HERMAN GIST M.D.
NPI 1275528234
Internal Medicine - Cardiovascular Disease in Washington, DC
Active since September 15, 2005PECOS Enrolled
87.09/100
CMS Quality Rating
106 IRVING ST NW, SUITE 1500 NORTH TOWER, WASHINGTON, DC 20010(202) 829-2834(202) 882-1274 Get Directions Write a Review
About Herman Gist M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERMAN GIST M.D. (NPI 1275528234) is an individual cardiovascular disease provider in Washington, District Of Columbia, licensed in District Of Columbia (MD20174) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1275528234
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameHERMAN GISTCredential: M.D.
Location Address106 IRVING ST NW, SUITE 1500 NORTH TOWERWashington, DC 20010-2927
Mailing Address11140 Rockville Pike, Suite 100, #335Rockville, MD 20852-3106 · (202) 557-4046 · Fax (202) 882-1274
Phone(202) 829-2834
Fax(202) 882-1274
Sole ProprietorYes
Enumeration DateSeptember 15, 2005
Last NPPES UpdateMarch 2, 2011
✔ NPI 1275528234 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in DC · MD20174
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD20174 (DC)
106 IRVING ST NW, Washington, DC 20010
Other Identifiers 4
Medicare PING02672A01DC
Medicare UPIND93210DC
Medicaid022484200DC
Medicare PING02672A01MD
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Herman Gist M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
78.38
Promoting Interoperability
99
Improvement Activities
40
Cost
67.76
Reported Quality Measures
Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients
Percentage of stress single-photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI), stress echocardiogram (ECHO), cardiac computed tomography angiography (CCTA), or cardiac magnetic resonance (CMR) performed in low risk surgery…
Lower rates are better for this measure.
0%155 patients
Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI)
Percentage of all stress single-photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI), stress echocardiogram (ECHO), cardiac computed tomography angiography (CCTA), and cardiovascular magnetic resonance (CMR) performed in patients…
Lower rates are better for this measure.
0%155 patients
Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients
Percentage of all stress single-photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI), stress echocardiogram (ECHO), cardiac computed tomography angiography (CCTA), and cardiovascular magnetic resonance (CMR) performed in…
Lower rates are better for this measure.
0%155 patients
Care Plan
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…
58%423 patients3/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
88%34 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
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.
61%1,864 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
76%2,302 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
58%145 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
42%751 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
20%739 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
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
Patients screenedForUse: 97% · 506 patients
Patients tobacco: 12% · 58 patients
91%506 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
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
4%506 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%751 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
24%751 patients2/55-star benchmark: 79%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
63%600 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 417 patients
6%417 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
106 IRVING ST NW, SUITE 411 SOUTH
WASHINGTON, DC 20010
WASHINGTON, DC 20010
Psychologist (Clinical)
106 IRVING ST NW, SUITE 2300
WASHINGTON, DC 20010
WASHINGTON, DC 20010
Internal Medicine (Gastroenterology)
106 IRVING ST NW, STE 205
WASHINGTON, DC 20010
WASHINGTON, DC 20010
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Herman Gist's NPI number?
The NPI number for Herman Gist is 1275528234. It was assigned to this individual provider in the NPPES registry on September 15, 2005.
Where is Herman Gist located?
Herman Gist practices at 106 Irving St NW Suite 1500 North Tower, Washington, DC 20010. The listed phone number is (202) 829-2834.
What is Herman Gist's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Herman Gist enrolled in Medicare?
Yes. Herman Gist is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Herman Gist was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Herman Gist, M.D. · NPI 1275528234
Cardiovascular Disease physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since September 15, 2005.
## Identity
- **NPI:** 1275528234 (Entity type: Individual)
- **Enumerated:** September 15, 2005
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD20174 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 106 IRVING ST NW, SUITE 1500 NORTH TOWER, Washington, DC 20010-2927
- **Phone:** (202) 829-2834 · **Fax:** (202) 882-1274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 2, 2011
- **Other identifiers:** Medicare PIN G02672A01 (DC); Medicare UPIN D93210 (DC); Medicaid 022484200 (DC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1275528234) · Data from the CMS NPPES public registry.