CRAIG MURPHY PT
NPI 1124097688
Physical Therapist in West Burlington, IA


Quality Rating: 77.81 out of 100 score

NPI Status: Active since March 16, 2006

Contact Information

1401 W AGENCY RD
WEST BURLINGTON, IA
ZIP 52655
Phone: (319) 768-4115

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  • Individual
  • Male
  • Physical Therapist
  • Accepts Insurance

About CRAIG MURPHY

This page provides the complete NPI Profile along with additional information for Craig Murphy, a provider established in West Burlington, Iowa with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1124097688 assigned on March 2006. The practitioner's primary taxonomy code is 225100000X with license number 02511 (IA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1124097688
Provider Name
CRAIG MURPHY PT
Gender
Male
Entity Type
Individual
Location Address
1401 W AGENCY RD WEST BURLINGTON, IA 52655
Location Phone
(319) 768-4115
Mailing Address
4565 155TH AVE BURLINGTON, IA 52601
Mailing Phone
(319) 768-4115
Is Sole Proprietor?
Yes
Enumeration Date
03-16-2006
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.
02511
License State
IA
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:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 97 times for 36 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 28 times for 22 patients

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 77.81, 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 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: 77.81 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: 67.62

    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: 100

    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: 58.43

    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: 58.43

    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.

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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 1124097688, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 7 → 14 → 5 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 + 9 + 1 + 4 + 6 + 1 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1124097688.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Preventive Medicine (Occupational Medicine)
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Dietitian, Registered
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Dietitian, Registered
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Dietitian, Registered
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Orthopaedic Surgery (Hand Surgery)
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist (Orthopedic)
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Speech-Language Pathologist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Orthopaedic Surgery
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Physical Therapist
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Orthopaedic Surgery (Foot and Ankle Surgery)
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Nurse Practitioner (Psychiatric/Mental Health)
1401 W AGENCY RD
WEST BURLINGTON, IA 52655
Nurse Practitioner (Family)
1401 W AGENCY RD
WEST BURLINGTON, IA 52655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124097688, enumerated as an "individual" on March 16, 2006.

The provider is located at 1401 W AGENCY RD WEST BURLINGTON, IA 52655 and the phone number is (319) 768-4115.

Physical Therapist with taxonomy code 225100000X.

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