JASON EDWARD POPE MD
NPI 1215078647
Anesthesiology - Pain Medicine in Santa Rosa, CA
Quality Rating: 73.79 out of 100 score
NPI Status: Active since February 09, 2007
Contact Information
220 CONCOURSE BLVD
SANTA ROSA, CA
ZIP 95403
Phone: (844) 527-7369
- Individual
- Male
- Years of Experience 22
- Anesthesiology
- Pain Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JASON POPE
This page provides the complete NPI Profile along with additional information for Jason Pope, a provider established in Santa Rosa, California with a medical specialization in Anesthesiology, focusing in pain medicine and more than 22 years of experience. He graduated from Indiana University School Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1215078647 assigned on February 2007. The practitioner's primary taxonomy code is 207LP2900X with license number A114663 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1215078647
- Provider Name
- JASON EDWARD POPE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 220 CONCOURSE BLVD SANTA ROSA, CA 95403
- Location Phone
- (844) 527-7369
- Mailing Address
- 220 CONCOURSE BLVD SANTA ROSA, CA 95403
- Mailing Phone
- (844) 527-7369
- Medical School Name
- INDIANA UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2004
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-09-2007
- Last Update Date
- 06-22-2022
- Code Navigator
Location Map
Secondary Locations
- 392 Tesconi Ct
Santa Rosa, CA 95401
(707) 623-9803 - 416 Aviation Blvd Ste B
Santa Rosa, CA 95403
(844) 527-7369
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A114663
- License State
- CA
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 41564 (TN) |
| 2 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | 25047 (WV) |
| 3 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | 114663 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1821509T | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Jason Pope is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jason Pope 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1850466699
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110718000689
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of psychological or neuropsychological test by single standardized instrument via electronic platform with automated result
Administration of psychological or neuropsychological test, first 30 minutes
Aspiration and/or injection of fluid from large joint
Aspiration and/or injection of fluid from large joint
Aspiration and/or injection of fluid from small joint
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
Electronic analysis and reprogramming of spinal canal drug infusion pump
Electronic analysis of implanted neurostimulator generator with simple spinal cord or peripheral nerve stimulator programming
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Fluoroscopic guidance for needle placement
Fluoroscopic guidance for needle placement
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance
Injection of anesthetic agent and/or steroid into other nerve or branch
Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve
Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve
Injection of anesthetic agent and/or steroid into upper neck and back of head nerve
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
Injection of lower or sacral spine facet joint using imaging guidance, second level
Injection of lower or sacral spine facet joint using imaging guidance, second level
Injection of lower or sacral spine facet joint using imaging guidance, single level
Injection of lower or sacral spine facet joint using imaging guidance, single level
Injection of substance into lower spine canal using imaging guidance
Injection of substance into middle or upper spine canal using imaging guidance
Injection of substance into middle or upper spine canal using imaging guidance
Injection of trigger points, 1-2 muscles
Injection of trigger points, 3 or more muscles
Injection of upper or middle spine facet joint using imaging guidance, second level
Injection of upper or middle spine facet joint using imaging guidance, second level
Injection of upper or middle spine facet joint using imaging guidance, single level
Injection of upper or middle spine facet joint using imaging guidance, single level
Injection, dexamethasone sodium phosphate, 1 mg
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Insertion of programmable spinal canal drug infusion pump
Insertion of spinal neurostimulator electrode array through skin
Insertion of spinal neurostimulator generator or receiver
Insertion, revision, or repositioning of spinal canal tube for medication administration
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
Removal or revision of neurostimulator generator or receiver
Telephone medical discussion with physician, 11-20 minutes
Telephone medical discussion with physician, 5-10 minutes
Testing for presence of drug, by chemistry analyzers
Ultrasonic guidance for needle placement
Ultrasonic guidance for needle placement
This process involves taking a psychological or neuropsychological test online using a standardized tool. The test measures your cognitive functions and mental health. The results are generated automatically, providing immediate insights into your psychological or neurological status.
This service was performed 371 times for 281 patientsThis procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
This service was performed 1,950 times for 745 patientsThis procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 36 times for 34 patientsThis procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 175 times for 108 patientsThis procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
This service was performed 18 times for 12 patientsThis procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.
This service was performed 35 times for 25 patientsThis procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.
This service was performed 56 times for 40 patientsThis procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
This service was performed 36 times for 26 patientsThis procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
This service was performed 57 times for 41 patientsThis procedure involves the use of imaging technology to accurately target and destroy nerves in the upper or middle spinal facet joints, which may be causing pain. Each additional facet joint treated follows the same process.
This service was performed 15 times for 11 patientsThis procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.
This service was performed 16 times for 12 patientsThis procedure involves the use of technology to assess and adjust a medication pump, implanted near the spine. The pump delivers precise doses of medication directly into the spinal canal to manage pain or spasticity. The reprogramming ensures optimal treatment.
This service was performed 86 times for 33 patientsThis procedure involves the use of electronic devices to analyze and adjust an implanted neurostimulator. The neurostimulator helps manage pain by sending mild electrical signals to your spinal cord or peripheral nerves. This analysis ensures it's functioning properly.
This service was performed 15 times for 12 patientsThis procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
This service was performed 192 times for 69 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 75 times for 57 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 981 times for 501 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 3,722 times for 960 patientsFluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
This service was performed 71 times for 63 patientsFluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
This service was performed 213 times for 138 patientsTrivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
This service was performed 826 times for 15 patientsThis procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.
This service was performed 19 times for 12 patientsThis procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
This service was performed 28 times for 23 patientsThis is a procedure where a medicine, often a mix of a numbing agent and a steroid, is injected into the suprascapular nerve in your shoulder. It's usually done to help manage shoulder pain, decrease inflammation, and improve mobility.
This service was performed 13 times for 12 patientsThis is a procedure where a medicine, often a mix of a numbing agent and a steroid, is injected into the suprascapular nerve in your shoulder. It's usually done to help manage shoulder pain, decrease inflammation, and improve mobility.
This service was performed 17 times for 14 patientsThis procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.
This service was performed 23 times for 20 patientsThis procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
This service was performed 55 times for 45 patientsThis procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
This service was performed 127 times for 79 patientsThis procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
This service was performed 171 times for 134 patientsThis procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
This service was performed 353 times for 203 patientsThis procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
This service was performed 14 times for 12 patientsThis procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
This service was performed 42 times for 31 patientsThis procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
This service was performed 47 times for 34 patientsThis procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
This service was performed 74 times for 53 patientsThis procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
This service was performed 52 times for 38 patientsThis procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
This service was performed 78 times for 55 patientsThis procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
This service was performed 15 times for 11 patientsThis procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
This service was performed 51 times for 42 patientsThis procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
This service was performed 76 times for 56 patientsTrigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
This service was performed 14 times for 12 patientsTrigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
This service was performed 26 times for 21 patientsThis procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.
This service was performed 14 times for 13 patientsThis procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.
This service was performed 27 times for 19 patientsThis procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
This service was performed 23 times for 20 patientsThis procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
This service was performed 35 times for 24 patientsDexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
This service was performed 4,333 times for 258 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 1,353 times for 231 patientsThe insertion of a programmable spinal canal drug infusion pump is a procedure that involves placing a small pump under your skin. This pump delivers medication directly into your spinal canal to help manage chronic pain or muscle spasticity. It's often adjustable for personalized treatment.
This service was performed 19 times for 19 patientsThis procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
This service was performed 103 times for 35 patientsThe insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
This service was performed 29 times for 29 patientsThis procedure involves placing, adjusting, or repositioning a tube in your spinal canal. This tube allows for direct administration of medication to the spine. It's typically done under local anesthesia and helps in managing conditions like chronic pain.
This service was performed 11 times for 11 patientsLow osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
This service was performed 6,636 times for 344 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 59 times for 59 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 94 times for 94 patientsThis procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.
This service was performed 37 times for 37 patientsThe procedure involves the removal or revision of a neurostimulator generator or receiver, a device implanted under the skin to send electrical pulses to the brain or spinal cord. This helps manage chronic pain or neurological disorders. The procedure might be needed if the device malfunctions, or to replace its battery.
This service was performed 11 times for 11 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 45 times for 41 patientsA telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
This service was performed 108 times for 73 patientsChemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
This service was performed 1,524 times for 730 patientsUltrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
This service was performed 25 times for 22 patientsUltrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
This service was performed 42 times for 31 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 73.79, 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: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.
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Final Score: 73.79 out of 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.
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Quality Score: 76.87
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 Score: 92
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 Score: 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 activities measure category compromises 15% providers final MPIS scores.
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 Score: 36.93
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. -
Cost Score: 36.93
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 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 |
|---|---|---|
| Advance Care Plan | 29% | 816 |
| Closing the Referral Loop: Receipt of Specialist Report | 29% | 293 |
| Colorectal Cancer Screening | 1% | 975 |
| Controlling High Blood Pressure | 52% | 25 |
| Diabetes: Eye Exam | 0% | 35 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 100% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 35 |
| Documentation of Current Medications in the Medical Record | 91% | 5737 |
| e-Prescribing | 99% | 462 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 23% | 1422 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 13% | 4813 |
| Provide Patients Electronic Access to Their Health Information | 49% | 913 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 85% | 67 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 825 |
| Use of High-Risk Medications in Older Adults | 5% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 825 |
| Use of High-Risk Medications in Older Adults | 5% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 825 |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215078647, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215078647, enumerated as an "individual" on February 09, 2007.
The provider is located at 220 CONCOURSE BLVD SANTA ROSA, CA 95403 and the phone number is (844) 527-7369.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.