DR. PETER S. ROBBINS M.D.
NPI 1245389113
Nuclear Medicine in Redding, CA

Medicare Participation & PECOS Enrollment Status

Peter Robbins is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Peter Robbins 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.

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 providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 8628157971

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20080512000421

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Dxa bone density measurement of hip, pelvis, spine

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

This service was performed 16 times for 16 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg)

An exercise or drug-induced heart stress test with an ECG checks how your heart responds to stress. You'll either exercise on a treadmill or be given medication to stress your heart. An ECG then captures your heart's activity, helping detect any issues.

This service was performed 310 times for 305 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

This service was performed 20 times for 20 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

This service was performed 233 times for 230 patients

Injection, aminophyllin, up to 250 mg

An aminophyllin injection is a treatment often used for severe asthma or other lung conditions. It helps to relax and open air passages in the lungs, making it easier to breathe. Up to 250 mg can be administered in one dose.

This service was performed 203 times for 199 patients

Injection, regadenoson, 0.1 mg

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

This service was performed 980 times for 241 patients

Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries

Iodine 1-123 Ioflupane is a diagnostic procedure where a small radioactive substance is introduced into your body. It helps to create clear images of your brain, specifically to study the functioning of your brain's nerve cells.

This service was performed 108 times for 108 patients

Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries

Iodine I-123 sodium iodide is a diagnostic procedure used to assess thyroid function. It involves administering a small dose of radioactive iodine, which the thyroid gland absorbs. Images are then taken to monitor the iodine's distribution, helping to identify any thyroid abnormalities.

This service was performed 88 times for 39 patients

Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie

Iodine I-131 Sodium Iodide Capsule is a diagnostic tool. It's a radioactive pill that you swallow. It helps doctors see how your thyroid is functioning by tracking the iodine's path in your body. It's safe and crucial for diagnosing thyroid conditions.

This service was performed 44 times for 16 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

This service was performed 522 times for 515 patients

Nuclear medicine study of bone and/or joint whole body

A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.

This service was performed 227 times for 202 patients

Nuclear medicine study of bone taken at different times

A nuclear medicine bone study involves injecting a small amount of radioactive material into your body. This material collects in the bones and is detected by a special camera to create images. These images are taken at different times to track changes and help diagnose bone conditions.

This service was performed 158 times for 157 patients

Nuclear medicine study of kidney, blood flow, and function

A nuclear medicine study of the kidney is a diagnostic procedure. A small amount of radioactive material is injected into your body to highlight kidney function and blood flow. Images are then taken to assess how well your kidneys are working.

This service was performed 13 times for 13 patients

Nuclear medicine study of liver and bile duct system

A nuclear medicine study of the liver and bile duct system involves the use of a small amount of radioactive material to create detailed images. This helps doctors examine the liver's function and structure, and detect any abnormalities in the bile ducts.

This service was performed 39 times for 39 patients

Nuclear medicine study of lung ventilation and circulation

A nuclear medicine lung ventilation and circulation study uses a safe radioactive material to create images of air and blood flow in your lungs. It helps identify issues like blood clots or lung diseases. You inhale or receive an injection of this material, and a special camera captures the images.

This service was performed 38 times for 37 patients

Nuclear medicine study of lymphatic system

A nuclear medicine study of the lymphatic system involves injecting a safe, radioactive substance into your body. This substance travels through your lymphatic system and helps create images on a special camera. These images can help doctors diagnose conditions related to your immune system.

This service was performed 68 times for 66 patients

Nuclear medicine study of parathyroid with spect

A nuclear medicine study of the parathyroid with SPECT is a diagnostic test that uses a small amount of radioactive material and a special camera to create images of your parathyroid glands. This test helps identify any abnormalities, aiding in accurate diagnosis and treatment.

This service was performed 33 times for 31 patients

Nuclear medicine study of stomach to assess emptying

A nuclear medicine study of the stomach assesses how quickly food leaves the stomach. A safe, radioactive substance is added to a meal. The radiation emitted is tracked, creating images that show the food's progress through the stomach. It's non-invasive and painless.

This service was performed 60 times for 60 patients

Nuclear medicine study of thyroid and thyroid function

A nuclear medicine study of the thyroid involves using a small amount of radioactive material to evaluate thyroid function. It helps identify issues such as overactive or underactive thyroid. The procedure is safe and provides valuable information about your thyroid health.

This service was performed 25 times for 25 patients

Nuclear medicine study of whole body for thyroid cancer

A nuclear medicine study for thyroid cancer involves injecting a small amount of radioactive substance into your body. This substance travels to your thyroid, and a special camera captures images showing how your thyroid is functioning. This can help detect any cancerous cells.

This service was performed 18 times for 18 patients

Nuclear medicine study, 1 area with spect

A nuclear medicine study with SPECT involves a safe, small amount of radioactive substance to help visualize body organs. SPECT, or Single Photon Emission Computed Tomography, creates detailed 3D images. This helps doctors diagnose and monitor conditions in a specific body area.

This service was performed 126 times for 126 patients

Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries

Technetium Tc-99m Macroaggregated Albumin is a diagnostic procedure. It involves a safe radioactive substance injected into your bloodstream. The substance helps create clear images of blood flow in your lungs, aiding in accurate diagnosis.

This service was performed 38 times for 37 patients

Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries

Technetium Tc-99m Mebrofenin is a diagnostic test used to assess your liver function. A small amount of a radioactive substance is injected into your body, which helps create images of your liver for detailed examination. It's safe and essential for accurate diagnosis.

This service was performed 46 times for 46 patients

Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries

Technetium Tc-99m Medronate is a diagnostic procedure that uses a small amount of radioactive material to examine the health of your bones. It helps to detect bone diseases or abnormalities. The procedure is safe, with the radioactive substance naturally leaving your body after the test.

This service was performed 388 times for 361 patients

Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries

Technetium Tc-99m Mertiatide is a radiopharmaceutical diagnostic test. It involves the injection of a small dose of radioactive material to create images of your kidneys. This helps doctors evaluate kidney function and detect any abnormalities.

This service was performed 16 times for 15 patients

Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries

Technetium Tc-99m Pentetate is a nuclear medicine test that helps visualize the lungs. A harmless radioactive substance is inhaled as an aerosol, which then attaches to lung tissue. Images taken can show lung function and detect any abnormalities.

This service was performed 12 times for 12 patients

Technetium tc-99m sestamibi, diagnostic, per study dose

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

This service was performed 651 times for 341 patients

Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries

Technetium Tc-99m sulfur colloid is used in diagnostic imaging tests. It helps to highlight areas of concern in the body by emitting a small amount of radiation that can be detected by a special camera. This helps doctors to diagnose and monitor various health conditions.

This service was performed 61 times for 61 patients

Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries

Technetium Tc-99m Tilmanocept is a radioactive diagnostic agent used for imaging and lymph node mapping in the body. It helps doctors locate lymph nodes that may be affected by disease, aiding in effective treatment planning.

This service was performed 55 times for 53 patients

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.48 for a new patient copayment and $25.84 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 96001 ZIP code area.

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

• Final Score: 100 out of 100

  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 Score: 100

  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 Score: 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 Score: 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 activities measure category compromises 15% providers final MPIS scores.
  
  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 Score: N/A

  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.

• Cost Score: N/A

  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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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.

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