AGNES VIRGA M. D. NPI 1184614414

Neuromusculoskeletal Medicine, Sports Medicine in Acton, MA

Individual Female Years of Experience 45 Neuromusculoskeletal Medicine, Sports Me... PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About AGNES VIRGA M. D.

Agnes Virga is a provider established in Acton, Massachusetts and her medical specialization is Neuromusculoskeletal Medicine, Sports Medicine with more than 45 years of experience. The NPI number of Agnes Virga is 1184614414 and was assigned on October 2005. The practitioner's primary taxonomy code is 204C00000X with license number 80633 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI

1184614414

Provider Name AGNES VIRGA M. D.
Provider Location Address411 MASS AVE ACTON, MA 01720
Provider Mailing Address411 MASS AVE ACTON, MA 01720
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1978
Is Sole Proprietor?No
Enumeration Date10-27-2005
Last Update Date07-08-2007



Agnes Virga 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.

Agnes Virga 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 she has hospital affiliations with Emerson Hospital -.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: breast cancer screening, colorectal cancer screening, documentation of current medications in the medical record, e-prescribing, health information exchange, medication reconciliation, patient-specific education, pneumococcal vaccination status for older adults, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, secure messaging, security risk analysis and specialized registry reporting. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

The typical physician office visit costs for Medicare beneficiaries in this area are: $25.27 for a new patient copayment and $20.59 for an established patient copayment.



Primary Taxonomy

Taxonomy Code204C00000X
ClassificationNeuromusculoskeletal Medicine, Sports Medicine
TypeAllopathic & Osteopathic Physicians
License No.80633
License StateMA
Taxonomy DescriptionDefinition to come.

Business Address

AGNES VIRGA M. D.
411 MASS AVE
ACTON, MA
ZIP 01720
Phone: (978) 263-2898
Fax: (978) 263-3305

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Mailing Address

AGNES VIRGA M. D.
411 MASS AVE
ACTON, MA
ZIP 01720
Phone: (978) 263-2898
Fax: (978) 263-3305


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
PECOS PAC ID6709912850
PECOS Enrollment IDI20100329000643
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 01720 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
$66.28 $197.76 $101.08
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.57 $49.44 $25.27
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.28 $162.14 $82.39
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.32 $40.53 $20.59

* 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.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. 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
Breast Cancer Screening 27% 263
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Colorectal Cancer Screening 20% 417
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Documentation of Current Medications in the Medical Record 100% 1754
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
e-Prescribing 82% 2803
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 44% 583
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 95% 1484
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 55% 950
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 41% 368
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
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 80% 950
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 1% 950
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 CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
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.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.

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.

  • 30Measurement and recording of brain wave (EEG) activity, awake and drowsy (HCPCS:95816)
  • 20Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)

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. Agnes Virga is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
EMERSON HOSPITAL -133 OLD ROAD TO 9 ACRE CORNER
W CONCORD, MA 1742
(978) 369-1400Acute Care Hospitals220084

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
G27466MEDICARE UPIN (02)MA
VIA21314MEDICARE ID-TYPE UNSPECIFIED (04)MA
3155706MEDICAID (05)MA

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.
1184614414
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164121842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 1 + 8 + 4 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1184614414 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912238882 DANIEL J BERTRAND DPT
Individual
Physical Therapist411 MASS AVE
ACTON, MA 01720
(978) 263-0007
1003000209KOPELMAN FAMILY CHIROPRACTIC INC
Organization
Chiropractor411 MASS AVE SUITE 102
ACTON, MA 01720
(978) 263-0008
1053385427MR. ROBERT E THOMAS MSPT, LATC
Individual
Physical Therapist411 MASS AVE SUITE 302
ACTON, MA 01720
(978) 263-0007
1669638524MISS SUUBI ALEXANDRA KASIRYE DPT
Individual
Physical Therapist411 MASS AVE SUITE 302
ACTON, MA 01720
(978) 263-0007
1285033241 BRETT MERRILL D.P.T.
Individual
Physical Therapist411 MASS AVE SUITE 302
ACTON, MA 01720
(978) 263-0007
1801345681 ROBERT EBERHARDT DPT
Individual
Physical Therapist411 MASS AVE SUITE 302
ACTON, MA 01720
(978) 263-0007
1518277995 DIANA PERKINS DPT
Individual
Physical Therapist411 MASS AVE SUITE 302
ACTON, MA 01720
(978) 263-0007
1891110094 COURTNEY CHAULK
Individual
Physical Therapist411 MASS AVE SUITE 302
ACTON, MA 01720
(978) 263-0007

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
Agnes Virga M. D. 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.