BRIAN KREBS PT
NPI 1124085386
Physical Therapist in East Meadow, NY


Quality Rating: 95.82 out of 100 score

NPI Status: Active since April 28, 2006

Contact Information

801 MERRICK AVE
EAST MEADOW, NY
ZIP 11554
Phone: (516) 393-8900
Fax: (516) 393-8869

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  • Individual
  • Male
  • Physical Therapist
  • Medicare Quality Reporting

About BRIAN KREBS

This page provides the complete NPI Profile along with additional information for Brian Krebs, a provider established in East Meadow, New York with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1124085386 assigned on April 2006. The practitioner's primary taxonomy code is 225100000X with license number 0174100 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1124085386
Provider Name
BRIAN KREBS PT
Gender
Male
Entity Type
Individual
Location Address
801 MERRICK AVE EAST MEADOW, NY 11554
Location Phone
(516) 393-8900
Location Fax
(516) 393-8869
Mailing Address
801 MERRICK AVE EAST MEADOW, NY 11554
Mailing Phone
(516) 393-8900
Mailing Fax
(516) 393-8869
Is Sole Proprietor?
Yes
Enumeration Date
04-28-2006
Last Update Date
07-08-2007
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
0174100
License State
NY
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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.

*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
Q42161MEDICARE ID-TYPE UNSPECIFIED (04)NY 

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.82, 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 provider also has detailed performance information the following quality measures: .

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: 95.82 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: 95.09

    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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

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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 1124085386, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 0 → 0 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 0 + 8 + 1 + 0 + 3 + 1 + 6 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1124085386.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Occupational Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Specialist
801 MERRICK AVE
EAST MEADOW, NY 11554
Registered Nurse (Neuroscience)
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Medicine & Rehabilitation (Pain Medicine)
801 MERRICK AVE
EAST MEADOW, NY 11554
Occupational Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Occupational Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Occupational Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist (Neurology)
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Occupational Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Medicine & Rehabilitation
801 MERRICK AVE
EAST MEADOW, NY 11554
Physical Therapist
801 MERRICK AVE
EAST MEADOW, NY 11554

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124085386, enumerated as an "individual" on April 28, 2006.

The provider is located at 801 MERRICK AVE EAST MEADOW, NY 11554 and the phone number is (516) 393-8900.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.