LOUIS AUGUSTUS SASSO MD NPI 1215986708
Internal Medicine - Pulmonary Disease in Staten Island, NY

Individual Male Internal Medicine Pulmonary Disease PECOS Enrolled MIPS Quality Score 74.6

About LOUIS AUGUSTUS SASSO MD

Louis Sasso is an internist established in Staten Island, New York and his medical specialization is Internal Medicine with a focus in pulmonary disease . The NPI number of Louis Sasso is 1215986708 and was assigned on May 2006. The practitioner's primary taxonomy code is 207RP1001X with license number 116353 (NY). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1215986708
Provider Name LOUIS AUGUSTUS SASSO MD
Provider Location Address501 SEAVIEW AVE STE 102 STATEN ISLAND, NY 10305
Provider Mailing Address501 SEAVIEW AVE STE 102 STATEN ISLAND, NY 10305
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date05-10-2006
Last Update Date02-11-2014

An internist like Louis Augustus Sasso Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Louis Sasso 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..

Louis Sasso 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 74.6, 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 Code207RP1001X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationPulmonary Disease
License No.116353
License StateNY
Taxonomy DescriptionAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Business Address

LOUIS AUGUSTUS SASSO MD
501 SEAVIEW AVE
STE 102
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 980-5700
Fax: (718) 980-5499

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Mailing Address

LOUIS AUGUSTUS SASSO MD
501 SEAVIEW AVE
STE 102
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 980-5700
Fax: (718) 980-5499


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% 80.8
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% 38
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% 73.4
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 - 74.6
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.

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.

  • 190X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 179Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • 126Measurement of lung diffusing capacity (HCPCS:94729)
  • 35Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 33Administration of pneumococcal vaccine (HCPCS:G0009)
  • 22Administration of influenza virus vaccine (HCPCS:G0008)

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
351291OTHER (01)BLUE CROSS
116353OTHER (01)HIP
116353C11OTHER (01)HEALTHFIRST
0431452002OTHER (01)CIGNA
B13615MEDICARE UPIN (02)
165302OTHER (01)ELDERPLAN
351291MEDICARE PIN (08)NY
00728152MEDICAID (05)NY
2900044OTHER (01)GHI
4C4191OTHER (01)TOUCHSTONE
90159OTHER (01)AETNA
OS116OTHER (01)OXFORD

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.
1215986708
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251881270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 8 + 8 + 1 + 2 + 7 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1215986708 is valid because the calculated check digit 8 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
1104824846 JAMES C LAFFERTY MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE STE 300
STATEN ISLAND, NY 10305
(718) 663-7000
1558369298 VINCENT W MUSTACIUOLO MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE SUITE 100
STATEN ISLAND, NY 10305
(718) 667-0077
1689672339 ANDREW J WARCHOL MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE STE 300
STATEN ISLAND, NY 10305
(718) 663-7000
1447258009 DONALD A MCCORD MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE STE 300
STATEN ISLAND, NY 10305
(718) 663-7000
1780682328DR. CHARLES A SCHWARTZ MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE SUITE 300
STATEN ISLAND, NY 10305
(718) 663-7000
1366440679 JAMES V MALPESO MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE STE 302
STATEN ISLAND, NY 10305
(718) 226-9600
1558369876 NEIL W GREENBERG MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE STE 300
STATEN ISLAND, NY 10305
(718) 663-7000
1780672410DR. STAVROS THOMAS SNYDER M. D.
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE
STATEN ISLAND, NY 10305
(718) 683-3955
1891779708DR. PETER J. MOLINARO MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)501 SEAVIEW AVE
STATEN ISLAND, NY 10305
(718) 226-6849
1386628204DR. FRANK M. ROSELL MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)501 SEAVIEW AVE SUITE 202
STATEN ISLAND, NY 10305
(718) 226-6210
1679558654VAZZANA&BOGIN CARDIOLOGY ASSOC
Organization
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE SUITE200
STATEN ISLAND, NY 10305
(718) 663-6400
1538144514DR. TIMOTHY O'BYRNE MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE SUITE 100
STATEN ISLAND, NY 10305
(718) 667-0077
1952386948DR. FOAD GHAVAMI MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE SUITE 100
STATEN ISLAND, NY 10305
(718) 667-0077
1760467534MR. MARC BRIAN BOGIN MD
Individual
Internal Medicine (Cardiovascular Disease)501 SEAVIEW AVE
STATEN ISLAND, NY 10305
(718) 663-6400
1790761120MR. THOMAS JOHN VAZZANA MD
Individual
Internal Medicine (Interventional Cardiology)501 SEAVIEW AVE SUITE 200
STATEN ISLAND, NY 10305
(718) 663-6400
1326026998DR. JOHN NABAGIEZ MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)501 SEAVIEW AVE
STATEN ISLAND, NY 10305
(718) 226-6210
1083624001 VAHID GHIASIAN M.D.
Individual
Psychiatry & Neurology (Neurology)501 SEAVIEW AVE SUITE 104
STATEN ISLAND, NY 10305
(718) 683-3766
1942351267DR. MICHAEL NG M.D.
Individual
Psychiatry & Neurology (Neurology)501 SEAVIEW AVE SUITE 104
STATEN ISLAND, NY 10305
(718) 683-3766
1750426128DR. VIJAY A SINGH MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)501 SEAVIEW AVE
STATEN ISLAND, NY 10305
(718) 226-6210
1881896199 MARCIN KOWALSKI MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)501 SEAVIEW AVE
STATEN ISLAND, NY 10305
(718) 351-2200

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
Louis Augustus Sasso 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.