKA MD, MPH
Individual
Internal Medicine (Pulmonary Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1104053628 ANITA ANJALI HEGDE M.D.
Individual
Internal Medicine5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-9741
1689965659DR. MICHELLE RIMA KANDALAFT PH.D.
Individual
Psychologist5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-5160
1932250115DR. BRIDGET DANIELLE STUART MD
Individual
Pediatrics (Pediatric Pulmonology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-3903
1225229164DR. ZARMINA AMAN MD
Individual
Obstetrics & Gynecology5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-3838
1609053875DR. DEVIKA RADHIKA RAO MD
Individual
Pediatrics (Pediatric Pulmonology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2857
1992956825 SHAI MANZURI MD
Individual
Pediatrics (Pediatric Critical Care Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-5095
1841385580DR. CATHERINE B. ORSAK M.D.
Individual
Psychiatry & Neurology (Psychiatry)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-3043
1750554689DR. DIANA PATRICIA CASTRO MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2768
1255356150DR. JASON PAUL CLARK MD
Individual
Internal Medicine (Critical Care Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1629288550 AURELIA MARIE SCHMALSTIEG M.D.
Individual
Internal Medicine (Infectious Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800

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.