ARSEN H MANUGIAN MD NPI 1225023260
Orthopaedic Surgery - Sports Medicine in Bartlett, TN
About ARSEN H MANUGIAN MD
Arsen Manugian is a provider established in Bartlett, Tennessee and his medical specialization is Orthopaedic Surgery with a focus in sports medicine with more than 52 years of experience. The healthcare provider is registered in the NPI registry with number 1225023260 assigned on September 2005. The practitioner's primary taxonomy code is 207XX0005X with license number MD0000010256 (TN). The provider is registered as an individual and his NPI record was last updated 4 years ago.
| NPI | 1225023260 |
| Provider Name | ARSEN H MANUGIAN MD |
| Location Address | 3045 KATE BOND RD BARTLETT, TN 38133 |
| Location Phone | (901) 641-3000 |
| Mailing Address | 6077 PRIMACY PKWY STE 140 MEMPHIS, TN 38119 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1972 |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-15-2005 |
| Last Update Date | 06-20-2019 |
Arsen Manugian 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.
Arsen Manugian 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.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, 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 following quality measures were reported for this provider: care plan, documentation of current medications in the medical record, e-prescribing, implementation of use of specialist reports back to referring clinician or group to close referral loop, improved practices that disseminate appropriate self-management materials, medication reconciliation, opioid therapy follow-up evaluation, pain assessment and follow-up, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, screening for osteoporosis for women aged 65-85 years of age and security risk analysis.
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.
| Taxonomy Code | 207XX0005X |
| Classification | Orthopaedic Surgery |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Sports Medicine |
| License No. | MD0000010256 |
| License State | TN |
| Taxonomy Description | An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Blue Cross Blue Shield
- Cigna
- Medicaid
- Medicare
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
3045 KATE BOND RD
BARTLETT, TN
ZIP 38133
Phone: (901) 641-3000
Fax: (901) 373-3804
Mailing Address
6077 PRIMACY PKWY STE 140
MEMPHIS, TN
ZIP 38119
Phone: (901) 725-8347
Fax: (901) 259-7637
Secondary Locations
8040 Wolf River Blvd Ste 100
Germantown, TN 38138
(901) 641-30004515 Poplar Ave Ste 206
Memphis, TN 38117
(901) 641-3000
Location Map
PECOS Enrollment and Medicare Participation Status
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 Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1153406988 |
| PECOS Enrollment ID | I20090721000363 |
| 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 Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
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% | N/A | |
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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 (PI) | 25% | N/A | |
|
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. |
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| Improvement Activities | 15% | N/A | |
|
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. |
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| Cost | 20% | N/A | |
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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. |
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| MIPS Final Score | - | 60 | |
| 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. | |||
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 |
|---|---|---|
| Care Plan | 22% | 517 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Documentation of Current Medications in the Medical Record | 8% | 3491 |
| 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 | 90% | 596 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Improved Practices that Disseminate Appropriate Self-Management Materials | Yes | N/A |
| Provide self-management materials at an appropriate literacy level and in an appropriate language. | ||
| Medication Reconciliation | 10% | 408 |
| 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. | ||
| Opioid Therapy Follow-up Evaluation | 3% | 35 |
| All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record | ||
| Pain Assessment and Follow-Up | 5% | 3193 |
| Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present | ||
| Patient-Specific Education | 37% | 1058 |
| 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 | 9% | 517 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 16% | 1562 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/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 | 37% | 1058 |
| 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. | ||
| Screening for Osteoporosis for Women Aged 65-85 Years of Age | 1% | 255 |
| Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis | ||
| Security Risk Analysis | Yes | N/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. | ||
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.
- 259Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
- 145X-ray of knee, 4 or more views (HCPCS:73564)
- 91X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- 37X-ray of hand, minimum of 3 views (HCPCS:73130)
- 26X-ray of knee, 3 views (HCPCS:73562)
- 21X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
- 20X-ray of wrist, minimum of 3 views (HCPCS:73110)
- 17Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
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 |
|---|---|---|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | MD0000010256 | TN | No | |
Taxonomy Description: an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. | |||||||
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 |
|---|---|---|---|
| 4228321 | OTHER (01) | TN | BCBS OF TN |
| 00756271 | OTHER (01) | TN | RR MEDICARE |
| 1514474 | MEDICAID (05) | TN | |
| 2598820 | OTHER (01) | CIGNA | |
| 40MD0010256 | OTHER (01) | UNITED HEALTH |
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. | |||||||||
| 1 | 2 | 2 | 5 | 0 | 2 | 3 | 2 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 0 | 2 | 6 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 0 + 2 + 6 + 2 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1225023260 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 |
|---|---|---|---|
| 1871526731 | CHRISTOPHER LUKE HOFFMANN MSPT Individual | Physical Therapist (Orthopedic) | 3045 KATE BOND RD MEMPHIS, TN 38133 (901) 937-3200 |
| 1477846939 | DR. RACHAEL LYNN DUNLAP DPT Individual | Physical Therapist | 3045 KATE BOND RD MEMPHIS, TN 38133 (901) 937-3200 |
| 1356862288 | MARTHA EVELYN DANIEL OTR/L Individual | Occupational Therapist (Hand) | 3045 KATE BOND RD MEMPHIS, TN 38133 (901) 937-3200 |
| 1902439060 | OLIVIA STAFFORD OTR/L Individual | Occupational Therapist | 3045 KATE BOND RD MEMPHIS, TN 38133 (901) 937-3200 |
| 1497379622 | KENNETH PATE BISHOP DPT Individual | Physical Therapist | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 937-3200 |
| 1306485917 | JOHN CONNOR COALTER MS, PA-C Individual | Physician Assistant (Surgical) | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 641-3000 |
| 1639779242 | ANNA GARRETT TERRY OTR/L Individual | Occupational Therapist | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 937-3200 |
| 1295321909 | JOSHUA JAMES HOLDEN DPT Individual | Physical Therapist | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 937-3200 |
| 1306831144 | ROBERT R JONES MD Individual | Orthopaedic Surgery (Sports Medicine) | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 381-4664 |
| 1851387351 | MARK S HARRIMAN MD Individual | Orthopaedic Surgery (Sports Medicine) | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 381-4664 |
| 1215067996 | CHRISTOPHER ALLEN FERGUSON M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 381-4664 |
| 1629295209 | CHRISTOPHER MARK POKABLA M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 381-4664 |
| 1518557024 | JUSTIN TYLER MORRIS DPT Individual | Physical Therapist | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 937-3200 |
| 1841470176 | DR. JONATHAN MICHAEL STUART D.O. Individual | Physical Medicine & Rehabilitation | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 381-4664 |
| 1386639334 | CHRISTIAN S FAHEY MD Individual | Orthopaedic Surgery (Hand Surgery) | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 641-3000 |
| 1629068200 | DR. JEAN SIMARD M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 381-4664 |
| 1871589283 | STEPHEN M WAGGONER MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 381-4664 |
| 1205356565 | MS. LACY JOHNSON CONRY PA Individual | Physician Assistant (Surgical) | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 641-3000 |
| 1922625680 | DAVID MATTHEW HIEGEL DPT Individual | Physical Therapist | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 383-1738 |
| 1053877001 | KIRA SADE FITCHPATRICK PT, DPT Individual | Physical Therapist | 3045 KATE BOND RD BARTLETT, TN 38133 (901) 937-3200 |
Frequently Asked Questions
What is Arsen Manugian MD NPI number?
The NPI number assigned to this healthcare provider is 1225023260, enumerated in the NPI registry as an "individual" on September 15, 2005
Where is the provider located?
The provider is located at 3045 Kate Bond Rd Bartlett, Tn 38133 and the phone number is (901) 641-3000
What is the provider specialty code?
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine
How many years of experience does Arsen Manugian MD have?
The provider has more than 52 years of experience.
What insurance does Arsen Manugian MD accept?
The provider might be accepting Blue Cross Blue Shield, Cigna, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Arsen Manugian MD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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 are some of the services provided by Arsen Manugian MD?
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of large joint or joint capsule, X-ray of knee, 4 or more views, X-ray of shoulder, minimum of 2 views, X-ray of hand, minimum of 3 views, X-ray of knee, 3 views, X-ray of hip with pelvis, 2-3 views, X-ray of wrist, minimum of 3 views and Injections of tendon sheath, ligament, or muscle membrane.
How do I update my NPI information?
This NPI record was last updated on September 15, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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