PHILIP JAY SCHARFER MD PA
NPI 1265432744
Psychiatry & Neurology - Psychiatry in Palm Beach Gardens, FL


Quality Rating: 60 out of 100 score

NPI Status: Active since July 27, 2005

Contact Information

2401 PGA BLVD
STE 244
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 622-6788
Fax: (561) 627-4265

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 51
  • Psychiatry & Neurology
  • Psychiatry
  • PECOS Enrolled
  • May Accept Medicare Approved Payment

About PHILIP SCHARFER

Philip Scharfer is a provider established in Palm Beach Gardens, Florida and his medical specialization is Psychiatry & Neurology with a focus in psychiatry with more than 51 years of experience. The healthcare provider is registered in the NPI registry with number 1265432744 assigned on July 2005. The practitioner's primary taxonomy code is 2084P0800X with license number ME0031908 (FL). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1265432744
Provider Name
PHILIP JAY SCHARFER MD PA
Gender
Male
Entity Type
Individual
Location Address
2401 PGA BLVD STE 244 PALM BEACH GARDENS, FL 33410
Location Phone
(561) 622-6788
Location Fax
(561) 627-4265
Mailing Address
2401 PGA BLVD STE 244 PALM BEACH GARDENS, FL 33410
Mailing Phone
(561) 622-6788
Mailing Fax
(561) 627-4265
Medical School Name
OTHER
Graduation Year
1974
Is Sole Proprietor?
Yes
Enumeration Date
07-27-2005
Last Update Date
04-20-2011
Code Navigator

A psychiatrist like Philip Scharfer are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Philip Scharfer is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, 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.

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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
ME0031908
License State
FL
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross Blue Shield

  • Medicare

  • Medicaid

  • Railroad Medicare


*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
50897OTHER (01)FLBCBS PROVIDER ID
406262830OTHER (01)FLRAILROAD MEDICARE ID NUMB
D55899MEDICARE UPIN (02)FL 
0024153OTHER (01)FLGHI PROVIDER ID NUMBER
038321000MEDICAID (05)FL 
035009OTHER (01)FLVALUE OPTIONS PROVIDER ID
50897MEDICARE ID-TYPE UNSPECIFIED (04)FLMEDICARE ID NUMBER

PECOS Enrollment and Medicare Participation Status

Philip Scharfer 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: 1951570134

    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: I20110803000892

    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? Maybe

    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

Overall MIPS Quality 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: 60 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: N/A

    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: N/A

    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.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 806

    Psychotherapy, 30 minutes (HCPCS:90833)

  • 114

    Psychotherapy, 45 minutes (HCPCS:90836)

Reviews for PHILIP JAY SCHARFER MD PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1265432744
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2212583478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 8 + 3 + 4 + 7 + 8 + 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 1265432744 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 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144259458DR. BRIAN E HASS M.D.
Individual
Plastic Surgery2401 PGA BLVD SUITE 150
PALM BEACH GARDENS, FL 33410
(561) 624-7777
1619906955DR. ANDREA N HASS M.D.
Individual
Ophthalmology2401 PGA BLVD SUITE 150
PALM BEACH GARDENS, FL 33410
(561) 624-7777
1992925846DR. ANITA MANDAL M.D.
Individual
Plastic Surgery (Plastic Surgery Within the Head and Neck)2401 PGA BLVD SUITE 146
PALM BEACH GARDENS, FL 33410
(561) 238-0040
1518159482HARBOUR DIAGNOSTIC IMAGING
Organization
Clinic/Center (Radiology)2401 PGA BLVD SUITE 130
PALM BEACH GARDENS, FL 33410
(561) 932-0788
1437345956NATURAL MEDICINE CLINIC, INC.
Organization
Chiropractor2401 PGA BLVD SUITE 132
PALM BEACH GARDENS, FL 33410
(561) 627-5816
1417134578 KATHY ANN GARCIA LAWSON PHD
Individual
Psychologist (Clinical)2401 PGA BLVD SUITE 128
PALM BEACH GARDENS, FL 33410
(561) 694-2772
1942595996JON J EHRICH LLC
Organization
Physical Medicine & Rehabilitation2401 PGA BLVD SUITE 130
PALM BEACH GARDENS, FL 33410
(561) 656-2666
1669743407ANDREA N HASS MD PA
Organization
Ophthalmology2401 PGA BLVD SUITE 150
PALM BEACH GARDENS, FL 33410
(561) 624-7777
1962760512FREEDOM MENTAL HEALTH CONSULTANTS, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))2401 PGA BLVD SUITE 196
PALM BEACH GARDENS, FL 33410
(772) 781-0219
1912343450REHAB PLUS OF PALM BEACH LLC
Organization
Physical Therapist2401 PGA BLVD SUITE 130
PALM BEACH GARDENS, FL 33410
(561) 799-9011
1588975197DR. JENNIFER ANN RUBLE DMD
Individual
Dentist (General Practice)2401 PGA BLVD SUITE 276
PALM BEACH GARDENS, FL 33410
(561) 624-5801
1619422151PALM BEACH HEARING ASSOCIATES, PLLC
Organization
Audiologist2401 PGA BLVD SUITE 128
PALM BEACH GARDENS, FL 33410
(561) 500-3277
1801348842 SUZZETTE MARIE WIBLE
Individual
Physical Therapy Assistant2401 PGA BLVD
PALM BEACH GARDENS, FL 33410
(561) 249-2958
1184169724 JOSE JASMIN
Individual
Specialist2401 PGA BLVD SUITE# 155
PALM BEACH GARDENS, FL 33410
(561) 249-2958
1477785996MS. LORRAINE TURNER LCSW, OSW-C, C-SWHC,
Individual
Social Worker (Clinical)2401 PGA BLVD SUITE 196
PALM BEACH GARDENS, FL 33410
(772) 781-0219
1295968469SPECIALIZED AESTHETICS, P.A.
Organization
Plastic Surgery2401 PGA BLVD SUITE 150
PALM BEACH GARDENS, FL 33410
(561) 624-7777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265432744, enumerated in the NPI registry as an "individual" on July 27, 2005

The provider is located at 2401 Pga Blvd Ste 244 Palm Beach Gardens, Fl 33410 and the phone number is (561) 622-6788

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider has more than 51 years of experience.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

The most common procedures or services performed by this practitioner are: Psychotherapy, 30 minutes and Psychotherapy, 45 minutes.

This NPI record was last updated on July 27, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.