ANDREA MARIE JACKSON DPT NPI 1447787031

Physical Therapist in Marion, IL

NPI 1447787031 Individual Female Physical Therapist MIPS Quality Score 100

About ANDREA JACKSON

Andrea Jackson is a provider established in Marion, Illinois and her medical specialization is physical therapist. The NPI number of Andrea Jackson is 1447787031 and was assigned on May 2017. The practitioner's primary taxonomy code is 225100000X with license number 070019734 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.

Andrea Jackson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, 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.

NPI

1447787031

Provider Name ANDREA MARIE JACKSON DPT
Provider Location Address2907 WILLIAMSON COUNTY PKWY MARION, IL 62959
Provider Mailing Address3801 S WATER TOWER PL APT 215 MOUNT VERNON, IL 62864
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-15-2017
Last Update Date05-15-2017


Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.070019734
License StateIL
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

ANDREA MARIE JACKSON DPT
2907 WILLIAMSON COUNTY PKWY
MARION, IL
ZIP 62959
Phone: (618) 998-9894

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Mailing Address

ANDREA MARIE JACKSON DPT
3801 S WATER TOWER PL APT 215
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 918-1226



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% N/A
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 - 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.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548268774PROFESSIONAL THERAPEUTIC GROUP, LLC
Organization
Physical Therapist2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1689673410MRS. HOLLY ROXANNE RUSSELL DPT
Individual
Physical Therapist2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1740390517MRS. NATALIE JO VAUGHN COTA/L
Individual
Occupational Therapy Assistant2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1164501656MRS. MISTY DAWN QUINT MS CCC SLP
Individual
Speech-Language Pathologist2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 993-5042
1487716874MRS. NICOL RUTH HIMELICK PTA
Individual
Physical Therapy Assistant2907 WILLIAMSON COUNTY PKWY
MARRION, IL 62959
(618) 998-9894
1215070859 HEATHER KING MS CCC-SLP
Individual
Speech-Language Pathologist2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1205952363 THOMAS ALLEN CLAY P.T.A
Individual
Physical Therapy Assistant2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1336343466 BRIANNA HOWELL COTAL
Individual
Occupational Therapy Assistant2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1144416736JOYNER THERAPY SERVICES
Organization
Clinic/Center (Physical Therapy)2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1609065291 ROBERT WAYNE ROBINSON PT
Individual
Physical Therapist2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1780848028MS. MAEGAN LEA WILBANKS COTA/L
Individual
Community Health Worker2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1336304807 SAMANTHA KAY LAMKE PTA
Individual
Community Health Worker2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1205068814 KASSI LEE HANCOCK
Individual
Physical Therapy Assistant2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1790019057MR. STEVEN RAY WRIGHT PT
Individual
Physical Therapist2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1568790822MRS. VALERIE ARLENE WHEELER MASSAGE THERAPIST
Individual
Massage Therapist2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 683-2728
1811225881MISS TRACEY LYNN HOTZE AAS
Individual
Physical Therapy Assistant2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1407186919 ELIZABETH PRZYGODA PTA
Individual
Physical Therapy Assistant2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1215269998 DEXTER ALCOY PT
Individual
Physical Therapist2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1760714364MR. TYSON BRADLEY PTA
Individual
Physical Therapy Assistant2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894
1952633588MRS. LISA DAWN MCROY COTA/L
Individual
Occupational Therapy Assistant2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959
(618) 998-9894

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.