JERALD FLOYD JAMES MS NPI 1285702472
Audiologist in New Orleans, LA

Individual Male Years of Experience 14 Audiologist Accepts Medicare Approved Payment MIPS Quality Score 90.3

About JERALD FLOYD JAMES MS

Jerald James is a provider established in New Orleans, Louisiana and his medical specialization is Audiologist with more than 14 years of experience. The NPI number of Jerald James is 1285702472 and was assigned on December 2006. The practitioner's primary taxonomy code is 231H00000X with license number 4168 (LA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1285702472
Provider Name JERALD FLOYD JAMES MS
Provider Location Address1900 GRAVIER ST 9TH FLOOR NEW ORLEANS, LA 70112
Provider Mailing AddressPO BOX 62600 DEPT 1268 NEW ORLEANS, LA 70162
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?No
Enumeration Date12-04-2006
Last Update Date07-08-2007

Jerald James 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.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.3, 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.



Primary Taxonomy

Taxonomy Code231H00000X
ClassificationAudiologist
TypeSpeech, Language and Hearing Service Providers
License No.4168
License StateLA
Taxonomy Description(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Business Address

JERALD FLOYD JAMES MS
1900 GRAVIER ST
9TH FLOOR
NEW ORLEANS, LA
ZIP 70112
Phone: (504) 568-4250
Fax: (504) 568-4249

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Mailing Address

JERALD FLOYD JAMES MS
PO BOX 62600
DEPT 1268
NEW ORLEANS, LA
ZIP 70162
Phone: (504) 568-4250
Fax: (504) 568-4249


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.

PECOS PAC ID3779723945
PECOS Enrollment IDI20130711000415
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.

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% 58
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% 76.1
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 - 90.3
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.

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.
1285702472
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651404414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 0 + 4 + 4 + 1 + 4 + 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 1285702472 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
1386717569 DONNA BROUSSARD
Individual
Counselor1900 GRAVIER ST 6TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1588737803LSU MEDICAL CENTER
Organization
Speech-Language Pathologist1900 GRAVIER ST
NEW ORLEANS, LA 70112
(504) 568-4250
1073681763 SYLVIA DAVIS PHD
Individual
Speech-Language Pathologist1900 GRAVIER ST 9TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1720156425 MICHELLE ROELING WILLIS
Individual
Speech-Language Pathologist1900 GRAVIER ST 9TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1033287735 THERESA NICHOLLS
Individual
Speech-Language Pathologist1900 GRAVIER ST 9TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1780752485 SCOTT S RUBIN PHD
Individual
Speech-Language Pathologist1900 GRAVIER ST 9TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1790853406 ALOMA REED LYKES MCD, CCC-SLP
Individual
Speech-Language Pathologist1900 GRAVIER ST 9TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1619045812 ROBERT TURNER PHD
Individual
Audiologist1900 GRAVIER ST 9TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1811065048 TIMOTHY KIRK NELSON MPT
Individual
Physical Therapist1900 GRAVIER ST 7TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1679641856 TAMMY H CRABTREE
Individual
Audiologist1900 GRAVIER ST 9TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1356419576 KELLY LANDRY ALIG
Individual
Occupational Therapist1900 GRAVIER ST 8TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1649348822 JERRY CRANFORD PHD
Individual
Audiologist1900 GRAVIER ST 9TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1942378153 DIANE SAMSON WILENSKY
Individual
Audiologist1900 GRAVIER ST 9TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4250
1013197599 SUSAN PANCAMO
Individual
Speech-Language Pathologist1900 GRAVIER ST ROOM 6B21
NEW ORLEANS, LA 70112
(504) 568-4250
1417135237LSU MEDICAL CENTER CLINICS
Organization
Clinic/Center (Developmental Disabilities)1900 GRAVIER ST ROOM 6B21
NEW ORLEANS, LA 70112
(504) 568-4250
1831366459LSU MEDICAL CENTER CLINICS
Organization
Clinic/Center (Rehabilitation)1900 GRAVIER ST BILLING OFFICE - 6TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4048
1952608150 JEFFREY ALAN THOMPSON DPT
Individual
Physical Therapist (Orthopedic)1900 GRAVIER ST 7TH FLOOR
NEW ORLEANS, LA 70112
(504) 568-4042
1700158540DR. GEORGE WALTER HEBERT PH.D.
Individual
Psychologist (School)1900 GRAVIER ST
NEW ORLEANS, LA 70112
(504) 556-7566
1649514084 NOELLE G MOREAU PHD
Individual
Physical Therapist (Pediatrics)1900 GRAVIER ST 7TH FL
NEW ORLEANS, LA 70112
(504) 568-4291
1003254616DR. DEMETRIUS JAMES PORCHE RN, APRN
Individual
Nurse Practitioner (Family)1900 GRAVIER ST
NEW ORLEANS, LA 70112
(504) 568-4106

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
Jerald Floyd James Ms 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.