DR. PATRICIA L RAYMOND MD
NPI 1063410413
Internal Medicine - Gastroenterology in Virginia Beach, VA
NPI Status: Active since July 11, 2005
Contact Information
1925 GLENN MITCHELL DR
STE 102
VIRGINIA BEACH, VA
ZIP 23456
Phone: (757) 464-1644
Fax: (757) 363-1071
- Individual
- Female
- Internal Medicine
- Gastroenterology
- Medicare Quality Reporting
About PATRICIA RAYMOND
This page provides the complete NPI Profile along with additional information for Patricia Raymond, an internist established in Virginia Beach, Virginia with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1063410413 assigned on July 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 0101045459 (VA). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1063410413
- Provider Name
- DR. PATRICIA L RAYMOND MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1925 GLENN MITCHELL DR STE 102 VIRGINIA BEACH, VA 23456
- Location Phone
- (757) 464-1644
- Location Fax
- (757) 363-1071
- Mailing Address
- 1020 INDEPENDENCE BLVD SUITE 110 VIRGINIA BEACH, VA 23455
- Mailing Phone
- (757) 464-1644
- Mailing Fax
- (757) 363-1071
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-11-2005
- Last Update Date
- 03-01-2016
- Code Navigator
An internist like Patricia Raymond 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.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101045459
- License State
- VA
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E15075 | MEDICARE UPIN (02) | VA | |
| 3575971 | OTHER (01) | VA | CIGNA |
| 021075G58 | MEDICARE PIN (08) | VA | |
| 010050715 | MEDICAID (05) | VA | |
| C08981 | MEDICARE PIN (08) | VA | |
| 0-0675060 | OTHER (01) | VA | TRICARE |
| 105928 | OTHER (01) | VA | ANTHEM |
| 15938 | OTHER (01) | VA | OPTIMA |
| 1063410413 | MEDICAID (05) | VA | |
| 515366 | OTHER (01) | VA | MAMSI/OPTIMUM CHOICE/MDIPA |
| DC9854 | MEDICARE PIN (08) | VA |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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 |
|---|---|---|
| Appropriate indication for colonoscopy | 92% | 420 |
| Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented | ||
| Colorectal Cancer Screening | 100% | 173 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| e-Prescribing | 95% | 1068 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 32% | 31 |
| 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. | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Medication Reconciliation | 85% | 286 |
| 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 | 19% | 858 |
| 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. | ||
| Provide Patient Access | 67% | 1144 |
| 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. | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
| Secure Messaging | 18% | 1144 |
| 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. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of Patient Safety Tools | Yes | N/A |
| Use of tools that assist specialty practices in tracking specific measures that are meaningful to their practice, such as use of a surgical risk calculator, evidence based protocols such as Enhanced Recovery After Surgery (ERAS) protocols, the CDC Guide for Infection Prevention for Outpatient Settings, (https://www.cdc.gov/hai/settings/outpatient/outpatient-care-guidelines.html), predictive algorithms, or other such tools. | ||
| Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination | Yes | N/A |
| Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups). | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063410413, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063410413, enumerated as an "individual" on July 11, 2005.
The provider is located at 1925 GLENN MITCHELL DR STE 102 VIRGINIA BEACH, VA 23456 and the phone number is (757) 464-1644.
Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.
The provider might be accepting Accepts: Medicare, Medicaid, Cigna, Tricare and Anthem Blue. Please consult your insurance carrier or call the provider to verify.
