DR. ROGER C. DROWN DPM NPI 1326374414
Podiatrist - Foot & Ankle Surgery in Atlantic, IA

Individual Male Years of Experience 14 Podiatrist Foot & Ankle Surgery PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 96

About DR. ROGER C. DROWN DPM

Roger Drown is a provider established in Atlantic, Iowa and his medical specialization is Podiatrist with a focus in foot & ankle surgery with more than 14 years of experience. The NPI number of Roger Drown is 1326374414 and was assigned on October 2009. The practitioner's primary taxonomy code is 213ES0103X with license number 000827 (IA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1326374414
Provider NameDR. ROGER C. DROWN DPM
Provider Location Address1501 E 10TH ST ATLANTIC, IA 50022
Provider Mailing Address1501 E 10TH ST ATLANTIC, IA 50022
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?No
Enumeration Date10-23-2009
Last Update Date07-15-2015

Roger Drown 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) and a Home Health Agency (HHA).

Roger Drown 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 Cass County Memorial 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 96, 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 Code213ES0103X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot & Ankle Surgery
License No.000827
License StateIA

Business Address

DR. ROGER C. DROWN DPM
1501 E 10TH ST
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-3250
Fax: (712) 243-7587

Get Directions


Mailing Address

DR. ROGER C. DROWN DPM
1501 E 10TH ST
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-3250
Fax: (712) 243-7587


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
PECOS PAC ID7012169774
PECOS Enrollment IDI20121204000519
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

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% 76.9
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 - 96
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.

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. Roger Drown is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CASS COUNTY MEMORIAL HOSPITAL1501 EAST TENTH STREET
ATLANTIC, IA 50022
(712) 243-3250Critical Access Hospitals161376

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
1912278490OTHER (01)IAWELLMARK BCBS
P01144523OTHER (01)IARR MEDICARE
1912278490MEDICAID (05)IA
IB2440002MEDICARE PIN (08)IA

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.
1326374414
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
234667842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 6 + 7 + 8 + 4 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1326374414 is valid because the calculated check digit 4 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
1598730954DR. JEFFREY MICHAEL GOERGEN O.D.
Individual
Optometrist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7540
1093770083 CHAD L MCCANCE MD
Individual
Surgery1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7535
1699874685 ELEANOR J GREENWALL ARNP
Individual
Nurse Practitioner1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1700943719MS. EMILY H KRENGEL R.D.,L.D.
Individual
Dietitian, Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1538280102DR. MARK DAVID MARKHAM D.D.S.
Individual
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1437363058DR. SHAWN RAY PETERSEN D.D.S
Individual
Dentist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1669659108MARK D. MARKHAM, DDS, PLC.
Organization
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1407184518MRS. RACHEL JEAN HANSEN MS,OTR/L
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1649567991 BRENT F GOODRICH CRNA
Individual
Nurse Anesthetist, Certified Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1548423726DR. BRIAN SCOTT FIEDLER D.O.
Individual
Family Medicine1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1073937389 JORDAN MCPHERON DPT
Individual
Physical Therapist1501 E 10TH ST REHABILITATION SERVICES
ATLANTIC, IA 50022
(712) 243-7564
1689081135 LANA FRAIN
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1386045839 TAMARA BIRELINE
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7590
1760581730 TRESSA A WILCOX M.D.
Individual
Family Medicine1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1952769911 DANIEL P VOGEL DPT
Individual
Physical Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7564
1144307810 SUZANNE M BEITZEL ARNP
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1083160030 ALYSSA ROGERS OTR
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1932416724 ANDREW JOHN NIEMANN ATC
Individual
Specialist/Technologist (Athletic Trainer)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 249-7598
1093760944CASS COUNTY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1134143696CASS COUNTY MEMORIAL HOSPITAL
Organization
Medicare Defined Swing Bed Unit1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250

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. Roger C. Drown Dpm 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.