ROBERT I SCHNALL M.D. NPI 1275598583
Urology in Wynnewood, PA

Individual Male Years of Experience 41 Urology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 100 Medicare Quality Reporting

About ROBERT I SCHNALL M.D.

Robert Schnall is a provider established in Wynnewood, Pennsylvania and his medical specialization is Urology with more than 41 years of experience. He graduated from Temple University School Of Medicine in 1982. The NPI number of Robert Schnall is 1275598583 and was assigned on April 2006. The practitioner's primary taxonomy code is 208800000X with license number MD030093E (PA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1275598583
Provider Name ROBERT I SCHNALL M.D.
Provider Location Address100 E LANCASTER AVE 361 LANKENAU MEDICAL BUILDING EAST WYNNEWOOD, PA 19096
Provider Mailing Address100 E LANCASTER AVE 361 LANKENAU MEDICAL BUILDING EAST WYNNEWOOD, PA 19096
GenderMale
NPI Entity TypeIndividual
Medical School NameTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1982
Is Sole Proprietor?No
Enumeration Date04-19-2006
Last Update Date12-04-2009

Robert Schnall 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.

Robert Schnall is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Main Line Hospital Lankenau, Bryn Mawr Hospital, Paoli Hospital and Riddle Memorial Hospital.

The provider participated in Medicare's 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 provider also has detailed performance information the following quality measures: annual registration in the prescription drug monitoring program, clinical data registry reporting, colorectal cancer screening, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, electronic case reporting, e-prescribing, falls: screening for future fall risk, implementation of use of specialist reports back to referring clinician or group to close referral loop, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patients electronic access to their health information, query of the prescription drug monitoring program (pdmp), security risk analysis and use of high-risk medications in the elderly.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.88 for a new patient copayment and $19.55 for an established patient copayment.



Primary Taxonomy

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.MD030093E
License StatePA
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Business Address

ROBERT I SCHNALL M.D.
100 E LANCASTER AVE
361 LANKENAU MEDICAL BUILDING EAST
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 649-6420
Fax: (610) 649-4689

Get Directions


Mailing Address

ROBERT I SCHNALL M.D.
100 E LANCASTER AVE
361 LANKENAU MEDICAL BUILDING EAST
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 649-6420
Fax: (610) 649-4689


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
PECOS PAC ID7810901535
PECOS Enrollment IDI20060203000300
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 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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 19096 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$62.8 $189.43 $143.54
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.7 $47.35 $35.88
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.68 $154.62 $78.22
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.92 $38.65 $19.55

* The physician office visit costs information is obtained by Medicare's 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 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% 98.8
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% 100
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% 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.
MIPS Final Score - 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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Clinical Data Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.
Colorectal Cancer Screening 75% 925
Percentage of patients 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Medical Attention for Nephropathy 89% 97
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
Documentation of Current Medications in the Medical Record 97% 2569
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
Electronic Case ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to electronically submit case reporting of reportable conditions.
e-Prescribing 88% 480
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Falls: Screening for Future Fall Risk 1% 1160
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Pneumococcal Vaccination Status for Older Adults 87% 1160
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 59% 1676
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 encounterNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
- Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patients Electronic Access to Their Health Information 100% 698
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).
Query of the Prescription Drug Monitoring Program (PDMP)YesN/A
For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a Prescription Drug Monitoring Program (PDMP) for prescription drug history, except where prohibited and in accordance with applicable law.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of High-Risk Medications in the Elderly 1% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1160
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 medication2) Percentage of patients who were ordered at least two of the same high-risk medication

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1141Automated urinalysis test (HCPCS:81003)
  • 709Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 154Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • 128Insertion of needle into vein for collection of blood sample (HCPCS:36415)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Schnall is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MAIN LINE HOSPITAL LANKENAU100 LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-2000Acute Care Hospitals390195
BRYN MAWR HOSPITAL130 SOUTH BRYN MAWR AVE
BRYN MAWR, PA 19010
(610) 526-3000Acute Care Hospitals390139
PAOLI HOSPITAL255 WEST LANCASTER AVENUE
PAOLI, PA 19301
(610) 648-1000Acute Care Hospitals390153
RIDDLE MEMORIAL HOSPITAL1068 WEST BALTIMORE PIKE
MEDIA, PA 19063
(610) 566-9400Acute Care Hospitals390222

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
C27711MEDICARE UPIN (02)PA
021464FC8MEDICARE ID-TYPE UNSPECIFIED (04)

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.
1275598583
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214510916516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 0 + 9 + 1 + 6 + 5 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1275598583 is valid because the calculated check digit 3 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
1003819079DR. ROBERT D. SMINK JR. MD
Individual
Surgery100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 642-1908
1184627143DR. FRANCISCO G BADOSA M.D.
Individual
Surgery100 E LANCASTER AVE 4404 MEDICAL SCIENCE BUILDING
WYNNEWOOD, PA 19096
(610) 645-8485
1881697845DR. ROBERT B NOONE JR. MD
Individual
Colon & Rectal Surgery100 E LANCASTER AVE SUITE 275 LANKENAU MED SCI BLDG.
WYNNEWOOD, PA 19096
(610) 642-1908
1578568325 DAVID NAIDE MD
Individual
Internal Medicine (Cardiovascular Disease)100 E LANCASTER AVE SUITE 356 LANKENAU MOB EAST
WYNNEWOOD, PA 19096
(610) 649-7625
1598761538CARDIOVASCULAR ASSOCIATES OF SOUTHEASTER PENNSYLVANIA PC
Organization
Internal Medicine (Cardiovascular Disease)100 E LANCASTER AVE STE 356EAST
WYNNEWOOD, PA 19096
(610) 649-7625
1831198258STEPHEN L FEDDER MD PC
Organization
Neurological Surgery100 E LANCASTER AVE SUITE 655
WYNNEWOOD, PA 19096
(610) 649-4416
1245239318DR. MARY A STEFANYSZYN MD
Individual
Ophthalmology100 E LANCASTER AVE SUITE 256 MEDICAL BLDG EAST
WYNNEWOOD, PA 19096
(610) 649-1970
1659370633 JOSEPH C FLANAGAN MD
Individual
Ophthalmology100 E LANCASTER AVE SUITE 256 MEDICAL BLDG EAST
WYNNEWOOD, PA 19096
(610) 649-1970
1134129349DR. ALBERT DENITTIS MD
Individual
Radiology (Radiation Oncology)100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-2433
1457351660DR. MARISA WEISS MD
Individual
Radiology (Radiation Oncology)100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-2433
1275529190MAIN LINE HOSPITALS, INC.
Organization
Skilled Nursing Facility100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-6400
1255328571 WILLIAM R FORMAN DPM
Individual
Podiatrist100 E LANCASTER AVE SUITE 117
WYNNEWOOD, PA 19096
(610) 649-9662
1679561963 CHARLES ROBERT SCHLEIFER MD
Individual
Internal Medicine (Nephrology)100 E LANCASTER AVE SUITE 130 MEDICAL BUILDING WEST
WYNNEWOOD, PA 19096
(610) 649-1175
1659369874 CORINNE MCMASTER MORGAN MD
Individual
Internal Medicine (Nephrology)100 E LANCASTER AVE SUITE 130 MEDICAL BUILDING WEST
WYNNEWOOD, PA 19096
(610) 649-1175
1215927363 AILEEN J JASKO JOYCE CRNP
Individual
Nurse Practitioner (Family)100 E LANCASTER AVE SUITE 108
WYNNEWOOD, PA 19096
(610) 645-3400
1750372694ISADORE P FORMAN DPM LTD
Organization
Podiatrist100 E LANCASTER AVE STE 117
WYNNEWOOD, PA 19096
(610) 649-9662
1871584169 DAVID T HARRIS MD
Individual
Internal Medicine (Hematology & Oncology)100 E LANCASTER AVE SUITE 417
WYNNEWOOD, PA 19096
(610) 658-9690
1114900602 DINA MONZER YOUSEF ZAHRA MD
Individual
Radiology (Neuroradiology)100 E LANCASTER AVE DEPT OF RADIOLOGY
WYNNEWOOD, PA 19096
(610) 429-0693
1497734685 ILA M PETERSON M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-8013
1366421588 JOSEPH P HORSTMANN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)100 E LANCASTER AVE
WYNNEWOOD, PA 19096
(610) 645-2613

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
Robert I Schnall M.d. 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.