MS. CHERYL ANN FOLEY PT NPI 1225338056
Physical Therapist in Naples, FL

Individual Female Physical Therapist MIPS Quality Score 71.5 Medicare Quality Reporting

About MS. CHERYL ANN FOLEY PT

Cheryl Foley is a provider established in Naples, Florida and her medical specialization is Physical Therapist. The NPI number of Cheryl Foley is 1225338056 and was assigned on October 2010. The practitioner's primary taxonomy code is 225100000X with license number 2431 (FL). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1225338056
Provider NameMS. CHERYL ANN FOLEY PT
Provider Location Address501 GOODLETTE RD N STE# C100 NAPLES, FL 34102
Provider Mailing Address661 GOODLETTE RD N STE #103 NAPLES, FL 34102
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date10-27-2010
Last Update Date10-27-2010



Cheryl Foley 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 71.5, 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: clinical data registry reporting, documentation of current medications in the medical record, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, provide patients electronic access to their health information, public health registry reporting, security risk analysis and use of decision support and standardized treatment protocols.



Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.2431
License StateFL
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

MS. CHERYL ANN FOLEY PT
501 GOODLETTE RD N
STE# C100
NAPLES, FL
ZIP 34102
Phone: (239) 434-8564

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Mailing Address

MS. CHERYL ANN FOLEY PT
661 GOODLETTE RD N
STE #103
NAPLES, FL
ZIP 34102
Phone: (239) 434-8564


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% 62.1
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% 58
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% 82.6
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 - 71.5
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.

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
Clinical Data Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.
Documentation of Current Medications in the Medical Record 6% 185
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
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Provide Patients Electronic Access to Their Health Information 86% 275
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).
Public Health Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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.

  • 3525Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • 1882Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • 1471Application of ultrasound to 1 or more areas, each 15 minutes (HCPCS:97035)
  • 450Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • 305Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • 295Physical therapy evaluation (HCPCS:97001)

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.
1225338056
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22456316010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 6 + 3 + 1 + 6 + 0 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1225338056 is valid because the calculated check digit 6 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
1538167515MS. REGINA M GOWER L.C.S.W.
Individual
Counselor (Mental Health)501 GOODLETTE RD N D 100
NAPLES, FL 34102
(239) 994-0003
1386655355MS. JACQUELYN DELORES FRESENIUS LMHC
Individual
Counselor (Mental Health)501 GOODLETTE RD N #B206
NAPLES, FL 34102
(239) 659-1313
1154430239MRS. RACHEL MASON MN, ARNP
Individual
Nurse Practitioner (Adult Health)501 GOODLETTE RD N
NAPLES, FL 34102
(239) 403-8800
1952409179 LINDA STEPHENS ALEXANDER PSY D
Individual
Psychologist (Clinical)501 GOODLETTE RD N
NAPLES, FL 34102
(239) 732-5959
1275612954MRS. IVETTE M GOMEZ LMHC
Individual
Counselor (Mental Health)501 GOODLETTE RD N B-206
NAPLES, FL 34102
(239) 659-1313
1881755015MRS. STEPHANIE ANN RILEY PT
Individual
Physical Therapist501 GOODLETTE RD N
NAPLES, FL 34102
(239) 777-3633
1609932987DR. DEBORAH ANNE HARRISON PH.D.
Individual
Psychologist (Clinical)501 GOODLETTE RD N SUITE A-202
NAPLES, FL 34102
(239) 732-5959
1851457154DR. LISA D. RASMUSSEN PSY.D.
Individual
Psychologist (Clinical)501 GOODLETTE RD N SUITE A 202
NAPLES, FL 34102
(239) 732-5959
1851560635 SHANNON LINETTE SMITH L.M.T.
Individual
Massage Therapist501 GOODLETTE RD N SUITE B100
NAPLES, FL 34102
(239) 262-1505
1104159664 KIMBERLY ANN CLAYTON LMT
Individual
Massage Therapist501 GOODLETTE RD N STE B100
NAPLES, FL 34102
(239) 262-1505
1023314598HEELIFT INC
Organization
Prosthetic/Orthotic Supplier501 GOODLETTE RD N SUITE D100
NAPLES, FL 34102
(239) 732-7676
1508164153 ELIZABETH A HARRISON LCSW
Individual
Counselor (Mental Health)501 GOODLETTE RD N #D100
NAPLES, FL 34102
(239) 649-1569
1518151893DR. ANDREW DANIEL MASON MD
Individual
Emergency Medicine501 GOODLETTE RD N BUILDING C100
NAPLES, FL 34102
(407) 579-1945
1124384771DR. PAULA ANDREA BOWMAN PSY.D.
Individual
Psychologist (Clinical)501 GOODLETTE RD N SUITE D100
NAPLES, FL 34102
(239) 564-6500
1023435112GULFVIEW DENTAL LLC
Organization
Dentist (General Practice)501 GOODLETTE RD N STE B202
NAPLES, FL 34102
(239) 530-4000
1982672135DR. SOLNES A TOBAL MD
Individual
Internal Medicine501 GOODLETTE RD N STE A 106
NAPLES, FL 34102
(239) 434-9666
1063523678 HARALD WOLFGANG LETTNER PHD
Individual
Clinical Neuropsychologist501 GOODLETTE RD N STE C 104
NAPLES, FL 34102
(239) 434-6111
1508950312HARALD W LETTNER PHD PA
Organization
Clinical Neuropsychologist501 GOODLETTE RD N STE. C 104
NAPLES, FL 34102
(239) 434-6111
1245638725 JOHN ERVIN ARNOLD PHD
Individual
Psychologist501 GOODLETTE RD N
NAPLES, FL 34102
(239) 289-9796
1114313186GULFVIEW DENTAL II PLC
Organization
Dentist (General Practice)501 GOODLETTE RD N STE B200
NAPLES, FL 34102
(239) 530-4000

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
Ms. Cheryl Ann Foley Pt 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.