DR. ROBERT FRASER ALLUM DO
NPI 1407826613
Family Medicine in East Jordan, MI
Quality Rating: 98.53 out of 100 score
NPI Status: Active since January 23, 2006
Contact Information
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
Phone: (231) 536-2206
Fax: (231) 536-9864
- Individual
- Male
- Years of Experience 30
- Family Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROBERT ALLUM
This page provides the complete NPI Profile along with additional information for Robert Allum, a primary care provider established in East Jordan, Michigan with a medical specialization in Family Medicine and more than 30 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 1996. The healthcare provider is registered in the NPI registry with number 1407826613 assigned on January 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 5101013670 (MI). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1407826613
- Provider Name
- DR. ROBERT FRASER ALLUM DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 601 BRIDGE ST EAST JORDAN, MI 49727
- Location Phone
- (231) 536-2206
- Location Fax
- (231) 536-9864
- Mailing Address
- 601 BRIDGE ST EAST JORDAN, MI 49727
- Mailing Phone
- (231) 536-2206
- Mailing Fax
- (231) 536-9864
- Medical School Name
- MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
- Graduation Year
- 1996
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-23-2006
- Last Update Date
- 08-31-2012
- Code Navigator
A primary care provider (PCP) like Robert Allum sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101013670
- License State
- MI
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze - HMO
- University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
- University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Select - HMO
- University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
- University of Michigan Health Plan HMO Exclusive Silver - HMO
- University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
- University of Michigan Health Plan HMO Exclusive Silver Standard - HMO
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 |
|---|---|---|---|
| Z59616 | MEDICARE UPIN (02) | ||
| OM75730 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | |
| 409309011 | MEDICAID (05) | MI |
Medicare Participation & PECOS Enrollment Status
Robert Allum is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Robert Allum 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
PECOS PAC ID: 8426118944
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20081113000479
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
8 DME suppliers used 25 Medicare Claims 111 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.11 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 49727 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.53, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.
-
Final Score: 98.53 out of 100
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 Score: 80.8
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 Score: 100
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 Score: 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 activities measure category compromises 15% providers final MPIS scores.
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 Score: 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. -
Cost Score: 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Robert Allum is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MCLAREN CENTRAL MICHIGAN | 1221 SOUTH DRIVE MOUNT PLEASANT, MI 48858 | (989) 772-6700 | Acute Care Hospitals | |
| MCLAREN NORTHERN MICHIGAN | 416 CONNABLE AVE PETOSKEY, MI 49770 | (231) 487-4000 | Acute Care Hospitals | |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | 825 N CENTER AVE GAYLORD, MI 49735 | (989) 731-2100 | Acute Care Hospitals | |
| MACKINAC STRAITS HOSPITAL AND HEALTH CENTER | 1140 N STATE STREET SAINT IGNACE, MI 49781 | (906) 643-8585 | Critical Access Hospitals | |
| CHARLEVOIX AREA HOSPITAL | 14700 LAKESHORE DRIVE CHARLEVOIX, MI 49720 | (231) 547-4024 | Critical Access Hospitals |
Reviews for DR. ROBERT FRASER ALLUM DO
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 4 | 0 | 7 | 8 | 2 | 6 | 6 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 16 | 2 | 12 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 6 + 2 + 1 + 2 + 6 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1407826613 is valid because the calculated check digit 3 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.
MITCHELL CAREY
Family Medicine
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
MS. STACEY JOANNA CHIPMAN LPC
Counselor
(Professional)
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
MR. SAMUEL G DYSTE P.A.
Physician Assistant
(Medical)
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
EAST JORDAN FAMILY HEALTH CENTER, INC
Clinic/Center
(Primary Care)
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
EAST JORDAN FAMILY HEALTH CENTER
Clinic/Center
(Federally Qualified Health Center (FQHC))
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
DR. WILLIAM R. WEBB MD
Family Medicine
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
EAST JORDAN FAMILY HEALTH CENTER
Pharmacy
(Community/Retail Pharmacy)
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
MR. RYAN P MCCONNELL DO
Family Medicine
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
DR. JESSE LEIGH HAINES PHARMD
Pharmacist
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
MELISSA SUE CRONIN LLMSW
Social Worker
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
DETROIT BIO MEDICAL LABORATORIES,INC
Clinical Medical Laboratory
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
MISS LEAH BLACKTOP
Social Worker
(Clinical)
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
DR. SHAWN M PERTUNEN DO
Family Medicine
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
MR. JOHN DAVID WALLACE PA-C
Physician Assistant
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
JOELLE WOODRUFF
Nurse Practitioner
(Family)
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
MOLLY ZUBAL
Nurse Practitioner
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
JESSIE RYPKOWSKI LLMSW
Social Worker
(Clinical)
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
JENNIFER SAMPSON MSN, RN, FNP-BC
Nurse Practitioner
(Family)
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
COURTNEY BRINKMAN NP-C
Nurse Practitioner
(Family)
601 BRIDGE ST
EAST JORDAN, MI
ZIP 49727
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407826613, enumerated as an "individual" on January 23, 2006.
The provider is located at 601 BRIDGE ST EAST JORDAN, MI 49727 and the phone number is (231) 536-2206.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
Robert Allum is affiliated with: MCLAREN CENTRAL MICHIGAN, MCLAREN NORTHERN MICHIGAN, MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL, MACKINAC STRAITS HOSPITAL AND HEALTH CENTER and CHARLEVOIX AREA HOSPITAL.
