DEBRA A LUSTY DO
NPI 1477551067
Family Medicine in Hillsdale, MI


Quality Rating: 91.53 out of 100 score

NPI Status: Active since July 08, 2005

Contact Information

451 HIDDEN MEADOWS DR
SUITE
HILLSDALE, MI
ZIP 49242
Phone: (517) 437-0010
Fax: (517) 437-0319

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  • Individual
  • Female
  • Family Medicine
  • Medicare Quality Reporting

About DEBRA LUSTY

This page provides the complete NPI Profile along with additional information for Debra Lusty, a primary care provider established in Hillsdale, Michigan with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1477551067 assigned on July 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 5101009970 (MI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1477551067
Provider Name
DEBRA A LUSTY DO
Gender
Female
Entity Type
Individual
Location Address
451 HIDDEN MEADOWS DR SUITE HILLSDALE, MI 49242
Location Phone
(517) 437-0010
Location Fax
(517) 437-0319
Mailing Address
451 HIDDEN MEADOWS DR SUITE HILLSDALE, MI 49242
Mailing Phone
(517) 437-0010
Mailing Fax
(517) 437-0319
Is Sole Proprietor?
Yes
Enumeration Date
07-08-2005
Last Update Date
04-14-2014
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A primary care provider (PCP) like Debra Lusty 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.
5101009970
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:

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.

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
080044812OTHER (01)MIMEDICARE
2935050MEDICAID (05)MI 
0120047OTHER (01)MIPHP
0153000045OTHER (01)MIBCBS
102058OTHER (01)MIGLHP
5300004MEDICARE PIN (08)MI 
P89540OTHER (01)MIBCN
E50135MEDICARE UPIN (02)MI 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 11 times for 11 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 23 times for 23 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 47 times for 35 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 75 times for 42 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 103 times for 63 patients

Hemoglobin a1c level

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

This service was performed 30 times for 19 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

This service was performed 11 times for 11 patients

Urinalysis, manual test

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

This service was performed 59 times for 45 patients

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 91.53, 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 provider also has detailed performance information the following quality measures: .

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: 91.53 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: 80.1

    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: 95

    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: 95.83

    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: 95.83

    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 Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Advance Care Plan 26% 270
Breast Cancer Screening 18% 194
Colorectal Cancer Screening 74% 303
Controlling High Blood Pressure 94% 219
Diabetes: Eye Exam 13% 89
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 35% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
89
e-Prescribing 95% 1012
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 78% 462
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 14% 401
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 14% 401
Provide Patients Electronic Access to Their Health Information 58% 254

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477551067, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 0 + 5 + 2 + 0 + 1 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1477551067.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Family Medicine
451 HIDDEN MEADOWS DR, SUITE 120
HILLSDALE, MI 49242
Internal Medicine (Cardiovascular Disease)
451 HIDDEN MEADOWS DR, SUITE 160
HILLSDALE, MI 49242
Surgery
451 HIDDEN MEADOWS DR, STE 260
HILLSDALE, MI 49242
Surgery
451 HIDDEN MEADOWS DR, STE 260
HILLSDALE, MI 49242
Surgery
451 HIDDEN MEADOWS DR, SUITE 260
HILLSDALE, MI 49242
Audiologist
451 HIDDEN MEADOWS DR, SUITE 240
HILLSDALE, MI 49242
Hearing Aid Equipment
451 HIDDEN MEADOWS DR, SUITE 240
HILLSDALE, MI 49242
Pediatrics (Adolescent Medicine)
451 HIDDEN MEADOWS DR, SUITE 200
HILLSDALE, MI 49242
Family Medicine
451 HIDDEN MEADOWS DR, SUITE 120
HILLSDALE, MI 49242
Family Medicine
451 HIDDEN MEADOWS DR, SUITE 120
HILLSDALE, MI 49242
Family Medicine
451 HIDDEN MEADOWS DR, SUITE 120
HILLSDALE, MI 49242
Psychiatry & Neurology (Neurology)
451 HIDDEN MEADOWS DR, SUITE 230
HILLSDALE, MI 49242
Nurse Practitioner (Family)
451 HIDDEN MEADOWS DR
HILLSDALE, MI 49242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477551067, enumerated as an "individual" on July 08, 2005.

The provider is located at 451 HIDDEN MEADOWS DR SUITE HILLSDALE, MI 49242 and the phone number is (517) 437-0010.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.