DR. VLAD PRELIPCEAN MD NPI 1033188966

Internal Medicine in Pinson, AL

NPI 1033188966 Individual Male Years of Experience 29 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About VLAD PRELIPCEAN

Vlad Prelipcean is an internal medicine provider established in Pinson, Alabama and his medical specialization is internal medicine with more than 29 years of experience. The NPI number of Vlad Prelipcean is 1033188966 and was assigned on March 2006. The practitioner's primary taxonomy code is 207R00000X with license number 00021409 (AL). The provider is registered as an individual and his NPI record was last updated 14 years ago.

An internist like Dr. Vlad Prelipcean 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.

Vlad Prelipcean 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

Vlad Prelipcean 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 St. Vincent's East.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: annual registration in the prescription drug monitoring program, closing the referral loop: receipt of specialist report, consultation of the prescription drug monitoring program, documentation of current medications in the medical record, e-prescribing, falls: screening for future fall risk, health information exchange, immunization registry reporting, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, specialized registry reporting, use of high-risk medications in the elderly and use of high-risk medications in the elderly. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1033188966

Provider NameDR. VLAD PRELIPCEAN MD
Provider Location Address6725 DEERFOOT PKWY PINSON, AL 35126
Provider Mailing Address6725 DEERFOOT PKWY PINSON, AL 35126
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1993
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-14-2006
Last Update Date06-05-2008


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.00021409
License StateAL
Taxonomy DescriptionA 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.

Business Address

DR. VLAD PRELIPCEAN MD
6725 DEERFOOT PKWY
PINSON, AL
ZIP 35126
Phone: (205) 680-9898
Fax: (205) 680-3300

Get Directions


Mailing Address

DR. VLAD PRELIPCEAN MD
6725 DEERFOOT PKWY
PINSON, AL
ZIP 35126
Phone: (205) 680-9898
Fax: (205) 680-3300



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID9133209604
PECOS Enrollment IDI20100901000660
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

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.

  • 666Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 553Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 435Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 197Hemoglobin A1C level (HCPCS:83036)
  • 146Administration of influenza virus vaccine (HCPCS:G0008)
  • 124Automated urinalysis test (HCPCS:81003)
  • 43Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 32X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 21Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 17Administration of pneumococcal vaccine (HCPCS:G0009)

Quality Reporting

The following quality measures meets 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 Rate Number of Patients
Closing the Referral Loop: Receipt of Specialist Report 55% 620
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
Documentation of Current Medications in the Medical Record 100% 3968
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 96% 24686
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Screening for Future Fall Risk 68% 714
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Health Information Exchange 24% 1041
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 100% 2080
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 80% 1400
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85% 124
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81% 1426
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80% 1426
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 89% 1400
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 86% 1400
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Use of High-Risk Medications in the Elderly 9% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
714
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 18% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
714
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

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. Vlad Prelipcean is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST. VINCENT'S EAST50 MEDICAL PARK EAST DRIVE
BIRMINGHAM, AL 35235
(205) 838-3122Acute Care Hospitals10011

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
G71680MEDICARE UPIN (02)AL
51517703OTHER (01)AL
051554138MEDICARE ID-TYPE UNSPECIFIED (04)AL
529908810MEDICAID (05)AL

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033187109DR. GREG M FLIPPO MD
Individual
Internal Medicine6725 DEERFOOT PKWY
PINSON, AL 35126
(205) 680-9898
1881794436 VIRGIL E. MCGRADY D.O.
Individual
Internal Medicine6725 DEERFOOT PKWY
PINSON, AL 35126
(205) 680-9898
1235425083MR. SAUJANYA SHAKYA CRNP
Individual
Nurse Practitioner (Family)6725 DEERFOOT PKWY
PINSON, AL 35126
(205) 680-9898
1649716440 GEORGE JOLLY CRNP
Individual
Nurse Practitioner (Primary Care)6725 DEERFOOT PKWY
PINSON, AL 35126
(205) 680-9898
1245757657FLIPPO ENTERPRISES, LLC
Organization
Internal Medicine6725 DEERFOOT PKWY
PINSON, AL 35126
1275843609MR. OCTAVIAN POPESCU M.D.
Individual
Internal Medicine (Infectious Disease)6725 DEERFOOT PKWY
PINSON, AL 35126
(205) 680-9898
1528122702DEERFOOT INTERNAL MEDICINE
Organization
Internal Medicine6725 DEERFOOT PKWY
PINSON, AL 35126
(205) 680-9898
1700366408 STEPHEN CHARLES HICKS DO
Individual
Family Medicine6725 DEERFOOT PKWY
PINSON, AL 35126
(205) 680-9898

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.