MEGAN RAND PT, DPT NPI 1538591169
Physical Therapist in Danville, IL

Individual Female Physical Therapist MIPS Quality Score 96.2

About MEGAN RAND PT, DPT

Megan Rand is a provider established in Danville, Illinois and her medical specialization is Physical Therapist. The NPI number of Megan Rand is 1538591169 and was assigned on August 2013. The practitioner's primary taxonomy code is 225100000X with license number 070021645 (IL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1538591169
Provider Name MEGAN RAND PT, DPT
Provider Location Address3545 N VERMILION ST DANVILLE, IL 61832
Provider Mailing Address101 W UNIVERSITY AVE CHAMPAIGN, IL 61820
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-06-2013
Last Update Date11-18-2016



Megan Rand 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 96.2, 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 Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.070021645
License StateIL
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

MEGAN RAND PT, DPT
3545 N VERMILION ST
DANVILLE, IL
ZIP 61832
Phone: (217) 442-8611
Fax: (217) 366-6106

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Mailing Address

MEGAN RAND PT, DPT
101 W UNIVERSITY AVE
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 366-1323
Fax: (217) 366-6106


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% 78.7
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% 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.
MIPS Final Score - 96.2
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.

  • 159Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • 41Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • 26Physical therapy evaluation (HCPCS:97001)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist2013028624MONo

Taxonomy Description: physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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.
1538591169
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25681092112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 0 + 9 + 2 + 1 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1538591169 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588671168DR. JAMES D. MILLER M.D.
Individual
Obstetrics & Gynecology3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1023025368MS. NANCY S. DAVIDSON P.T.
Individual
Physical Therapist3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1336246800DR. TIMOTHY H. HORNER M.D.
Individual
Family Medicine3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1023650033 JESSIE HEMRIC
Individual
Physician Assistant3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1407444862 KELLY STELZER PT, DPT
Individual
Physical Therapist3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1720678469CHRISTIE CLINIC, LLC
Organization
Durable Medical Equipment & Medical Supplies3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1487942033 SASHA MIRANDA POWELL FNP-BC
Individual
Nurse Practitioner (Family)3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1164553582 MALEAH GRUSSING N.P.
Individual
Nurse Practitioner3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1275795841DR. IVAN SANTIAGO MD
Individual
Physical Medicine & Rehabilitation3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1477942894 RHONDA HARDY MSN, NP-C
Individual
Nurse Practitioner (Family)3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1558359240 HAYDEE BRIONES JABINES-STEWART MD
Individual
Family Medicine3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1942217542DR. ELEANOR K. PETERS M.D.
Individual
Family Medicine3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1730837634 JESSICA LEIGH WAGNER APRN
Individual
Nurse Practitioner (Family)3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611
1619603727 AMANDA LYNNE VADEBONCOEUR
Individual
Physical Therapist3545 N VERMILION ST
DANVILLE, IL 61832
(217) 442-8611

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
Megan Rand Pt, Dpt 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.