MS. JAMIE N DOUGLAS PA-C NPI 1417924317

Physician Assistant in Tampa, FL

NPI 1417924317 Individual Female Years of Experience 21 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 96 Medicare Quality Reporting

About JAMIE DOUGLAS

Jamie Douglas is a primary care provider established in Tampa, Florida and her medical specialization is physician assistant with more than 21 years of experience. The NPI number of Jamie Douglas is 1417924317 and was assigned on March 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA9103311 (FL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

A primary care provider (PCP) like Ms. Jamie N Douglas Pa-c 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

Jamie Douglas 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

Jamie Douglas 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 she has hospital affiliations with Tampa General 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. The following quality measures were reported for this provider: colorectal cancer screening and preventive care and screening: body mass index (bmi) screening and follow-up plan.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $18.26 for an established patient copayment.

NPI

1417924317

Provider NameMS. JAMIE N DOUGLAS PA-C
Provider Location Address4 COLUMBIA DR STE 730 TAMPA, FL 33606
Provider Mailing AddressPO BOX 917770 ORLANDO, FL 32891
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-01-2006
Last Update Date01-11-2008


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA9103311
License StateFL
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

MS. JAMIE N DOUGLAS PA-C
4 COLUMBIA DR
STE 730
TAMPA, FL
ZIP 33606
Phone: (813) 259-0600

Get Directions


Mailing Address

MS. JAMIE N DOUGLAS PA-C
PO BOX 917770
ORLANDO, FL
ZIP 32891
Phone:



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 ID8820029309
PECOS Enrollment IDI20050824000654
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 33606 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.4 $178.79 $90.24
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.6 $44.69 $22.56
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.74 $145.28 $73.05
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $36.32 $18.26

* The physician office visit costs information is obtained by Medicare's 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 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.

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 100% 73
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 35% 146
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

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.

  • 93Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

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. Jamie Douglas is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
TAMPA GENERAL HOSPITAL1 TAMPA GENERAL CIR
TAMPA, FL 33606
(813) 844-7000Acute Care Hospitals100128

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
P84475MEDICARE UPIN (02)FL
U5432YMEDICARE PIN (08)FL

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720061344DR. CYNTHIA A MAYER DO
Individual
Internal Medicine (Infectious Disease)4 COLUMBIA DR SUITE 820
TAMPA, FL 33606
(813) 251-8444
1558344184 LINDELL A. BUSCIGLIO M.D.
Individual
Internal Medicine (Infectious Disease)4 COLUMBIA DR SUITE 820
TAMPA, FL 33606
(813) 251-8444
1396728911 SCOTT S. UBILLOS M.D.
Individual
Internal Medicine (Infectious Disease)4 COLUMBIA DR SUITE 820
TAMPA, FL 33606
(813) 251-8444
1558474643 J KELL WILLIAMS MD
Individual
Obstetrics & Gynecology4 COLUMBIA DR SUITE 529
TAMPA, FL 33606
(813) 259-8500
1174624548 LYNNETTE C SANDROCK CNM ARNP
Individual
Advanced Practice Midwife4 COLUMBIA DR SUITE 240
TAMPA, FL 33606
(813) 258-3309
1033321195DR. ABBIGAIL JEAN CHANDLER MD
Individual
Internal Medicine (Infectious Disease)4 COLUMBIA DR SUITE 820
TAMPA, FL 33606
(813) 251-8444
1376720128MELROSE WOMENS CARE
Organization
Obstetrics & Gynecology (Gynecology)4 COLUMBIA DR STE 440
TAMPA, FL 33606
(813) 569-0740
1174779573 LAUREN L VOSE ARNP
Individual
Advanced Practice Midwife4 COLUMBIA DR SUITE 240
TAMPA, FL 33606
(813) 258-3309
1801849617 SHAYNE PLOSKER MD
Individual
Obstetrics & Gynecology4 COLUMBIA DR
TAMPA, FL 33606
(813) 259-8500
1467545194FLORIDA ADVANCED CARDIOTHORACIC SURGERY, PL
Organization
Transplant Surgery4 COLUMBIA DR 210
TAMPA, FL 33606
(813) 844-3228

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.