DR. JEAN ROBERT LOUIS M.D. NPI 1235294950

Anesthesiology in Rockville Centre, NY

NPI 1235294950 Individual Male Years of Experience 35 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 79.8

NPI Profile for DR. JEAN ROBERT LOUIS M.D.

Jean Louis is a provider established in Rockville Centre, New York and his medical specialization is anesthesiology with more than 35 years of experience. He graduated from State University Of New York At Stony Brook, School Of Medicine in 1988. The NPI number of Jean Louis is 1235294950 and was assigned on December 2006. The practitioner's primary taxonomy code is 207L00000X with license number 184745 (NY). The provider is registered as an individual and his NPI record was last updated March 2022.

An anesthesiologist like Dr. Jean Robert Louis M.d. manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Jean Louis 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.

Jean Louis is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Ns/lij Hs Southside Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 79.8, 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.

NPI

1235294950

Provider NameDR. JEAN ROBERT LOUIS M.D.
Provider Location Address55 MAPLE AVE SUITE 106 ROCKVILLE CENTRE, NY 11570
Provider Mailing Address18 OLDFIELD ROSLYN, NY 11576
GenderMale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year1988
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date12-22-2006
Last Update Date03-09-2022


Primary Taxonomy

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.184745
License StateNY
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

DR. JEAN ROBERT LOUIS M.D.
55 MAPLE AVE
SUITE 106
ROCKVILLE CENTRE, NY
ZIP 11570
Phone: (516) 764-3232

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Mailing Address

DR. JEAN ROBERT LOUIS M.D.
18 OLDFIELD
ROSLYN, NY
ZIP 11576
Phone: (516) 587-4200



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1557547536
PECOS Enrollment IDI20110510000317
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 72.4
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% 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.
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% 78.9
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 - 79.8
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.

  • 255Anesthesia for lens surgery (HCPCS:00142)
  • 23Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • 15Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jean Louis is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NS/LIJ HS SOUTHSIDE HOSPITAL301 EAST MAIN STREET
BAY SHORE, NY 11706
(631) 968-3000Acute Care Hospitals330043

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
1347171MEDICAID (05)NY

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1235294950
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265498910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 9 + 8 + 9 + 1 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1235294950 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 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174506711 BRETT D HALPER MD
Individual
Family Medicine55 MAPLE AVE SUITE 102
ROCKVILLE CTR, NY 11570
(516) 536-2221
1841303997ROCKVILLE ANESTHESIA GROUP LLP
Organization
Anesthesiology55 MAPLE AVE SUITE 106
ROCKVILLE CENTRE, NY 11570
(516) 764-1227
1477615482 STEVEN H PINSKY MD
Individual
Specialist55 MAPLE AVE SUITE 106
ROCKVILLE CENTRE, NY 11570
(516) 764-4875
1295977734 KRISTIN DIANE CONFORTI D.P.T.
Individual
Physical Therapist55 MAPLE AVE SUITE 306
ROCKVILLE CENTRE, NY 11570
(516) 705-8836
1356673537DR. JONATHAN MICHAEL D.C.
Individual
Chiropractor55 MAPLE AVE SUITE 306
ROCKVILLE CENTRE, NY 11570
(516) 705-8836
1558791335MOVEMENT CONCEPTS PHYSICAL THERAPY, P.C.
Organization
Physical Therapist55 MAPLE AVE SUITE 306
ROCKVILLE CENTRE, NY 11570
(516) 227-5344
1164451555DR. RICHARD PETERS M.D.
Individual
Anesthesiology55 MAPLE AVE SUITE 106
ROCKVILLE CENTRE, NY 11570
(516) 764-2115
1134674567 REBECCA TIMONEY PA-C
Individual
Physician Assistant55 MAPLE AVE #106
ROCKVILLE CENTRE, NY 11570
(516) 764-4875
1285240267 CRISTEL VIVIANA ACOSTA LICENSED MASSAGE THE
Individual
Massage Therapist55 MAPLE AVE
ROCKVILLE CENTRE, NY 11570
(516) 705-8836
1548876782 KELLENE LOUISE FISHER FNP
Individual
Nurse Practitioner (Family)55 MAPLE AVE
ROCKVILLE CENTRE, NY 11570
(516) 210-6355
1134707136 JOHANNA FRANCO
Individual
Massage Therapist55 MAPLE AVE
ROCKVILLE CTR, NY 11570
(347) 208-6336

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
Dr. Jean Robert Louis M.d. 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.