DR. BRUCE K. STECHMILLER MD NPI 1245234624
Internal Medicine - Hematology & Oncology in Gainesville, FL

Individual Male Internal Medicine Hematology & Oncology PECOS Enrolled MIPS Quality Score 72.7

About DR. BRUCE K. STECHMILLER MD

Bruce Stechmiller is an internist established in Gainesville, Florida and his medical specialization is Internal Medicine with a focus in hematology & oncology . The NPI number of Bruce Stechmiller is 1245234624 and was assigned on June 2005. The practitioner's primary taxonomy code is 207RH0003X with license number ME31926 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1245234624
Provider NameDR. BRUCE K. STECHMILLER MD
Location Address1600 SW ARCHER RD GAINESVILLE, FL 32610
Location Phone(352) 273-7832
Mailing AddressPO BOX 918025 ORLANDO, FL 32891
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-13-2005
Last Update Date01-25-2012

An internist like Dr. Bruce K. Stechmiller 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.Bruce Stechmiller 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..

Bruce Stechmiller 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 72.7, 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 Code207RH0003X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHematology & Oncology
License No.ME31926
License StateFL
Taxonomy DescriptionAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. BRUCE K. STECHMILLER MD
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 273-7832
Fax: (352) 332-5009

Get Directions


Mailing Address

DR. BRUCE K. STECHMILLER MD
PO BOX 918025
ORLANDO, FL
ZIP 32891
Phone: (352) 273-7832
Fax: (352) 332-5009


Location Map

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% 54.3
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% 81
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% 69.1
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 - 72.7
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.

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
68120MEDICARE PIN (08)FL
037603500MEDICAID (05)FL
D82524MEDICARE UPIN (02)FL
68120YMEDICARE PIN (08)FL

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.
1245234624
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228543864
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 3 + 8 + 6 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1245234624 is valid because the calculated check digit 4 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
1669475554 WALTER J MILTON MD
Individual
Radiology (Diagnostic Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0301
1669476347MS. JOAN ELLA ENGLISH PA-C
Individual
Physician Assistant1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-9350
1174528780 SCOTT WILLIAM PETERSON MD
Individual
Radiology (Vascular & Interventional Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0290
1700883485DR. ERIC KIRK THOBURN MD
Individual
Radiology (Diagnostic Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0291
1023015823 ANTHONY P MCDONALD MD
Individual
Surgery1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 374-6078
1164421772 ROBERTA MOORE SLATER MD
Individual
Radiology (Diagnostic Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0291
1164421764 WEI HE ARNP
Individual
Nurse Practitioner (Pediatrics)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 266-7240
1871593913 NAM HOANG DANG MD
Individual
Internal Medicine (Medical Oncology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-7832
1568454684 CLAIRE ALEXANDRIA FLINT CRNA
Individual
Nurse Anesthetist, Certified Registered1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 264-0077
1003809237MR. ROBERT M CLONAN CRNA
Individual
Nurse Anesthetist, Certified Registered1600 SW ARCHER RD
GAINESVILLE, FL 32610
(800) 642-1999
1558356402 MUTASIM N. ABU-HASAN MD
Individual
Pediatrics (Pediatric Pulmonology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-8379
1598750390DR. JYOTI BUDANIA MD
Individual
Pediatrics1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 371-3604
1669469326 ANDRE PIERRE BOEZAART MD PHD
Individual
Anesthesiology1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 392-3441
1215924501 MELISSA MAI VU MD
Individual
Anesthesiology1600 SW ARCHER RD
GAINESVILLE, FL 32610
(904) 953-2000
1932198819 LILLIAN MARGARET VAN HOUTEN ARNP
Individual
Nurse Practitioner (Pediatrics)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 334-1400
1124017017MRS. MELISSA KIMBERLY MAISENBACHER M.S.,C.G.C.
Individual
Genetic Counselor, MS1600 SW ARCHER RD UF PEDIATRIC GENETICS
GAINESVILLE, FL 32610
(352) 392-4104
1215918487DR. WILLIAM ALISON CUMMING M.D.
Individual
Radiology (Pediatric Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0102
1871575183 BELINDA WESLEY SELLI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-9900
1306828793DR. SCOTT L. MYERS MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)1600 SW ARCHER RD SUITE 3341
GAINESVILLE, FL 32610
(352) 265-5471
1053394262 SCOTT ANDREWS RIVKEES MD
Individual
Pediatrics (Pediatric Endocrinology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-9001

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. Bruce K. Stechmiller 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.