GERALD DOUGLAS MURPHY MD
NPI 1285639112
Anesthesiology in Dallas, TX


Quality Rating: 83.99 out of 100 score

NPI Status: Active since June 16, 2005

Contact Information

6606 LBJ FWY
SUITE 200
DALLAS, TX
ZIP 75240
Phone: (972) 715-5000
Fax: (972) 715-9976

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 35
  • Anesthesiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About GERALD MURPHY

Gerald Murphy is an anesthesiologist established in Dallas, Texas and his medical specialization is Anesthesiology with more than 35 years of experience. He graduated from University Of Texas Southwestern Medical School At Dallas in 1989. The healthcare provider is registered in the NPI registry with number 1285639112 assigned on June 2005. The practitioner's primary taxonomy code is 207L00000X with license number H8273 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1285639112
Provider Name
GERALD DOUGLAS MURPHY MD
Gender
Male
Entity Type
Individual
Location Address
6606 LBJ FWY SUITE 200 DALLAS, TX 75240
Location Phone
(972) 715-5000
Location Fax
(972) 715-9976
Mailing Address
PO BOX 840853 DALLAS, TX 75284
Mailing Phone
(972) 233-1999
Mailing Fax
(972) 715-9976
Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year
1989
Is Sole Proprietor?
No
Enumeration Date
06-16-2005
Last Update Date
04-27-2020
Code Navigator

An anesthesiologist like Gerald Murphy manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Gerald Murphy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 83.99, 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

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
H8273
License State
TX
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Insurance Plans Accepted

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

  • Baylor Scott and White Health Plan

    • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
    • BSW Elite Gold HMO 012 ($0 PCP unlimited visits) - HMO
    • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
    • BSW Prime Silver HMO 005 - HMO
    • BSW Savers Bronze HMO H S A 006 - HMO
    • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
    • Blue Advantage Gold HMO℠ 603 - HMO
    • Blue Advantage Gold HMO℠ 706 - HMO
    • Blue Advantage Plus Bronze℠ 303 - POS
    • Blue Advantage Plus Bronze℠ 305 - POS
    • Blue Advantage Plus Bronze℠ 707 - POS
    • Blue Advantage Plus Gold℠ 203 - POS
    • Blue Advantage Plus Gold℠ 706 - POS
    • Blue Advantage Plus Gold℠ 803 - POS
    • Blue Advantage Plus Silver℠ 202 - POS
    • Blue Advantage Plus Silver℠ 605 - POS
  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 250 - HMO
    • Silver 1 250 with Adult Vision Services - HMO
    • Silver 12 250 with First 4 Primary Care Visits Free - HMO
    • Silver 3 250 - HMO
    • Silver 8 250 - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic 4700 (Choice) - EPO
    • Bronze Classic Standard - EPO
    • Bronze Classic Standard (Choice) - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Elite + PCP Saver Plus (Choice) - EPO
    • Bronze Elite + Specialist Saver Plus - EPO
    • Gold Classic - EPO
    • Gold Classic (Choice) - EPO
    • Gold Classic Standard - EPO
    • Gold Classic Standard (Choice) - EPO
    • Gold Elite - EPO
    • Gold Elite (Choice) - EPO
    • Silver Classic - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Gerald Murphy 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: Durable Medical Equipment (DME) 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: 2466433347

    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: I20060131000850

    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? 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 to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • 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: 83.99 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: 81.16

    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: 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 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.

  • 59

    Anesthesia for procedure on large bowel using an endoscope (HCPCS:00811)

  • 18

    Anesthesia for diagnostic examination of large bowel using an endoscope (HCPCS:00812)

  • 18

    Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Gerald Murphy is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SMYTH COUNTY COMMUNITY HOSPITAL245 MEDICAL PARK DRIVE
MARION, VA 24354
(276) 378-1000Acute Care Hospitals
METHODIST HOSPITAL FOR SURGERY17101 DALLAS PARKWAY
ADDISON, TX 75001
(469) 248-3900Acute Care Hospitals

Reviews for GERALD DOUGLAS MURPHY MD

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.
1285639112
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651231812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 3 + 1 + 8 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1285639112 is valid because the calculated check digit 2 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
1194704635DR. HOANG D. NGUYEN M.D.
Individual
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1245203884DR. DAVE NIGEL NANAN MD
Individual
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1396783171 CAREY J. NELSON MD
Individual
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1356359855 MASAKO NISHIO MD
Individual
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1043526478MS. CHARMAINE P NAVARRO CRNA
Individual
Nurse Anesthetist, Certified Registered6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1063716371 MIRANDA NELSON CRNA
Individual
Nurse Anesthetist, Certified Registered6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1932470507MS. HALEY NAYLOR CRNA
Individual
Nurse Anesthetist, Certified Registered6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1457342297PINNACLE ANESTHESIA CONSULTANTS, PLLC
Organization
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1417933797DR. ROBERT PURNELL MD
Individual
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1225240799 KRISTEN AMLONG CRNA
Individual
Nurse Anesthetist, Certified Registered6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1770755621PINNACLE ANESTHESIA CONSULTANTS, PLLC
Organization
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1922271402PINNACLE ANESTHESIA CONSULTANTS, PLLC
Organization
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1396903738 JASON J. PARK MD
Individual
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5028
1124265293DR. FEDERICO G OSORIO M.D.
Individual
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1811138001DR. ROBERT ALEXANDER JACOBS D.O.
Individual
Anesthesiology6606 LBJ FWY STE 200
DALLAS, TX 75240
(972) 715-5000
1376786707DR. AARON EMMANUEL WOLFE MD
Individual
Anesthesiology6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1356679666PINNACLE ANESTHESIA CONSULTANTS PLLC
Organization
Anesthesiology6606 LBJ FWY SUITE 210
DALLAS, TX 75240
(972) 715-5000
1114272077 SHANA NACOLE RUEGG CRNA
Individual
Nurse Anesthetist, Certified Registered6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1316291545 KANDACE NEWSOME O'TOOLE CRNA
Individual
Nurse Anesthetist, Certified Registered6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000
1851633960 LAWAL ONIKE CRNA
Individual
Nurse Anesthetist, Certified Registered6606 LBJ FWY SUITE 200
DALLAS, TX 75240
(972) 715-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285639112, enumerated in the NPI registry as an "individual" on June 16, 2005

The provider is located at 6606 Lbj Fwy Suite 200 Dallas, Tx 75240 and the phone number is (972) 715-5000

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 35 years of experience. He graduated from University Of Texas Southwestern Medical School At Dallas in 1989.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 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: Durable Medical Equipment (DME) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

The most common procedures or services performed by this practitioner are: Anesthesia for procedure on large bowel using an endoscope, Anesthesia for diagnostic examination of large bowel using an endoscope and Insertion of arterial catheter for blood sampling or infusion, accessed through the skin.

The practitioner is affiliated to the following hospital(s): SMYTH COUNTY COMMUNITY HOSPITAL and METHODIST HOSPITAL FOR SURGERY. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 16, 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.