ROBERT BARRY LURATE M.D. NPI 1033118799
Orthopaedic Surgery in Pensacola, FL
About ROBERT BARRY LURATE M.D.
Robert Lurate is a provider established in Pensacola, Florida and his medical specialization is Orthopaedic Surgery with more than 36 years of experience. He graduated from University Of Mississippi School Of Medicine in 1987. The NPI number of this provider is 1033118799 and was assigned on July 2005. The practitioner's primary taxonomy code is 207X00000X with license number ME0069522 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.
|Provider Name||ROBERT BARRY LURATE M.D.|
|Location Address||2130 E JOHNSON AVE STE 130 PENSACOLA, FL 32514|
|Location Phone||(850) 494-6839|
|Mailing Address||2130 E JOHNSON AVE STE 130 PENSACOLA, FL 32514|
|NPI Entity Type||Individual|
|Medical School Name||UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE|
|Is Sole Proprietor?||No|
|Last Update Date||01-27-2022|
Robert Lurate is enrolled in PECOS and is eligible to order or refer health care 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.
Robert Lurate 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 .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.6, 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: $22.56 for a new patient copayment and $18.26 for an established patient copayment.
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.
|Type||Allopathic & Osteopathic Physicians|
|Taxonomy Description||An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.|
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Blue Cross Blue Shield
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
2130 E JOHNSON AVE STE 130
Phone: (850) 494-6839
2130 E JOHNSON AVE STE 130
Phone: (850) 494-6839
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.
|Registered in PECOS?||Yes|
|PECOS PAC ID||7719081694|
|PECOS Enrollment ID||I20101029001012|
|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 32514 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|
|Minimum New Patient Copayment||Maximum New Patient Copayment||Typical New Patient Copayment|
|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|
|Minimum Established Patient Copayment||Maximum Established Patient Copayment||Typical Established Patient Copayment|
* 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|
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.
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.
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||-||92.6|
|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.|
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.
- 527Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- 219Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
- 168X-ray of knee, 4 or more views (HCPCS:73564)
- 155X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
- 79X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- 55Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- 28X-ray of foot, minimum of 3 views (HCPCS:73630)
- 21Repair of knee joint (HCPCS:27447)
- 16Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
- 12X-ray of wrist, minimum of 3 views (HCPCS:73110)
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||174400000X||Other Service Providers||Specialist||ME0069522||FL||No|
Taxonomy Description: an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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|
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 6 + 3 + 2 + 1 + 1 + 6 + 7 + 1 + 8 + 24 = 61|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|70 - 61 = 9||9|
The NPI number 1033118799 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
|NPI||Name / Type||Taxonomy||Address|
|1255713772||DR. JOHN HAHN MD |
|Surgery||2130 E JOHNSON AVE STE 130 |
PENSACOLA, FL 32514
|1043422421|| SANDA A TAN MD |
|Colon & Rectal Surgery||2130 E JOHNSON AVE STE 130 |
PENSACOLA, FL 32514
|1003011339|| LINCOLN M JIMENEZ MD |
|Neurological Surgery||2130 E JOHNSON AVE STE 130 |
PENSACOLA, FL 32514
|1841389756||MR. MATTHEW BLAKE HAMMOND PA-C |
|Physician Assistant (Surgical)||2130 E JOHNSON AVE STE 130 |
PENSACOLA, FL 32514
|1972583193||DR. CLARK STEPHEN METZGER SR. M.D. |
|Orthopaedic Surgery||2130 E JOHNSON AVE STE 130 |
PENSACOLA, FL 32514
Frequently Asked Questions
What is Robert Lurate M.D. NPI number?
The NPI number assigned to this healthcare provider is 1033118799, registered as an "individual" on July 15, 2005
Where is Robert Lurate M.D. located?
The provider is located at 2130 E Johnson Ave Ste 130 Pensacola, Fl 32514 and the phone number is (850) 494-6839
Which is Robert Lurate M.D. specialty?
The provider's speciality is Orthopaedic Surgery
How many years of experience does Robert Lurate M.D. have?
The provider has more than 36 years of experience. He graduated from University Of Mississippi School Of Medicine in 1987.
What insurance does Robert Lurate M.D. accept?
The provider might be accepting Aetna, Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Robert Lurate M.D. registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
What are Robert Lurate M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Robert Lurate M.D.?
Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $73.05 and an average copayment of 18.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Robert Lurate M.D.?
The most common procedures or services performed by this practitioner are: Injection, methylprednisolone acetate, 40 mg, Aspiration and/or injection of large joint or joint capsule, X-ray of knee, 4 or more views, X-ray of ribs of one side of body, minimum of 2 views, X-ray of shoulder, minimum of 2 views, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, X-ray of foot, minimum of 3 views, Repair of knee joint, Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple and X-ray of wrist, minimum of 3 views.
How do I update my NPI information?
The NPI record of Robert Lurate M.D. was last updated on July 15, 2005. 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]
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