DR. LLOYD FRANK LOCASCIO M.D. NPI 1538192026
Radiology - Diagnostic Radiology in Baton Rouge, LA

Individual Male Radiology Diagnostic Radiology PECOS Enrolled MIPS Quality Score 99.1

About DR. LLOYD FRANK LOCASCIO M.D.

Lloyd Locascio is a provider established in Baton Rouge, Louisiana and his medical specialization is Radiology with a focus in diagnostic radiology . The NPI number of Lloyd Locascio is 1538192026 and was assigned on July 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 09281R (LA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1538192026
Provider NameDR. LLOYD FRANK LOCASCIO M.D.
Provider Location Address9001 SUMMA AVE BATON ROUGE, LA 70809
Provider Mailing Address9001 SUMMA AVE BATON ROUGE, LA 70809
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date07-08-2006
Last Update Date07-08-2007

Lloyd Locascio 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..

Lloyd Locascio 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 99.1, 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 Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.09281R
License StateLA
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. LLOYD FRANK LOCASCIO M.D.
9001 SUMMA AVE
BATON ROUGE, LA
ZIP 70809
Phone: (225) 761-5200
Fax: (225) 761-5344

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Mailing Address

DR. LLOYD FRANK LOCASCIO M.D.
9001 SUMMA AVE
BATON ROUGE, LA
ZIP 70809
Phone: (225) 761-5200
Fax: (225) 761-5344


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% 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.
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% 70.9
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.
MIPS Final Score - 99.1
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.

  • 753X-ray of chest, 1 view, front (HCPCS:71010)
  • 520X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 90CT scan of abdomen and pelvis (HCPCS:74176)
  • 89X-ray of abdomen, single view (HCPCS:74000)
  • 84X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 80CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 59X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 49X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 41X-ray of knee, 4 or more views (HCPCS:73564)
  • 36Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 29X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 24Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 20X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 19Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 17Ultrasound of head and neck (HCPCS:76536)
  • 16Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 14X-ray of knee, 3 views (HCPCS:73562)
  • 11Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)

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
5Y048MEDICARE ID-TYPE UNSPECIFIED (04)
B64613MEDICARE UPIN (02)
1681873MEDICAID (05)LA

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.
1538192026
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
256829404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 2 + 9 + 4 + 0 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1538192026 is valid because the calculated check digit 6 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
1891762167 TERRI L. ROSS PA
Individual
Physician Assistant9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1447217336DR. CHAD BRADEN MD
Individual
Family Medicine9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5480
1770535056DR. SUSAN MCNAMARA MD
Individual
Internal Medicine9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1023046158DR. THOMAS R FAIRLEY O.D.
Individual
Optometrist9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1841229747DR. BASIL DEMETRIUS CATSIKIS M.D.
Individual
Radiology (Diagnostic Radiology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1083644041DR. RUBEN FABREGA MD
Individual
Internal Medicine (Hematology & Oncology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1972533750DR. STEPHAINE L CAULEY O.D.
Individual
Optometrist9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1700818135 CHRISTOPHER PAUL GRENIER M.D.
Individual
Ophthalmology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1912930785DR. TRANG P HUYNH M.D.
Individual
Obstetrics & Gynecology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1306879960DR. AMIN KAMYAR M.D.
Individual
Internal Medicine (Nephrology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1942234828 GEORGE W HOWARD III MD
Individual
Internal Medicine (Gastroenterology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1194758110 JUDY M ROHEIM MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1518991975 BURKE JOSEPH BROOKS JR. M.D.
Individual
Internal Medicine (Hematology & Oncology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1730113192DR. DAVID JOHN CARLSON M.D.
Individual
Family Medicine9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1114951571 NANCY DEIHL CHANDLER MD
Individual
Radiology (Diagnostic Radiology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1184659948DR. BRUCE PALMER CLELAND M.D.
Individual
Surgery9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1528093671DR. CLAUDE JENKINS TELLIS MD
Individual
Internal Medicine (Pulmonary Disease)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1689609398DR. JOHN EDWARD ERFFMEYER M.D.
Individual
Allergy & Immunology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1376578070DR. FRANCIS RALPH DAUTERIVE M.D.
Individual
Obstetrics & Gynecology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1518992213 MICHAEL STEPHEN DUREL MD
Individual
Obstetrics & Gynecology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200

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
Dr. Lloyd Frank Locascio 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.