ANNA MARKH NPI 1518232693
Physical Medicine & Rehabilitation in Teaneck, NJ
NPI Profile for ANNA MARKH
Anna Markh is a provider established in Teaneck, New Jersey and her medical specialization is physical medicine & rehabilitation. The NPI number of Anna Markh is 1518232693 and was assigned on March 2012. The practitioner's primary taxonomy code is 208100000X with license number 25MA09804300 (NJ). The provider is registered as an individual and her NPI record was last updated 6 years ago.
Anna Markh 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..
Anna Markh 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 80.8, 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 following quality measures were reported for this provider: advance care planning, annual registration in the prescription drug monitoring program, care plan, implementation of fall screening and assessment programs and provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record.
Primary Taxonomy
| Taxonomy Code | 208100000X |
| Classification | Physical Medicine & Rehabilitation |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 25MA09804300 |
| License State | NJ |
| Taxonomy Description | Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
Business Address
ANNA MARKH
1 DEGRAW AVE
TEANECK, NJ
ZIP 07666
Phone: (201) 928-0200
Mailing Address
ANNA MARKH
1 DEGRAW AVE
TEANECK, NJ
ZIP 07666
Phone:
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 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% | 75.5 | |
|
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% | 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. |
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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% | 59.9 | |
|
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 | - | 80.8 | |
| 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 Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. 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 |
|---|---|---|
| Advance Care Planning | Yes | N/A |
| Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning. | ||
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Care Plan | 100% | 284 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Implementation of fall screening and assessment programs | Yes | N/A |
| Implementation of fall screening and assessment programs to identify patients at risk for falls and address modifiable risk factors (e.g., Clinical decision support/prompts in the electronic health record that help manage the use of medications, such as benzodiazepines, that increase fall risk). | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
NPI Validation Check Digit Calculation
The following table explains step by step the 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 | 5 | 1 | 8 | 2 | 3 | 2 | 6 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 4 | 3 | 4 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 4 + 3 + 4 + 6 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1518232693 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 |
|---|---|---|---|
| 1598791998 | NEIL MICHAEL SANTOS PT Individual | Physical Therapist (Orthopedic) | 1 DEGRAW AVE NORTH JERSEY ORTHOPEDIC SPECIALISTS TEANECK, NJ 07666 (201) 692-9699 |
| 1598793358 | MARIE KAREN FERRER PT Individual | Physical Therapist (Orthopedic) | 1 DEGRAW AVE NORTH JERSEY ORTHOPEDIC SPECIALISTS TEANECK, NJ 07666 (201) 692-9699 |
| 1891892816 | DR. JAY S MEYEROWITZ MD Individual | Internal Medicine (Geriatric Medicine) | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1780766857 | DR. KAREN C LEE MD Individual | Internal Medicine | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1659453975 | DR. JOSEPH RIZZO MD Individual | Internal Medicine | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1790868081 | DR. DANIEL BRISMAN MD Individual | Physical Medicine & Rehabilitation | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1154404358 | DR. JANET PETRUCELLI MD Individual | Physical Medicine & Rehabilitation | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1316026594 | DR. TUAN NGUYEN MD Individual | Physical Medicine & Rehabilitation | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1205994712 | PHILIP E BARBA P.T. Individual | Physical Therapist | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 692-9699 |
| 1093848905 | ASPEN MEDICAL ASSOCIATES, PA Organization | Internal Medicine | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1952574956 | GEMMA T. PEDRAZA-HETALIA PT Individual | Physical Therapist | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 353-9000 |
| 1427223106 | MICHAL R SHEPS D.O. Individual | Physical Medicine & Rehabilitation | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1699912196 | ASPEN MEDICAL ASSOCIATES, LLC Organization | Internal Medicine | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1740216019 | JODIE J DU PT Individual | Physical Therapist (Orthopedic) | 1 DEGRAW AVE NORTH JERSEY ORTHOPAEDIC SPECIALISTS TEANECK, NJ 07666 (201) 692-9699 |
| 1104908268 | DR. ALICIA PROWSE MD Individual | Internal Medicine (Geriatric Medicine) | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1679655906 | DR. JEFFREY SALIZZONI MD Individual | Internal Medicine (Pulmonary Disease) | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1679655930 | DR. JOEL ADLER MD Individual | Internal Medicine | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1841424702 | ORNELA REHOVA M.D Individual | Physical Medicine & Rehabilitation | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1205178365 | DIMIR ABRAR Individual | Physical Medicine & Rehabilitation | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
| 1932512100 | STACIE MARZOLF DO, MPH Individual | Physical Medicine & Rehabilitation | 1 DEGRAW AVE TEANECK, NJ 07666 (201) 928-0200 |
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
Anna Markh 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.