DR. CLIFFORD M. MYLES M.D.
NPI 1295727568
Anesthesiology in Columbia, TN
NPI Status: Active since August 22, 2005
Contact Information
725 S JAMES CAMPBELL BLVD
COLUMBIA, TN
ZIP 38401
Phone: (931) 381-3700
- Individual
- Male
- Anesthesiology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About CLIFFORD MYLES
This page provides the complete NPI Profile along with additional information for Clifford Myles, an anesthesiologist established in Columbia, Tennessee with a medical specialization in Anesthesiology. The healthcare provider is registered in the NPI registry with number 1295727568 assigned on August 2005. The practitioner's primary taxonomy code is 207L00000X with license number MD30260 (TN). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1295727568
- Provider Name
- DR. CLIFFORD M. MYLES M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 725 S JAMES CAMPBELL BLVD COLUMBIA, TN 38401
- Location Phone
- (931) 381-3700
- Mailing Address
- PO BOX 299 MANCHESTER, TN 37349
- Mailing Phone
- (931) 728-5607
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-22-2005
- Last Update Date
- 07-09-2007
- Code Navigator
An anesthesiologist like Clifford Myles 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.
Location Map
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.
- MD30260
- License State
- TN
- 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:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6539526003 | OTHER (01) | TN | CIGNA PLAN 110 |
| 3821161 | MEDICAID (05) | TN | |
| 1032043 | OTHER (01) | TN | AETNA HMO |
| 5252368 | OTHER (01) | TN | AETNA PPO |
| 3821161 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | MEDICARE |
| 2040326 | OTHER (01) | TN | UHC |
| 347672 | OTHER (01) | TN | HEALTH 123 |
| 3079171 | OTHER (01) | TN | B/S OF TN |
| 6539526004 | OTHER (01) | TN | CIGNA PLAN 139 |
| F25563 | MEDICARE UPIN (02) | TN |
Medicare Participation & PECOS Enrollment Status
Clifford Myles 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.
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
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for lens surgery
Anesthesia for retinal surgery
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
This service was performed 16 times for 16 patientsAnesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
This service was performed 25 times for 25 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Pre-operative OSA assessment | 100% | 229 |
| Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA) | ||
| Use of QCDR data for quality improvement such as comparative analysis reports across patient populations | Yes | N/A |
| Participation in a QCDR, clinical data registries, or other registries run by other government agencies such as FDA, or private entities such as a hospital or medical or surgical society. Activity must include use of QCDR data for quality improvement (e.g., comparative analysis across specific patient populations for adverse outcomes after an outpatient surgical procedure and corrective steps to address adverse outcome). | ||
| Use of QCDR for feedback reports that incorporate population health | Yes | N/A |
| Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations. | ||
| Use of QCDR to support clinical decision making | Yes | N/A |
| Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities. | ||
Reviews for DR. CLIFFORD M. MYLES M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1295727568, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
COLUMBIA, TN 38401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295727568, enumerated as an "individual" on August 22, 2005.
The provider is located at 725 S JAMES CAMPBELL BLVD COLUMBIA, TN 38401 and the phone number is (931) 381-3700.
Anesthesiology with taxonomy code 207L00000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna,. Please consult your insurance carrier or call the provider to verify.
