ROBERT ERNST MIEGEL MD
NPI 1255320966
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Cambridge, MA
NPI Status: Active since October 14, 2005
Contact Information
300 MOUNT AUBURN ST
STE 505
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 491-6766
Fax: (617) 491-2552
- Individual
- Male
- Orthopaedic Surgery
- Adult Reconstructive Orthopaedic Surgery
- Medicare Quality Reporting
About ROBERT MIEGEL
This page provides the complete NPI Profile along with additional information for Robert Miegel, a provider established in Cambridge, Massachusetts with a medical specialization in Orthopaedic Surgery, focusing in adult reconstructive orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1255320966 assigned on October 2005. The practitioner's primary taxonomy code is 207XS0114X with license number 47653 (MA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1255320966
- Provider Name
- ROBERT ERNST MIEGEL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 300 MOUNT AUBURN ST STE 505 CAMBRIDGE, MA 02138
- Location Phone
- (617) 491-6766
- Location Fax
- (617) 491-2552
- Mailing Address
- 20 GUEST ST STE 225 BRIGHTON, MA 02135
- Mailing Phone
- (617) 738-8642
- Mailing Fax
- (617) 491-2552
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-14-2005
- Last Update Date
- 08-07-2019
- Code Navigator
Location Map
Secondary Locations
- 20 Guest St Ste 225
Brighton, MA 02135
(617) 738-8642
Specialty - 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.
- Classification
Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery
- Taxonomy Code
- 207XS0114X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 47653
- License State
- MA
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 0161454 | MEDICAID (05) | MA |
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.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 78% | 754 |
| 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 | 100% | 2219 |
| 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 | ||
| Falls: Plan of Care | 38% | 158 |
| Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months | ||
| Falls: Risk Assessment | 41% | 70 |
| Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 27% | 1178 |
| 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 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% | 269 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 87% | 269 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255320966, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255320966, enumerated as an "individual" on October 14, 2005.
The provider is located at 300 MOUNT AUBURN ST STE 505 CAMBRIDGE, MA 02138 and the phone number is (617) 491-6766.
Orthopaedic Surgery with taxonomy code 207XS0114X and a focus in Adult Reconstructive Orthopaedic Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
