ERIC G TANGALOS M.D.
NPI 1528045952
Internal Medicine - Geriatric Medicine in Rochester, MN


Quality Rating: 96.89 out of 100 score

NPI Status: Active since December 28, 2005

Contact Information

200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511

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  • Individual
  • Male
  • Internal Medicine
  • Geriatric Medicine
  • Accepts Insurance
  • PECOS Enrolled

About ERIC TANGALOS

This page provides the complete NPI Profile along with additional information for Eric Tangalos, an internist established in Rochester, Minnesota with a medical specialization in Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1528045952 assigned on December 2005. The practitioner's primary taxonomy code is 207RG0300X with license number 22557 (MN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1528045952
Provider Name
ERIC G TANGALOS M.D.
Gender
Male
Entity Type
Individual
Location Address
200 1ST ST SW ROCHESTER, MN 55905
Location Phone
(507) 284-2511
Mailing Address
200 1ST ST SW ROCHESTER, MN 55905
Mailing Phone
(507) 284-2511
Is Sole Proprietor?
No
Enumeration Date
12-28-2005
Last Update Date
08-20-2020
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An internist like Eric Tangalos 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.

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

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
License No.
22557
License State
MN
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

22557 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Eric Tangalos 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55905 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $168.28
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $42.07
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.61
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $24.65
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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 96.89, 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 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: 96.89 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: 86.89

    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: 100

    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: 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.

  • Cost Score: 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.

Reviews for ERIC G TANGALOS M.D.

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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.
1528045952
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25480410910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 4 + 1 + 0 + 9 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1528045952 is valid because the calculated check digit 2 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.

CHRISTINE MARIA MILLER MD, PHD

Radiology

(Diagnostic Radiology)

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

DR. EMIL D. KORETZKY MD

Dermatology

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

GLADYS A RADKE PAC

Physician Assistant

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

MRS. KILEY JO JOHNSON M.S.

Genetic Counselor, MS

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 266-3317

LISA K BUSS PHARM.D.

Pharmacist

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-1094

DAVID R DAUGHERTY M.D.

Psychiatry & Neurology

(Psychiatry)

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

RENATO D ALARCON M.D.

Psychiatry & Neurology

(Psychiatry)

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

TANYA MARIE CADDELL R.PH.

Pharmacist

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

MIGUEL E CABANELA M.D.

Orthopaedic Surgery

(Adult Reconstructive Orthopaedic Surgery)

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

RONALD J FAUST M.D.

Anesthesiology

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

MICHAEL A FARRELL M.D.

Radiology

(Diagnostic Radiology)

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

JAMES N INGLE M.D.

Internal Medicine

(Medical Oncology)

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

ROSALINA L ABBOUD M.D.

Obstetrics & Gynecology

(Gynecology)

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

DAVID R FARLEY M.D.

Surgery

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

PAUL F MCGOUGH M.D.

Radiology

(Diagnostic Radiology)

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

DANIEL J BLUM M.D.

Otolaryngology

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

JOHN B COLLINS M.D.

Family Medicine

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

TENG JI M.D.

Pediatrics

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

IAN P CLEMENTS M.D.

Internal Medicine

(Cardiovascular Disease)

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

JODI ANN COOK PH. D.

Audiologist

200 1ST ST SW
ROCHESTER, MN
ZIP 55905

(507) 284-2511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528045952, enumerated as an "individual" on December 28, 2005.

The provider is located at 200 1ST ST SW ROCHESTER, MN 55905 and the phone number is (507) 284-2511.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.