DR. SAMANTHA ELIZABETH REAVELL AUD
NPI 1104114297
Audiologist in Exton, PA


Quality Rating: 72.53 out of 100 score

NPI Status: Active since July 11, 2011

Contact Information

80 W WELSH POOL RD
EXTON, PA
ZIP 19341
Phone: (610) 363-2532

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  • Individual
  • Female
  • Years of Experience 13
  • Audiologist
  • Accepts Medicare Approved Payment

About SAMANTHA REAVELL

Samantha Reavell is a provider established in Exton, Pennsylvania and her medical specialization is Audiologist with more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1104114297 assigned on July 2011. The practitioner's primary taxonomy code is 231H00000X with license number AT006219 (PA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI1104114297
Provider NameDR. SAMANTHA ELIZABETH REAVELL AUD
Location Address80 W WELSH POOL RD EXTON, PA 19341
Location Phone(610) 363-2532
Mailing Address111 ARRANDALE BLVD EXTON, PA 19341
GenderFemale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year2011
Is Sole Proprietor?No
Enumeration Date07-11-2011
Last Update Date03-30-2015
Code Navigator

Audiologists like Samantha Reavell are experts in diagnosing issues related to various parts of the ear, including the outer, middle, and inner ear. They can identify conditions like vertigo, balance issues, hearing loss, and tinnitus, offering treatments based on a patient’s specific condition and severity. These specialists use specialized equipment to assess the cause and extent of hearing impairments, employing tools like audiometers to evaluate the range of frequencies and volumes a person can hear. In addition, audiologists counsel patients and their families, providing advice on managing and adapting to hearing loss.

Samantha Reavell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 72.53, 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.

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

Audiologist

Taxonomy Code
231H00000X
Type
Speech, Language and Hearing Service Providers
License No.
AT006219
License State
PA
Taxonomy Description
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7416117353

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120329000623

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 72.53 out of 100

    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.

  • Quality Score: 67.68

    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 Score: 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.

  • Improvement Activities Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 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.

  • Cost Score: 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.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 165

    Eardrum testing using ear probe (HCPCS:92567)

  • 157

    Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)

Reviews for DR. SAMANTHA ELIZABETH REAVELL AUD

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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.
1104114297
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104218218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 1 + 8 + 2 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1104114297 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306862362DR. CATHERINE M MARINO AU.D.,CCC/A
Individual
Audiologist80 W WELSH POOL RD SUITE 103
EXTON, PA 19341
(610) 363-2532
1386752590 GUILLERMO R JUNCOS MD
Individual
Allergy & Immunology80 W WELSH POOL RD MEDICAL ARTS BLDG STE 206
EXTON, PA 19341
(610) 363-7244
1902902190 ALFONSO CUOZZO MD
Individual
Internal Medicine80 W WELSH POOL RD SUITE 102 N
EXTON, PA 19341
(610) 363-7780
1366502692DR. MARK ERIC GODDARD O.D.
Individual
Optometrist80 W WELSH POOL RD SUITE 106
EXTON, PA 19341
(610) 363-1871
1851412464DR. THOMAS A BRADY D.M.D.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)80 W WELSH POOL RD SUITE 203
EXTON, PA 19341
(610) 269-2038
1689876062G.R. JUNCOS, MD. P.C.
Organization
Allergy & Immunology80 W WELSH POOL RD MEDICAL ARTS BLDG., SUITE 206
EXTON, PA 19341
(610) 363-7244
1053582056CLETUS M. BONDS, III, DMD, PC
Organization
Dentist80 W WELSH POOL RD SUITE 201 NORTH
EXTON, PA 19341
(610) 363-0809
1821260076MS. JEAN MARIE KARLOVITZ M.A., CCC-A
Individual
Audiologist-Hearing Aid Fitter80 W WELSH POOL RD SUITE 103
EXTON, PA 19341
(610) 363-2532
1215101795 JANELLE ANNE BURDETTE MS, CCC/A, FAAA
Individual
Audiologist80 W WELSH POOL RD SUITE 103
EXTON, PA 19341
(610) 363-2532
1023345444JEFFREY LEE ROSENBLUM, MD, PC
Organization
Urology80 W WELSH POOL RD SUITE 100
EXTON, PA 19341
(610) 524-5444
1639516461NEW PATH MD PC
Organization
Clinic/Center (Multi-Specialty)80 W WELSH POOL RD SUITE 101S
EXTON, PA 19341
(484) 483-2745
1619057734 MARCUS R WILLIAMS M.D.
Individual
Internal Medicine80 W WELSH POOL RD SUITE 101S
EXTON, PA 19341
(484) 483-2745
1104255561NEW PATH MD INC
Organization
Internal Medicine80 W WELSH POOL RD SUITE 101S
EXTON, PA 19341
(484) 434-2745
1992255442INTEGRATED DENTAL CARE, LLC
Organization
Dentist (Periodontics)80 W WELSH POOL RD
EXTON, PA 19341
(610) 363-5997
1194893313JONATHAN K HETZEL, MD
Organization
Family Medicine80 W WELSH POOL RD SUITE 200 SOUTH
EXTON, PA 19341
(610) 363-8260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104114297, enumerated in the NPI registry as an "individual" on July 11, 2011

The provider is located at 80 W Welsh Pool Rd Exton, Pa 19341 and the phone number is (610) 363-2532

The provider's speciality is Audiologist with taxonomy code 231H00000X

The provider has more than 13 years of experience.

The most common procedures or services performed by this practitioner are: Eardrum testing using ear probe and Air and bone conduction assessment of hearing loss and speech recognition.

This NPI record was last updated on July 11, 2011. 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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