TIMOTHY E BUNCHMAN MD NPI 1184699522
Pediatrics - Pediatric Nephrology in Richmond, VA

Individual Male Years of Experience 42 Pediatrics Pediatric Nephrology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 62.1

About TIMOTHY E BUNCHMAN MD

Timothy Bunchman is a pediatrician established in Richmond, Virginia and his medical specialization is Pediatrics with a focus in pediatric nephrology with more than 42 years of experience. He graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1981. The NPI number of Timothy Bunchman is 1184699522 and was assigned on February 2006. The practitioner's primary taxonomy code is 2080P0210X with license number 0101249083 (VA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1184699522
Provider Name TIMOTHY E BUNCHMAN MD
Provider Location Address1250 E MARSHALL ST PEDIATRICS RICHMOND, VA 23298
Provider Mailing AddressPO BOX 91734 RICHMOND, VA 23291
GenderMale
NPI Entity TypeIndividual
Medical School NameLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year1981
Is Sole Proprietor?No
Enumeration Date02-21-2006
Last Update Date03-10-2011

A pediatrician like Timothy E Bunchman Md 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.Timothy Bunchman 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.

Timothy Bunchman 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 Medical College Of Virginia Hospitals.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 62.1, 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.



Primary Taxonomy

Taxonomy Code2080P0210X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Nephrology
License No.0101249083
License StateVA
Taxonomy DescriptionA pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Business Address

TIMOTHY E BUNCHMAN MD
1250 E MARSHALL ST
PEDIATRICS
RICHMOND, VA
ZIP 23298
Phone: (804) 828-3744
Fax: (804) 828-6455

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Mailing Address

TIMOTHY E BUNCHMAN MD
PO BOX 91734
RICHMOND, VA
ZIP 23291
Phone: (804) 358-6100
Fax: (804) 342-7619


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 ID4789713405
PECOS Enrollment IDI20110412000505
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

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% 73.9
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% 0
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% 74.3
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 - 62.1
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.

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. Timothy Bunchman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEDICAL COLLEGE OF VIRGINIA HOSPITALSBOX 980510 1250 EAST MARSHALL STREET
RICHMOND, VA 23298
(804) 828-0938Acute Care Hospitals490032

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology4301057213MINo

Taxonomy Description: a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

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
1558407189OTHER (01)MIGROUP PIN
350D176310OTHER (01)MIBCBS
0D16256029MEDICARE ID-TYPE UNSPECIFIED (04)MI
4514164MEDICAID (05)MI
A13399MEDICARE UPIN (02)MI

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.
1184699522
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641291854
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 + 9 + 1 + 8 + 5 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1184699522 is valid because the calculated check digit 2 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
1972508950 LISA L ELLIS M.D.
Individual
Internal Medicine1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 560-8950
1154329886 JAMES L EVANS MD
Individual
Psychiatry & Neurology (Psychiatry)1250 E MARSHALL ST PSYCHIATRY
RICHMOND, VA 23298
(804) 828-3129
1437159316 ANTHONY D CASSANO M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-4620
1912908922MR. STEVEN S RABINOWITZ CRNA
Individual
Nurse Anesthetist, Certified Registered1250 E MARSHALL ST ANESTHESIA CRNA
RICHMOND, VA 23298
(804) 628-6990
1780679688 ROBERT GLASSER MD
Individual
Internal Medicine (Hematology)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-6938
1154316016 STEVEN HOVIS CROSSMAN MD
Individual
Family Medicine1250 E MARSHALL ST FAMILY MEDICINE
RICHMOND, VA 23298
(804) 828-5883
1992786529DR. KEVIN BRADFORD HOOVER MD PHD
Individual
Radiology (Diagnostic Radiology)1250 E MARSHALL ST RADIOLOGY
RICHMOND, VA 23298
(804) 628-3580
1912981093 DEBRA GADDY COHEN NP
Individual
Nurse Practitioner (Pediatrics)1250 E MARSHALL ST PEDIATRICS
RICHMOND, VA 23298
(804) 828-9605
1124002894 NAN G. O'CONNELL M.D.
Individual
Specialist1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 560-8950
1902883176 AMIR TOOR MD
Individual
Internal Medicine (Hematology & Oncology)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 628-4463
1023096195DR. PONJOLA CONEY M.D.
Individual
Obstetrics & Gynecology1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 828-4409
1104804129 PATRICIA MARIE SELIG N.P.
Individual
Nurse Practitioner (Family)1250 E MARSHALL ST MAIN HOSPITAL NURSING ADMINISTRATION
RICHMOND, VA 23298
(804) 828-4928
1679552533 MARTHA PURVIS NP
Individual
Nurse Practitioner (Family)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-5306
1487628848DR. DANIELLE MARIE NOREIKA M.D.
Individual
Internal Medicine1250 E MARSHALL ST IM: PALLIATIVE CARE
RICHMOND, VA 23298
(804) 628-1295
1063487437 ANNA K NIZINSKI NP
Individual
Nurse Practitioner1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-9726
1225004369DR. SALIM A DAHLVANI MD
Individual
Psychiatry & Neurology (Geriatric Psychiatry)1250 E MARSHALL ST PSYCHIATRY
RICHMOND, VA 23298
(804) 828-4570
1073581963 MACIEJ TYMOWSKI MD
Individual
Emergency Medicine1250 E MARSHALL ST EMERGENCY DEPARTMENT
RICHMOND, VA 23298
(804) 828-7738
1356300552MR. LANCE J HAMPTON M.D.
Individual
Urology1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-8146
1871555680DR. RACHEL R WALLER M.D.
Individual
Internal Medicine1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-9357
1336104033DR. MARGARET M SANDERS M.D.
Individual
Radiology (Diagnostic Radiology)1250 E MARSHALL ST RADIOLOGY-DIAGNOSTIC RADIOLOGY
RICHMOND, VA 23298
(804) 828-6600

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
Timothy E Bunchman Md 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.