TOYYA S GOODRICH DO NPI 1144284910

Pediatrics in Fort Worth, TX

NPI 1144284910 Individual Female Pediatrics PECOS Enrolled MIPS Quality Score 78.9

NPI Profile for TOYYA S GOODRICH DO

Toyya Goodrich is a pediatrician established in Fort Worth, Texas and her medical specialization is pediatrics. The NPI number of Toyya Goodrich is 1144284910 and was assigned on April 2006. The practitioner's primary taxonomy code is 208000000X with license number L2378 (TX). The provider is registered as an individual and her NPI record was last updated 10 years ago.

A pediatrician like Toyya S Goodrich Do is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Toyya Goodrich 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..

Toyya Goodrich is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 78.9, 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.

NPI

1144284910

Provider Name TOYYA S GOODRICH DO
Provider Location Address855 MONTGOMERY ST FORT WORTH, TX 76107
Provider Mailing AddressPO BOX 99335 FORT WORTH, TX 76199
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-17-2006
Last Update Date02-16-2012


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.L2378
License StateTX
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

TOYYA S GOODRICH DO
855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2363
Fax: (817) 735-2653

Get Directions


Mailing Address

TOYYA S GOODRICH DO
PO BOX 99335
FORT WORTH, TX
ZIP 76199
Phone: (817) 735-2363
Fax: (817) 735-2653



PECOS Enrollment and 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
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

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% 80.3
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% 64
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% 56.8
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 - 78.9
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.

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
150577803OTHER (01)TXCSHCN
150577801MEDICAID (05)TX
TXB113336MEDICARE PIN (08)TX
H59149MEDICARE UPIN (02)TX
8865B0MEDICARE PIN (08)TX
370021063OTHER (01)TXRAILROAD MEDICARE PIN
8F9740OTHER (01)TXBCBS

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1144284910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218448892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 8 + 8 + 9 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1144284910 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093793226 EVERT RANDALL BENTLEY DO
Individual
Internal Medicine855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1922087055 AMY E MOSS DO
Individual
Internal Medicine855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1093795478 DAVID C MASON DO
Individual
Family Medicine855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2235
1801868906 MICHAEL ERNEST WIMMER MD
Individual
Physical Medicine & Rehabilitation855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2900
1225000326 MONTE E TROUTMAN DO
Individual
Internal Medicine (Gastroenterology)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1245203488 JERRY DICKEY DO
Individual
Neuromusculoskeletal Medicine & OMM855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2235
1700859154 RUSSELL GAMBER DO
Individual
Neuromusculoskeletal Medicine & OMM855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2235
1952362550 JAMES ROCH
Individual
Physician Assistant855 MONTGOMERY ST PCC-SECOND FLOOR
FORT WORTH, TX 76107
(817) 735-2228
1285696658 SUSAN FRANKS PHD
Individual
Psychologist (Clinical)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2400
1194788844 RAHUL K PATEL MD
Individual
Internal Medicine (Rheumatology)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1053375543 BARBARA A ATKINSON DO
Individual
Internal Medicine (Infectious Disease)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1790749570 CHRISTOPHER COOPER PA
Individual
Physician Assistant855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2363
1184688053 BARBARA L HARTY GNP
Individual
Nurse Practitioner (Gerontology)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1629032560 SARAH J MATCHES DO
Individual
Pediatrics855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2363
1407810344 JOHN K PODGORE DO
Individual
Pediatrics855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2363
1275598856 WILLIAM E MCINTOSH DO
Individual
Psychiatry & Neurology (Neurology)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1164487583 NANCY A TIERNEY NP
Individual
Nurse Practitioner (Acute Care)855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1154386647 BRIAN B CARPENTER DPM
Individual
Podiatrist855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2900
1689639031 SHARON N CHA PA
Individual
Physician Assistant855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660
1306804810 BRUCE D DUBIN DO
Individual
Internal Medicine855 MONTGOMERY ST
FORT WORTH, TX 76107
(817) 735-2660

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
Toyya S Goodrich Do is registered as an entity type code: 1. The entity type code describes 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.