MRS. ROBERTA NADINE VANDENTOP PHYSICIAN ASSISTANT
NPI 1124109889
Physician Assistant - Medical in Portland, OR

NPI Status: Active since October 18, 2006

Contact Information

1815 SW MARLOW AVE
STE 110
PORTLAND, OR
ZIP 97225
Phone: (503) 296-0918
Fax: (503) 296-6158

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled
  • Medicare Quality Reporting

About ROBERTA VANDENTOP

This page provides the complete NPI Profile along with additional information for Roberta Vandentop, a primary care provider established in Portland, Oregon with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1124109889 assigned on October 2006. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1124109889
Provider Name
MRS. ROBERTA NADINE VANDENTOP PHYSICIAN ASSISTANT
Gender
Female
Entity Type
Individual
Location Address
1815 SW MARLOW AVE STE 110 PORTLAND, OR 97225
Location Phone
(503) 296-0918
Location Fax
(503) 296-6158
Mailing Address
14807 NW APPLEGATE LN PORTLAND, OR 97229
Mailing Phone
(503) 747-2572
Is Sole Proprietor?
Yes
Enumeration Date
10-18-2006
Last Update Date
07-08-2007
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A primary care provider (PCP) like Roberta Vandentop sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Medicare Participation & PECOS Enrollment Status

Roberta Vandentop is enrolled in PECOS and is eligible to order or refer health care 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.

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.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Clinical Information Reconciliation 17% 181
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses.
Collection and use of patient experience and satisfaction data on accessYesN/A
Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs.
Consultation of the Prescription Drug Monitoring ProgramYesN/A
Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance.
Depression screeningYesN/A
Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions.
Documentation of Current Medications in the Medical Record 100% 668
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
Documentation of Signed Opioid Treatment Agreement 100% 286
All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record
e-Prescribing 100% 181
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Evaluation or Interview for Risk of Opioid Misuse 100% 287
All patients 18 and older prescribed opiates for longer than six weeks duration evaluated for risk of opioid misuse using a brief validated instrument (e.g. Opioid Risk Tool, SOAPP-R) or patient interview documented at least once during Opioid Therapy in the medical record
Opioid Therapy Follow-up Evaluation 100% 273
All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record
Pain Assessment and Follow-Up 100% 668
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
Patient-Specific Education 12% 181
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic 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 100% 54
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 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 100% 181
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.
Request/Accept Summary of Care 100% 181
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an electronic summary of care document.
Secure Messaging 50% 181
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 certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative).
Security Risk AnalysisYesN/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.
Send a Summary of Care 100% 181
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record.
Tobacco useYesN/A
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.
Unhealthy alcohol useYesN/A
Unhealthy alcohol use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including screening and brief counseling (refer to NQF #2152) for patients with co-occurring conditions of behavioral or mental health conditions.

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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 1124109889, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 1 → 2 9 → 18 → 9 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 + 2 + 0 + 1 + 8 + 8 + 1 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124109889.

Other Providers at the Same Location


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

Psychologist (Clinical)
1815 SW MARLOW AVE, SUITE110
PORTLAND, OR 97225
Occupational Therapist
1815 SW MARLOW AVE, SUITE 110
PORTLAND, OR 97225
Psychologist (Clinical)
1815 SW MARLOW AVE, SUITE 110
PORTLAND, OR 97225
Physical Therapist
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Occupational Therapist
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Social Worker (Clinical)
1815 SW MARLOW AVE, SUITE 208
PORTLAND, OR 97225
Social Worker (Clinical)
1815 SW MARLOW AVE, 208
PORTLAND, OR 97225
Social Worker
1815 SW MARLOW AVE, SUITE 208
PORTLAND, OR 97225
Physical Therapy Assistant
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Occupational Therapist
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Occupational Therapist
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Occupational Therapist
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Physical Therapist
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Occupational Therapy Assistant
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Physical Therapy Assistant
1815 SW MARLOW AVE, STE 110
PORTLAND, OR 97225
Occupational Therapist
1815 SW MARLOW AVE, SUITE 110
PORTLAND, OR 97225
Occupational Therapist
1815 SW MARLOW AVE, STE. 110
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
1815 SW MARLOW AVE, SUITE 110
PORTLAND, OR 97225
Chiropractor
1815 SW MARLOW AVE, SUITE 206
PORTLAND, OR 97225
Chiropractor
1815 SW MARLOW AVE, SUITE 206
PORTLAND, OR 97225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124109889, enumerated as an "individual" on October 18, 2006.

The provider is located at 1815 SW MARLOW AVE STE 110 PORTLAND, OR 97225 and the phone number is (503) 296-0918.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.