JOSE RENE MIRANDA M.D. NPI 1508840513
Emergency Medicine in Saint Helena, CA

Individual Male Emergency Medicine PECOS Enrolled MIPS Quality Score 82.4

About JOSE RENE MIRANDA M.D.

Jose Miranda is a provider established in Saint Helena, California and his medical specialization is Emergency Medicine. The NPI number of Jose Miranda is 1508840513 and was assigned on December 2005. The practitioner's primary taxonomy code is 207P00000X with license number CAG46935 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1508840513
Provider Name JOSE RENE MIRANDA M.D.
Provider Location Address10 WOODLAND RD SAINT HELENA, CA 94574
Provider Mailing Address10 WOODLAND RD SAINT HELENA, CA 94574
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?N/A
Enumeration Date12-02-2005
Last Update Date07-09-2007

Jose Miranda 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..

Jose Miranda 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 82.4, 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

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.CAG46935
License StateCA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

JOSE RENE MIRANDA M.D.
10 WOODLAND RD
SAINT HELENA, CA
ZIP 94574
Phone: (707) 963-3611

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Mailing Address

JOSE RENE MIRANDA M.D.
10 WOODLAND RD
SAINT HELENA, CA
ZIP 94574
Phone: (707) 963-3611


PECOS Enrollment and 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
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

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% 69.4
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% 100
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 - 82.4
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.

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 Identifier Issuer
CAG46935OTHER (01)CASTATE LICENSE NUMBER
A50546MEDICARE UPIN (02)CA

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.
1508840513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508164052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 6 + 4 + 0 + 5 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1508840513 is valid because the calculated check digit 3 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
1275535700 WILLIAM DUGE MD
Individual
Radiology (Diagnostic Radiology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 261-7821
1104812585DR. HIROFUMI HASHIMOTO MD
Individual
Internal Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6399
1619950193 EDWARD STUMP M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6311
1033192547 DAN CLAY M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6311
1174507552 EDWIN CARLSON M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3611
1912981382 GARY MISHKIN M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3611
1851355705 ANDREW DEMETRIUS HORPENIUK M.D., M.P.H.
Individual
Preventive Medicine (Occupational Medicine)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6491
1083679781DR. DAVID R RACKER M.D.
Individual
Radiology (Diagnostic Radiology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6430
1659320703DR. ETHAN DALIERE SCHRAM M.D.
Individual
Internal Medicine (Medical Oncology)10 WOODLAND RD MARTIN-O'NEIL CANCER CENTER
SAINT HELENA, CA 94574
(707) 967-5721
1336194497RCOA-ADVENTIST HEALTH, LLC
Organization
Clinic/Center (Radiology, Mobile)10 WOODLAND RD
SAINT HELENA, CA 94574
(866) 293-3500
1922020221 DAVID KIM M.D.
Individual
Hospitalist10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6399
1205859683 DIANE LYNN HAMBRICK M.D.
Individual
Family Medicine (Addiction Medicine)10 WOODLAND RD ST. HELENA HOSPITAL
SAINT HELENA, CA 94574
(707) 967-5720
1689778987DR. STEVEN CARLTON HERBER MD
Individual
Surgery (Plastic and Reconstructive Surgery)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 967-5981
1962508960 CAROL L ISAACS MD
Individual
Dermatology10 WOODLAND RD LLOYD BLDG STE 501
ST HELENA, CA 94574
(707) 963-5450
1386856888 JOANNE HATCH R.D.
Individual
Dietitian, Registered10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6218
1730396433 MAILE SHUBIN
Individual
Dietitian, Registered10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3218
1558578013 PETRA SCHLENKE R.D.
Individual
Dietitian, Registered10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6432
1013117977DR. GEOFFREY WILLIAM HORN DO
Individual
Radiology (Diagnostic Radiology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6430
1174793574ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Organization
Psychiatry & Neurology (Neurology)10 WOODLAND RD SUITE 502
SAINT HELENA, CA 94574
(707) 963-1882
1467786400 DAVID F. JADWIN D.O.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6483

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
Jose Rene Miranda M.d. is registered as an entity type code: 1. The entity type code describes 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.