MICHAEL D ROWELL M.D.
NPI 1477658656
Surgery in Bristol, TN
NPI Status: Active since September 13, 2006
Contact Information
1 MEDICAL PARK BLVD
250 WEST
BRISTOL, TN
ZIP 37620
Phone: (423) 844-6620
Fax: (423) 844-6627
- Individual
- Male
- Surgery
- Medicare Quality Reporting
About MICHAEL ROWELL
This page provides the complete NPI Profile along with additional information for Michael Rowell, a provider established in Bristol, Tennessee with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1477658656 assigned on September 2006. The practitioner's primary taxonomy code is 208600000X with license number 21585 (TN). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1477658656
- Provider Name
- MICHAEL D ROWELL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 MEDICAL PARK BLVD 250 WEST BRISTOL, TN 37620
- Location Phone
- (423) 844-6620
- Location Fax
- (423) 844-6627
- Mailing Address
- 1 MEDICAL PARK BLVD 250 WEST BRISTOL, TN 37620
- Mailing Phone
- (423) 844-6620
- Mailing Fax
- (423) 844-6627
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-13-2006
- Last Update Date
- 09-27-2021
- Code Navigator
A surgeon like Michael Rowell treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 21585
- License State
- TN
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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.
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 |
|---|---|---|---|
| 022276800 | OTHER (01) | TN | BLACK LUNG GROUP |
| 0636398 | OTHER (01) | TN | UMWA GROUP |
| 4545625 | OTHER (01) | TN | AETNA |
| 7366345 | MEDICAID (05) | VA | |
| 0126098 | OTHER (01) | TN | BCBS OF TENNESSEE |
| 064486 | OTHER (01) | TN | INDIV ANTHEM/GROUP#093410 |
| F03906748 | OTHER (01) | TN | CHAMPUS GROUP |
| 770001281 | OTHER (01) | TN | MCRAILROAD/GROUP #CA8128 |
| 3063419 | MEDICAID (05) | TN | |
| TN0103 | OTHER (01) | TN | JOHN DEERE NOW UNITED HC |
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.
Established patient office or other outpatient visit, 10-19 minutes
New patient office or other outpatient visit, 45-59 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 104 times for 90 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 24 times for 24 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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 |
|---|---|---|
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| e-Prescribing | 97% | 188 |
| 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 | 100% | 1379 |
| 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 | 72% | 1018 |
| 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 Patient Access | 71% | 1018 |
| 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. | ||
| Secure Messaging | 1% | 1018 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| 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. | ||
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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 1477658656, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BRISTOL, TN 37620
BRISTOL, TN 37620
BRISTOL, TN 37620
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477658656, enumerated as an "individual" on September 13, 2006.
The provider is located at 1 MEDICAL PARK BLVD 250 WEST BRISTOL, TN 37620 and the phone number is (423) 844-6620.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
