DR. RADHAKRISHNAN V. NAIR M.D. NPI 1336136480
Orthopaedic Surgery in Griffin, GA
About DR. RADHAKRISHNAN V. NAIR M.D.
Radhakrishnan Nair is a provider established in Griffin, Georgia and his medical specialization is Orthopaedic Surgery. The NPI number of this provider 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 7 years ago.
| NPI | 1336136480 |
| Provider Name | DR. RADHAKRISHNAN V. NAIR M.D. |
| Location Address | 670 S 8TH ST GRIFFIN, GA 30224 |
| Location Phone | (770) 233-3444 |
| Mailing Address | 670 S 8TH ST GRIFFIN, GA 30224 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 10-04-2005 |
| Last Update Date | 09-06-2016 |
Radhakrishnan Nair 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.7, 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. The following quality measures were reported for this provider: colorectal cancer screening, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, e-prescribing, medication reconciliation, patient-specific education, 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 and use of high-risk medications in the elderly.
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 | 207X00000X |
| Classification | Orthopaedic Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 023485 |
| License State | GA |
| Taxonomy Description | An 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
670 S 8TH ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 233-3444
Fax: (770) 233-9400
Mailing Address
670 S 8TH ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 233-3444
Fax: (770) 233-9400
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 |
| 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% | 100 | |
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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% | 85.6 | |
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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% | 40 | |
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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 | - | 95.7 | |
| 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. | |||
Quality Reporting
The following quality measures meet 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 | 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 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| 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. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| 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 | ||
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)
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 | 3 | 6 | 1 | 3 | 6 | 4 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 3 | 12 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 3 + 1 + 2 + 4 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336136480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
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 Assistant | 670 S 8TH ST GRIFFIN, GA 30224 (770) 229-6498 |
| 1043494487 | MRS. MALAIKA DAVIS OTR/L Individual | Occupational Therapist | 670 S 8TH ST GRIFFIN, GA 30224 (770) 229-6498 |
| 1346492626 | JENNIFER SCARBOROUGH SLADE PT Individual | Physical Therapist | 670 S 8TH ST GRIFFIN, GA 30224 (770) 229-6498 |
| 1871720532 | SHANNON FUELLING M.A. Individual | Speech-Language Pathologist | 670 S 8TH ST GRIFFIN, GA 30224 (770) 229-6498 |
| 1598994774 | MRS. MELISSA BIRMINGHAM NOEL CCC-SLP Individual | Speech-Language Pathologist | 670 S 8TH ST GRIFFIN, GA 30224 (770) 229-6498 |
| 1467684050 | CANDACE WASHINGTON OT Individual | Occupational Therapist | 670 S 8TH ST GRIFFIN, GA 30224 (770) 229-6498 |
| 1881933075 | ORTHOPAEDIC SOLUTIONS, P. C. Organization | Orthopaedic Surgery | 670 S 8TH ST GRIFFIN, GA 30224 (770) 233-3444 |
Frequently Asked Questions
What is Dr. Radhakrishnan Nair M.D. NPI number?
The NPI number assigned to this healthcare provider is 1336136480, registered as an "individual" on October 04, 2005
Where is Dr. Radhakrishnan Nair M.D. located?
The provider is located at 670 S 8th St Griffin, Ga 30224 and the phone number is (770) 233-3444
Which is Dr. Radhakrishnan Nair M.D. specialty?
The provider's speciality is Orthopaedic Surgery
Is Dr. Radhakrishnan Nair M.D. registered in PECOS?
Yes, as of March 13, 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 Dr. Radhakrishnan Nair M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
How much is a visit to Dr. Radhakrishnan Nair M.D.?
Medicare beneficiaries should expect a typical cost of $85.45 with an average copayment of $21.36 for new patient appointments. Established patients should expect a typical charge of $69.44 and an average copayment of 17.36. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Radhakrishnan Nair M.D.?
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of large joint or joint capsule, Injection, methylprednisolone acetate, 40 mg, X-ray of shoulder, minimum of 2 views and X-ray of ribs of one side of body, minimum of 2 views.
How do I update my NPI information?
The NPI record of Dr. Radhakrishnan Nair M.D. was last updated on October 04, 2005. 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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