DR. RADHAKRISHNAN V. NAIR M.D. NPI 1336136480

Orthopaedic Surgery in Griffin, GA

NPI 1336136480 Individual Male Years of Experience 50 Orthopaedic Surgery PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About RADHAKRISHNAN NAIR

Radhakrishnan Nair is a provider established in Griffin, Georgia and his medical specialization is orthopaedic surgery with more than 50 years of experience. The NPI number of Radhakrishnan Nair is 1336136480 and was assigned on October 2005. The practitioner's primary taxonomy code is 207X00000X with license number 023485 (GA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

Radhakrishnan Nair is enrolled in PECOS and is eligible to order or refer healthcare 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

Radhakrishnan Nair 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 and the following quality measures were reported: colorectal cancer screening, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, e-prescribing, health information exchange exclusion, medication reconciliation, onc direct review attestation, patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, security risk analysis, use of high-risk medications in the elderly, use of high-risk medications in the elderly, view, download, or transmit (vdt) and weight assessment and counseling for nutrition and physical activity for children and adolescents. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1336136480

Provider NameDR. RADHAKRISHNAN V. NAIR M.D.
Provider Location Address670 S 8TH ST GRIFFIN, GA 30224
Provider Mailing Address670 S 8TH ST GRIFFIN, GA 30224
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1972
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-04-2005
Last Update Date09-06-2016


Primary Taxonomy

Taxonomy Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
License No.023485
License StateGA
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Business Address

DR. RADHAKRISHNAN V. NAIR M.D.
670 S 8TH ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 233-3444
Fax: (770) 233-9400

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Mailing Address

DR. RADHAKRISHNAN V. NAIR M.D.
670 S 8TH ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 233-3444
Fax: (770) 233-9400



Medicare Participation

Registered in PECOS? Yes 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 ID1052470648
PECOS Enrollment IDI20081112000063
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 DevicesYes

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.

  • 123Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 74Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 34X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 28X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. 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 Rate Number of Patients
Colorectal Cancer Screening 18% 615
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Medical Attention for Nephropathy 73% 33
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
Documentation of Current Medications in the Medical Record 97% 1606
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 55% 302
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 87% 810
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 1% 1230
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 3% 1230
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
314
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
314
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
View, Download, or Transmit (VDT) 2% 1230
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 96% 56
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported. - Percentage of patients with height, weight, and body mass index (BMI) percentile documentation - Percentage of patients with counseling for nutrition - Percentage of patients with counseling for physical activity

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003002619 DANIELLE N MILES PTA
Individual
Physical Therapy Assistant670 S 8TH ST
GRIFFIN, GA 30224
(770) 229-6498
1043494487MRS. MALAIKA DAVIS OTR/L
Individual
Occupational Therapist670 S 8TH ST
GRIFFIN, GA 30224
(770) 229-6498
1346492626 JENNIFER SCARBOROUGH SLADE PT
Individual
Physical Therapist670 S 8TH ST
GRIFFIN, GA 30224
(770) 229-6498
1871720532 SHANNON FUELLING M.A.
Individual
Speech-Language Pathologist670 S 8TH ST
GRIFFIN, GA 30224
(770) 229-6498
1598994774MRS. MELISSA BIRMINGHAM NOEL CCC-SLP
Individual
Speech-Language Pathologist670 S 8TH ST
GRIFFIN, GA 30224
(770) 229-6498
1467684050 CANDACE WASHINGTON OT
Individual
Occupational Therapist670 S 8TH ST
GRIFFIN, GA 30224
(770) 229-6498
1881933075ORTHOPAEDIC SOLUTIONS, P. C.
Organization
Orthopaedic Surgery670 S 8TH ST
GRIFFIN, GA 30224
(770) 233-3444

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
The code describing 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.