DR. STEVEN JAMES WRIGHT D.O. NPI 1275773640

Otolaryngology (Facial Plastic Surgery) in Woodland, CA

NPI 1275773640 Individual Male Otolaryngology Facial Plastic Surgery PECOS Enrolled MIPS Quality Score 92.3

NPI Profile for DR. STEVEN JAMES WRIGHT D.O.

Steven Wright is a provider established in Woodland, California and his medical specialization is otolaryngology (facial plastic surgery) . The NPI number of Steven Wright is 1275773640 and was assigned on February 2009. The practitioner's primary taxonomy code is 207YS0123X with license number 5101016933 (MI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

Steven Wright 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..

Steven Wright is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.3, 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.

NPI

1275773640

Provider NameDR. STEVEN JAMES WRIGHT D.O.
Provider Location Address1321 COTTONWOOD ST WOODLAND, CA 95695
Provider Mailing Address3400 DATA DR RANCHO CORDOVA, CA 95670
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-25-2009
Last Update Date06-28-2018


Primary Taxonomy

Taxonomy Code207YS0123X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
SpecializationFacial Plastic Surgery
License No.5101016933
License StateMI
Taxonomy DescriptionAn otolaryngologist who specializes in facial plastic surgery.

Business Address

DR. STEVEN JAMES WRIGHT D.O.
1321 COTTONWOOD ST
WOODLAND, CA
ZIP 95695
Phone: (530) 668-2600
Fax: (530) 662-7330

Get Directions


Mailing Address

DR. STEVEN JAMES WRIGHT D.O.
3400 DATA DR
RANCHO CORDOVA, CA
ZIP 95670
Phone: (916) 379-2861



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
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

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% 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 (PI) 25% 62.7
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 - 92.3
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.

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.

  • 85Removal of impact ear wax, one ear (HCPCS:69210)
  • 22Eardrum testing using ear probe (HCPCS:92567)
  • 13Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)

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 Identifier Issuer
ZZZ13240ZOTHER (01)CAPTAN
FN951ZOTHER (01)CAPTA

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1275773640
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145147668
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 4 + 7 + 6 + 6 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1275773640 is valid because the calculated check digit 0 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
1528098100DR. ROBERT M CRAVEN M.D.
Individual
Urology1321 COTTONWOOD ST SUITE 302
WOODLAND, CA 95695
(530) 666-1631
1356367759DR. DOMINIC M ERBA M.D.
Individual
Surgery1321 COTTONWOOD ST SUITE 203
WOODLAND, CA 95695
(530) 666-1631
1710903125DR. HENRY Y MOK M.D.
Individual
Internal Medicine (Gastroenterology)1321 COTTONWOOD ST SUITE 203
WOODLAND, CA 95695
(530) 666-1631
1922028141DR. DOUGLAS B LURIE M.D.
Individual
Surgery1321 COTTONWOOD ST SUITE 203
WOODLAND, CA 95695
(530) 666-1631
1578640918DR. MATTHEW B ZAVOD M.D.
Individual
Otolaryngology1321 COTTONWOOD ST SUITE 205
WOODLAND, CA 95695
(530) 666-1631
1396928362DR. NATASHA DINKER BIR MD, MHS
Individual
Surgery1321 COTTONWOOD ST
WOODLAND, CA 95695
(530) 668-2600
1265629828 GURPREET SINGH MD
Individual
Internal Medicine (Gastroenterology)1321 COTTONWOOD ST
WOODLAND, CA 95695
(530) 662-3961
1194741595DR. JASON L UMPHRESS M.D.
Individual
Internal Medicine (Gastroenterology)1321 COTTONWOOD ST SUITE 203
WOODLAND, CA 95695
(530) 666-1631
1265608186DR. BRANT JOSEPH LUTSI M.D.
Individual
Internal Medicine (Gastroenterology)1321 COTTONWOOD ST SUITE 203
WOODLAND, CA 95695
(530) 668-2600
1265621197DR. MY-LE TO D.O.
Individual
Obstetrics & Gynecology1321 COTTONWOOD ST
WOODLAND, CA 95695
(530) 668-2605
1124048764MS. LINDA A JOHNSON NP
Individual
Nurse Practitioner (Obstetrics & Gynecology)1321 COTTONWOOD ST
WOODLAND, CA 95695
(530) 668-2600
1174545370DR. JOAHNNA A PADILLA MD
Individual
Obstetrics & Gynecology1321 COTTONWOOD ST
WOODLAND, CA 95695
(530) 666-1631
1841590726 VERENISSE BEJARANO PA
Individual
Physician Assistant1321 COTTONWOOD ST
WOODLAND, CA 95695
(530) 668-2600
1528383833DR. AKBAR KHAN D.O.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)1321 COTTONWOOD ST
WOODLAND, CA 95695
(530) 668-2600
1417105602 RIAZ ALI SHAH MD
Individual
Surgery1321 COTTONWOOD ST SUITE 203
WOODLAND, CA 95695
(530) 668-2600
1205856937DR. CRAIGHTON CHIN M.D.
Individual
Otolaryngology1321 COTTONWOOD ST SUITE 205
WOODLAND, CA 95695
(530) 668-2600
1043248818DR. JACK DALE SMITH M.D.
Individual
Urology1321 COTTONWOOD ST SUITE 302
WOODLAND, CA 95695
(530) 666-1631
1144253352 JOYCE ANN LOEFFLER MD
Individual
Urology1321 COTTONWOOD ST 3RD FLOOR
WOODLAND, CA 95695
(530) 668-2600
1508886755DR. THOMAS J MAGRINO M.D.
Individual
Colon & Rectal Surgery1321 COTTONWOOD ST SUITE 203
WOODLAND, CA 95695
(530) 666-1631
1689908683DR. KAREN PAK AU.D.
Individual
Audiologist1321 COTTONWOOD ST SUITE 205
WOODLAND, CA 95695
(530) 668-2600

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
Dr. Steven James Wright D.o. 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.