DR. TERRY A KURTTS M.D. NPI 1144200510
Family Medicine in Elberta, AL
About DR. TERRY A KURTTS M.D.
Terry Kurtts is a primary care provider established in Elberta, Alabama and his medical specialization is Family Medicine with more than 34 years of experience. He graduated from University Of Alabama School Of Medicine in 1989. The NPI number of this provider is 1144200510 and was assigned on January 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 00017102 (AL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
| NPI | 1144200510 |
| Provider Name | DR. TERRY A KURTTS M.D. |
| Location Address | 24980 STATE ST PO DRAWER 519 ELBERTA, AL 36530 |
| Location Phone | (251) 986-7301 |
| Mailing Address | 24980 STATE ST PO DRAWER 519 ELBERTA, AL 36530 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 01-20-2006 |
| Last Update Date | 02-20-2020 |
A primary care provider (PCP) like Terry Kurtts 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 Terry Kurtts 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.
Terry Kurtts is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with South Baldwin Regional Medical Center and Thomas Hospital.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, 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: breast cancer screening, colorectal cancer screening, documentation of current medications in the medical record, engagement of new medicaid patients and follow-up, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention and use of high-risk medications in older adults.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.48 for a new patient copayment and $24.83 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 00017102 |
| License State | AL |
| Taxonomy Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Aetna
- Blue Cross Blue Shield
- Medicaid
- Medicare
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
24980 STATE ST
PO DRAWER 519
ELBERTA, AL
ZIP 36530
Phone: (251) 986-7301
Fax: (251) 986-5927
Mailing Address
24980 STATE ST
PO DRAWER 519
ELBERTA, AL
ZIP 36530
Phone: (251) 986-7301
Fax: (251) 986-5927
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 244208759 |
| PECOS Enrollment ID | I20101018000154 |
| 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. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 36530 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $55.54 | $170.61 | $85.95 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.88 | $42.65 | $21.48 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.93 | $139.08 | $99.33 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.23 | $34.77 | $24.83 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's 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.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 100 | |
|
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. |
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| Promoting Interoperability (PI) | 25% | 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. |
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| Improvement Activities | 15% | 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 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. |
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| Cost | 20% | 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. |
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| MIPS Final Score | - | 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. | |||
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 |
|---|---|---|
| Breast Cancer Screening | 53% | 309 |
| Percentage of women 50 - 74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the measurement period. | ||
| Colorectal Cancer Screening | 36% | 655 |
| Percentage of patients 50-75 years of age who had appropriate screening for colorectal cancer. | ||
| Controlling High Blood Pressure | 86% | 653 |
| Percentage of patients 18-85 years of age who had a diagnosis of hypertension overlapping the measurement period and whose most recent blood pressure was adequately controlled (<140/90mmHg) during the measurement period. | ||
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 27% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 176 |
| Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period. | ||
| Documentation of Current Medications in the Medical Record | 99% | 3321 |
| Percentage of visits for patients aged 18 years and older for which the MIPS 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. | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | 1174 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 41% | 170 |
| 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 usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. 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. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 828 |
| 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 usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. 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. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 92% | 828 |
| 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 usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. 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. | ||
| Use of High-Risk Medications in Older Adults | 12% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 609 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication.2) Percentage of patients who were ordered at least two of the same high-risk medications. | ||
Clinician Utilization
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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 638Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- 148Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- 96Administration of influenza virus vaccine (HCPCS:G0008)
- 69Hemoglobin a1c level (HCPCS:83036)
- 64Destruction of 2-14 skin growths (HCPCS:17003)
- 43Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
- 38Urinalysis, manual test (HCPCS:81002)
- 37Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)
- 31Destruction of skin growth (HCPCS:17000)
- 16Tangential biopsy of single skin lesion (HCPCS:11102)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Terry Kurtts is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| SOUTH BALDWIN REGIONAL MEDICAL CENTER | 1613 NORTH MCKENZIE STREET FOLEY, AL 36535 | (251) 949-3400 | Acute Care Hospitals | 10083 | |
| THOMAS HOSPITAL | 750 MORPHY AVENUE FAIRHOPE, AL 36532 | (251) 928-2375 | Acute Care Hospitals | 10100 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23033 | OTHER (01) | AL | HEALTHSPRINGS OFALABAMA |
| 51023394 | OTHER (01) | AL | BCBS-AL |
| 5779394 | OTHER (01) | AL | AETNA |
| 000023394 | MEDICAID (05) | AL | |
| 0110614 | OTHER (01) | AL | UNITED HEALTHCARE |
| 080064867 | OTHER (01) | AL | RAILROAD MEDICARE |
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. | |||||||||
| 1 | 1 | 4 | 4 | 2 | 0 | 0 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 4 | 0 | 0 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 4 + 0 + 0 + 5 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1144200510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033162862 | TAKL CORPORATION Organization | Durable Medical Equipment & Medical Supplies | 24980 STATE ST STE 4 ELBERTA, AL 36530 (251) 986-7747 |
| 1407836802 | CAROLYN FAIRCLOTH HOLMAN C.R.N.P. Individual | Nurse Practitioner (Family) | 24980 STATE ST PO DRAWER 519 ELBERTA, AL 36530 (251) 986-7301 |
| 1376523753 | DR. JOSEPH P WALSH M.D. Individual | Family Medicine | 24980 STATE ST PO DRAWER 519 ELBERTA, AL 36530 (251) 986-7301 |
| 1982710760 | DR. ROBERT L ROE M.D. Individual | Family Medicine | 24980 STATE ST PO DRAWER 519 ELBERTA, AL 36530 (251) 986-7301 |
| 1588752844 | ELBERTA CLINIC, PC Organization | Family Medicine | 24980 STATE ST PO DRAWER 519 ELBERTA, AL 36530 (251) 986-7301 |
| 1689911414 | MRS. SHERILYN MICHELLE DONNELLY NP-C Individual | Nurse Practitioner (Family) | 24980 STATE ST ELBERTA, AL 36530 (251) 986-7301 |
| 1407321094 | LINDSAY PIEPER CRNP Individual | Nurse Practitioner (Adult Health) | 24980 STATE ST ELBERTA, AL 36530 (251) 986-7301 |
| 1710071873 | ELBERTA PHARMACY, INC. Organization | Pharmacy (Community/Retail Pharmacy) | 24980 STATE ST ELBERTA, AL 36530 (251) 986-8115 |
| 1598760191 | DR. DAVID S EMERSON M.D. Individual | Family Medicine | 24980 STATE ST ELBERTA, AL 36530 (251) 986-7301 |
Frequently Asked Questions
What is Dr. Terry Kurtts M.D. NPI number?
The NPI number assigned to this healthcare provider is 1144200510, registered as an "individual" on January 20, 2006
Where is Dr. Terry Kurtts M.D. located?
The provider is located at 24980 State St Po Drawer 519 Elberta, Al 36530 and the phone number is (251) 986-7301
Which is Dr. Terry Kurtts M.D. specialty?
The provider's speciality is Family Medicine
How many years of experience does Dr. Terry Kurtts M.D. have?
The provider has more than 34 years of experience. He graduated from University Of Alabama School Of Medicine in 1989.
What insurance does Dr. Terry Kurtts M.D. accept?
The provider might be accepting Aetna, Blue Cross Blue Shield, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Terry Kurtts M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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 are Dr. Terry Kurtts M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences. The provider obtained a high score in the following performance measures: Documentation of Current Medications in the Medical Record , Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Dr. Terry Kurtts M.D.?
Medicare beneficiaries should expect a typical cost of $85.95 with an average copayment of $21.48 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Terry Kurtts M.D.?
The most common procedures or services performed by this practitioner are: Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Administration of influenza virus vaccine, Hemoglobin a1c level, Destruction of 2-14 skin growths, Aspiration and/or injection of large joint or joint capsule, Urinalysis, manual test, Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem, Destruction of skin growth and Tangential biopsy of single skin lesion.
Is Dr. Terry Kurtts M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: SOUTH BALDWIN REGIONAL MEDICAL CENTER and THOMAS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Terry Kurtts M.D. was last updated on January 20, 2006. 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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