RANDALL W ARMSTRONG M.D. NPI 1326063389
Specialist in Sacramento, CA
About RANDALL W ARMSTRONG M.D.
Randall Armstrong is a provider established in Sacramento, California and his medical specialization is Specialist with more than 40 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1983. The NPI number of this provider is 1326063389 and was assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number G53496 (CA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1326063389 |
| Provider Name | RANDALL W ARMSTRONG M.D. |
| Location Address | 3195 FOLSOM BLVD SACRAMENTO, CA 95816 |
| Location Phone | (916) 853-0460 |
| Mailing Address | 11251 COLOMA RD STE J GOLD RIVER, CA 95670 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 07-12-2006 |
| Last Update Date | 07-09-2007 |
Randall Armstrong 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.
Randall Armstrong 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 Sutter Amador 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 60, 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
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.
| Taxonomy Code | 174400000X |
| Classification | Specialist |
| Type | Other Service Providers |
| License No. | G53496 |
| License State | CA |
| Taxonomy Description | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
3195 FOLSOM BLVD
SACRAMENTO, CA
ZIP 95816
Phone: (916) 853-0460
Fax: (916) 853-0464
Mailing Address
11251 COLOMA RD
STE J
GOLD RIVER, CA
ZIP 95670
Phone: (916) 853-0460
Fax: (916) 853-0464
Location Map
PECOS Enrollment and Medicare Participation Status
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 ID | 1850396185 |
| PECOS Enrollment ID | I20060920000301 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / 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 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% | N/A | |
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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. |
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| Promoting Interoperability (PI) | 25% | 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. |
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| Improvement Activities | 15% | N/A | |
|
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. |
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| Cost | 20% | N/A | |
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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. |
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| MIPS Final Score | - | 60 | |
| 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.
- 306Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
- 245Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
- 128Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
- 79Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
- 17Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
- 12Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)
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. Randall Armstrong is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| SUTTER AMADOR HOSPITAL | 200 MISSION BLVD JACKSON, CA 95642 | (209) 223-7500 | Acute Care Hospitals | 50014 |
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 |
|---|---|---|
| A52535 | MEDICARE UPIN (02) | CA |
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. | |||||||||
| 1 | 3 | 2 | 6 | 0 | 6 | 3 | 3 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 0 | 6 | 6 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 0 + 6 + 6 + 3 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1326063389 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548487622 | DR. ELMA F ABELLA M.D. Individual | Radiology (Nuclear Radiology) | 3195 FOLSOM BLVD SACRAMENTO, CA 95816 (916) 737-3211 |
| 1275705832 | SACRAMENTO DIAGNOSTICS LLC Organization | Specialist | 3195 FOLSOM BLVD SACRAMENTO, CA 95816 (916) 353-2270 |
| 1457754509 | MEDICAL INSIGHTS DIAGNOSTIC CENTERS CONCORD PROFESSIONAL CORPORATION Organization | Specialist | 3195 FOLSOM BLVD SACRAMENTO, CA 95816 (916) 737-3211 |
| 1992754741 | NORTHERN CALIFORNIA PET IMAGING CENTER Organization | Nuclear Medicine | 3195 FOLSOM BLVD SACRAMENTO, CA 95816 (916) 737-3211 |
Frequently Asked Questions
What is Randall Armstrong M.D. NPI number?
The NPI number assigned to this healthcare provider is 1326063389, registered as an "individual" on July 12, 2006
Where is Randall Armstrong M.D. located?
The provider is located at 3195 Folsom Blvd Sacramento, Ca 95816 and the phone number is (916) 853-0460
Which is Randall Armstrong M.D. specialty?
The provider's speciality is Specialist
How many years of experience does Randall Armstrong M.D. have?
The provider has more than 40 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1983.
What insurance does Randall Armstrong M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Randall Armstrong M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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 are some of the services provided by Randall Armstrong M.D.?
The most common procedures or services performed by this practitioner are: Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes, Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, Injections of lower or sacral spine facet joint using imaging guidance, Injections of lower or sacral spine facet joint using imaging guidance, Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance and Injection procedure into sacroiliac joint for anesthetic or steroid.
Is Randall Armstrong M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: SUTTER AMADOR HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Randall Armstrong M.D. was last updated on July 12, 2006. 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]
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