THOMAS D. WOLD DO NPI 1487616660
Internal Medicine - Pulmonary Disease in Burlington, MA
About THOMAS D. WOLD DO
Thomas Wold is an internist established in Burlington, Massachusetts and his medical specialization is Internal Medicine with a focus in pulmonary disease . The NPI number of this provider is 1487616660 and was assigned on April 2006. The practitioner's primary taxonomy code is 207RP1001X with license number 234726 (MA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
| NPI | 1487616660 |
| Provider Name | THOMAS D. WOLD DO |
| Location Address | 41 MALL RD BURLINGTON, MA 01805 |
| Location Phone | (781) 744-8480 |
| Mailing Address | 41 MALL RD BURLINGTON, MA 01805 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 04-04-2006 |
| Last Update Date | 10-26-2010 |
An internist like Thomas Wold is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Thomas Wold 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94, 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.
Primary Taxonomy
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.
| Taxonomy Code | 207RP1001X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Pulmonary Disease |
| License No. | 234726 |
| License State | MA |
| Taxonomy Description | An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
41 MALL RD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8480
Fax: (781) 744-3443
Mailing Address
41 MALL RD
BURLINGTON, MA
ZIP 01805
Phone: (781) 741-8480
Fax: (781) 744-3443
Location Map
PECOS Enrollment and Medicare Participation Status
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 |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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. |
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| Promoting Interoperability (PI) | 25% | 79.9 | |
|
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. |
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| 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. |
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| 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. |
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| MIPS Final Score | - | 94 | |
| 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. | |||
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.
- 36Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
- 31Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
- 30Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)
- 14Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
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 |
|---|---|---|
| 000507802 | MEDICARE PIN (08) | MA |
| 110079115A | MEDICAID (05) | MA |
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 | 8 | 7 | 6 | 1 | 6 | 6 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 12 | 1 | 12 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 2 + 1 + 1 + 2 + 6 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1487616660 is valid because the calculated check digit 0 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578562674 | KAREN ORINO CRNA Individual | Nurse Anesthetist, Certified Registered | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5100 |
| 1205836582 | MANUEL J MERINO MD Individual | Urology | 41 MALL RD LAHEY CLINIC BURLINGTON, MA 01805 (781) 744-7284 |
| 1598759961 | DR. BENJAMIN ARI TILLINGER MD Individual | Internal Medicine (Cardiovascular Disease) | 41 MALL RD CARDIOVASCULAR MEDICINE BURLINGTON, MA 01805 (781) 744-8000 |
| 1891785150 | DR. MICHAEL DAVID KAUFMAN MD Individual | Anesthesiology (Critical Care Medicine) | 41 MALL RD LAHEY CLINIC BURLINGTON, MA 01805 (781) 744-8132 |
| 1710977228 | ANTHONY P WEINER MD Individual | Psychiatry & Neurology (Psychiatry) | 41 MALL RD BURLINGTON, MA 01805 (781) 744-8610 |
| 1447240858 | DR. LATA CHANDI THATAI MD Individual | Internal Medicine (Hematology & Oncology) | 41 MALL RD LAHEY CLINIC BURLINGTON, MA 01805 (781) 744-8400 |
| 1780675074 | DR. LESLIE PAULETTE SHAFF MD Individual | Anesthesiology | 41 MALL RD BURLINGTON, MA 01805 (781) 744-7299 |
| 1881676096 | DR. DILIP NATARAJ MD Individual | Internal Medicine (Pulmonary Disease) | 41 MALL RD LAHEY CLINIC, INC. BURLINGTON, MA 01805 (781) 744-8480 |
| 1629050315 | HEATHER L TORRE PA-C Individual | Physician Assistant | 41 MALL RD BURLINGTON, MA 01805 (781) 372-7000 |
| 1649254715 | TIMOTHY F. KAISER MD Individual | Family Medicine (Geriatric Medicine) | 41 MALL RD LAHEY CLINIC, DEPARTMENT OF GERIATRICS BURLINGTON, MA 01805 (781) 744-2086 |
| 1285610014 | DR. ARTUR ZEMBOWICZ MD, PH D Individual | Pathology (Dermatopathology) | 41 MALL RD LAHEY CLINIC BURLINGTON, MA 01805 (781) 744-3927 |
| 1023088697 | BRAD P MANUEL PAC Individual | Physician Assistant (Medical) | 41 MALL RD BURLINGTON, MA 01805 (781) 744-2273 |
| 1407821358 | MS. JEAN E FISCHER PA-C Individual | Physician Assistant | 41 MALL RD LAHEY CLLINIC MEDICAL CENTER-CARDIOTHORACIC SURGERY BURLINGTON, MA 01805 (781) 744-8570 |
| 1114993516 | DR. KURT A DIEBOLD MD Individual | Hospitalist | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5100 |
| 1073581898 | GREGORY G SMAROFF MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41 MALL RD BURLINGTON, MA 01805 (781) 744-8570 |
| 1134188659 | DR. ADAM JAMES VERNADAKIS M.D. Individual | Plastic Surgery | 41 MALL RD LAHEY CLINIC, INC. - PLASTIC SURGERY BURLINGTON, MA 01805 (781) 744-8582 |
| 1689634800 | SUSAN M HURLEY NP Individual | Nurse Practitioner | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5100 |
| 1134184815 | JASON R GEE MD Individual | Urology | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5100 |
| 1649238577 | ARTHUR P MOURTZINOS M.D. Individual | Urology | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5481 |
| 1386602944 | THOMAS MCLAUGHLIN PA Individual | Physician Assistant | 41 MALL RD LAHEY CLINIC, INC. BURLINGTON, MA 01805 (781) 744-2500 |
Frequently Asked Questions
What is Thomas Wold DO NPI number?
The NPI number assigned to this healthcare provider is 1487616660, registered as an "individual" on April 04, 2006
Where is Thomas Wold DO located?
The provider is located at 41 Mall Rd Burlington, Ma 01805 and the phone number is (781) 744-8480
Which is Thomas Wold DO specialty?
The provider's speciality is Internal Medicine with a focus in Pulmonary Disease
What insurance does Thomas Wold DO accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Thomas Wold DO registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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 are Thomas Wold DO Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Thomas Wold DO?
Medicare beneficiaries should expect a typical cost of $150.04 with an average copayment of $37.51 for new patient appointments. Established patients should expect a typical charge of $116.6 and an average copayment of 29.15. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Thomas Wold DO?
The most common procedures or services performed by this practitioner are: Insertion of central venous catheter for infusion, patient 5 years or older, Ultrasound guidance for accessing into blood vessel, Emergent insertion of breathing tube into windpipe cartilage using an endoscope and Insertion of arterial catheter for blood sampling or infusion, accessed through the skin.
How do I update my NPI information?
The NPI record of Thomas Wold DO was last updated on April 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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