LORI COLLINS SCOTT MD NPI 1023299138

Family Medicine in Kinston, NC

NPI 1023299138 Individual Female Years of Experience 18 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 92.2

About LORI SCOTT

Lori Scott is a primary care provider established in Kinston, North Carolina and her medical specialization is family medicine with more than 18 years of experience. She graduated from East Tennessee State University Quillen College Of Medicine in 2004. The NPI number of Lori Scott is 1023299138 and was assigned on November 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 200701775 (NC). The provider is registered as an individual and her NPI record was last updated 11 years ago.

A primary care provider (PCP) like Lori Collins Scott Md 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

Lori Scott 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

Lori Scott 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 92.2, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $21.8 for a new patient copayment and $25.2 for an established patient copayment.

NPI

1023299138

Provider Name LORI COLLINS SCOTT MD
Provider Location Address400 GLENWOOD AVE SUITE NUMBER 10 KINSTON, NC 28501
Provider Mailing Address202 SUMMIT AVE KINSTON, NC 28501
GenderFemale
NPI Entity TypeIndividual
Medical School NameEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year2004
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-16-2007
Last Update Date02-28-2011


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.200701775
License StateNC
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.

Business Address

LORI COLLINS SCOTT MD
400 GLENWOOD AVE
SUITE NUMBER 10
KINSTON, NC
ZIP 28501
Phone: (919) 581-5882

Get Directions


Mailing Address

LORI COLLINS SCOTT MD
202 SUMMIT AVE
KINSTON, NC
ZIP 28501
Phone: (252) 933-1325



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 ID840373890
PECOS Enrollment IDI20080213000688
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 28501 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
$56.51 $172.65 $87.2
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.12 $43.16 $21.8
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
$17.43 $140.98 $100.83
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.35 $35.24 $25.2

* 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.
Promoting Interoperability (PI) 25% 59.6
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 - 92.2
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.

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1104884998 DOUGLAS ELRY WATFORD MD
Individual
Family Medicine400 GLENWOOD AVE STE 3
KINSTON, NC 28501
(252) 527-8906
1366495236DR. RUDOLPH IVEY MINTZ MD
Individual
Obstetrics & Gynecology (Gynecology)400 GLENWOOD AVE SUITE 11
KINSTON, NC 28501
(252) 527-5500
1477584852DR. WARREN SEIPP PERRY JR. D.D.S.
Individual
Dentist (General Practice)400 GLENWOOD AVE SUITE 17
KINSTON, NC 28501
(252) 523-4927
1679767750RUDOLPH I MINTZ JR
Organization
Specialist400 GLENWOOD AVE SUITE 11
KINSTON, NC 28501
(252) 527-5500
1093952566GREATER HEIGHTS MANAGEMENT SERVICES OF KINSTON, INC.
Organization
Community/Behavioral Health400 GLENWOOD AVE SUITE 5
KINSTON, NC 28501
(252) 522-5000
1952431991BARBARA'S LOVE AND CARE
Organization
Community/Behavioral Health400 GLENWOOD AVE SUITE 7
KINSTON, NC 28501
(252) 527-6575
1346681319HEALTHCORE RESOURCE, INC
Organization
Community/Behavioral Health400 GLENWOOD AVE SUITE 5
KINSTON, NC 28501
(252) 526-7410
1245637701NEW DAWN PSYCHIATRIC SERVICES, PLLC
Organization
Community/Behavioral Health400 GLENWOOD AVE SUITE 8
KINSTON, NC 28501
(252) 686-8092
1801272000YELVERTONS ENRICHMENT SERVICES INC
Organization
Community/Behavioral Health400 GLENWOOD AVE SUITE 5
KINSTON, NC 28501
(919) 961-5123
1326591256KENDALL A MITCHELL DDS PLLC
Organization
Dentist400 GLENWOOD AVE
KINSTON, NC 28501
(252) 523-4927
1154523058INTEGRITY SUPPORT SERVICES
Organization
Case Management400 GLENWOOD AVE SUITE 7
KINSTON, NC 28501
(252) 522-0682

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.