DR. RICHARD L WRIGHT JR. M.D. NPI 1144284217

Family Medicine in Lake City, FL

NPI 1144284217 Individual Male Years of Experience 46 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 95.1 Medicare Quality Reporting

About RICHARD WRIGHT

Richard Wright is a primary care provider established in Lake City, Florida and his medical specialization is family medicine with more than 46 years of experience. He graduated from University Of Miami, Lm Miller School Of Medicine in 1976. The NPI number of Richard Wright is 1144284217 and was assigned on April 2006. The practitioner's primary taxonomy code is 207Q00000X with license number ME 30926 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

A primary care provider (PCP) like Dr. Richard L Wright Jr. M.d. 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

Richard Wright is enrolled in PECOS and is eligible to order or refer healthcare 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

Richard Wright 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 Lake City Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.1, 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: documentation of current medications in the medical record, implementation of improvements that contribute to more timely communication of test results, implementation of medication management practice improvements, preventive care and screening: body mass index (bmi) screening and follow-up plan and use of high-risk medications in the elderly.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $25.94 for an established patient copayment.

NPI

1144284217

Provider NameDR. RICHARD L WRIGHT JR. M.D.
Provider Location Address1289 SW STATE ROAD 47 LAKE CITY, FL 32025
Provider Mailing Address1289 SW SR 47 LAKE CITY, FL 32025
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year1976
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-14-2006
Last Update Date03-17-2011


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.ME 30926
License StateFL
Taxonomy DescriptionFamily 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.

Business Address

DR. RICHARD L WRIGHT JR. M.D.
1289 SW STATE ROAD 47
LAKE CITY, FL
ZIP 32025
Phone: (386) 755-0421
Fax: (386) 487-1234

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Mailing Address

DR. RICHARD L WRIGHT JR. M.D.
1289 SW SR 47
LAKE CITY, FL
ZIP 32025
Phone: (386) 755-0421
Fax: (386) 487-1234



Medicare Participation

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 ID7618934845
PECOS Enrollment IDI20060906000013
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 32025 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
$58.4 $178.79 $90.24
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.6 $44.69 $22.56
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
$17.74 $145.28 $103.76
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $36.32 $25.94

* 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% 92.2
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 (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.
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.
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.
MIPS Final Score - 95.1
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
Documentation of Current Medications in the Medical Record 100% 14616
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
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 24% 2770
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 encounterNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2
Use of High-Risk Medications in the Elderly 25% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1187
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 medication2) Percentage of patients who were ordered at least two of the same high-risk medication

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.

  • 3401Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • 3300Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 910Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • 813Hemoglobin A1C level (HCPCS:83036)
  • 715X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 620Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 612Automated urinalysis test (HCPCS:81003)
  • 574Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 519Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
  • 435Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 380Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 367Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 340Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 147Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 106Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 90Destruction of skin growth (HCPCS:17000)
  • 79Administration of influenza virus vaccine (HCPCS:G0008)
  • 75Physician 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 imple (HCPCS:G0180)
  • 74Destruction of 2-14 skin growths (HCPCS:17003)
  • 58Physician re-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 im (HCPCS:G0179)
  • 55Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • 54X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 51X-ray of knee, 3 views (HCPCS:73562)
  • 49Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • 41Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 37X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 32X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 25Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 18Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • 17Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • 16Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)
  • 16X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 13X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 13Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)

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. Richard Wright is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LAKE CITY MEDICAL CENTER340 NW COMMERCE DR
LAKE CITY, FL 32055
(386) 719-9000Acute Care Hospitals100156

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
AW9615898OTHER (01)FL
P00343414OTHER (01)FL
ME30926OTHER (01)FL
D61600MEDICARE UPIN (02)FL
12045ZMEDICARE PIN (08)FL

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982691218 ANTHONY R LAMBERT PA-C
Individual
Physician Assistant1289 SW STATE ROAD 47
LAKE CITY, FL 32025
(386) 755-0421
1346204427 STEFANIE M JACKSON ARNP
Individual
Nurse Practitioner1289 SW STATE ROAD 47
LAKE CITY, FL 32025
(386) 755-0421
1326002452 JERAL W CARR PA-C
Individual
Physician Assistant1289 SW STATE ROAD 47
LAKE CITY, FL 32025
(386) 755-0421
1366460297THE PRIMARY CARE CENTER OF LAKE CITY RICHARD L. WRIGHT JR MD
Organization
Specialist1289 SW STATE ROAD 47
LAKE CITY, FL 32025
(386) 755-0421
1700337458MRS. SHERI ANNE BORCHARDT ARNP
Individual
Nurse Practitioner (Family)1289 SW STATE ROAD 47
LAKE CITY, FL 32025
(386) 755-0421
1740883859 ABIGAIL BEAUMONT APRN
Individual
Nurse Practitioner (Family)1289 SW STATE ROAD 47
LAKE CITY, FL 32025
(386) 755-0421

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.