DR. LOWAN STEWART NPI 1558425124

Emergency Medicine in Oregon City, OR

Individual Male Emergency Medicine PECOS Enrolled MIPS Quality Score 86.9

About DR. LOWAN STEWART

Lowan Stewart is a provider established in Oregon City, Oregon and his medical specialization is Emergency Medicine. The NPI number of Lowan Stewart is 1558425124 and was assigned on December 2006. The practitioner's primary taxonomy code is 207P00000X with license number MD24257 (OR). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI

1558425124

Provider NameDR. LOWAN STEWART
Provider Location Address1500 DIVISION ST OREGON CITY, OR 97045
Provider Mailing Address3625 SE YAMHILL ST PORTLAND, OR 97214
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date12-20-2006
Last Update Date05-23-2008



Lowan Stewart 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..

Lowan Stewart 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 86.9, 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.MD24257
License StateOR
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

DR. LOWAN STEWART
1500 DIVISION ST
OREGON CITY, OR
ZIP 97045
Phone: (503) 657-6742

Get Directions


Mailing Address

DR. LOWAN STEWART
3625 SE YAMHILL ST
PORTLAND, OR
ZIP 97214
Phone: (503) 425-9405


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% 77.7
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 - 86.9
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
R137687MEDICARE PIN (08)OR
22463MEDICAID (05)OR

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.
1558425124
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25108821014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 8 + 2 + 1 + 0 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1558425124 is valid because the calculated check digit 4 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
1255320107MR. ROBERT CHARLES CUTTER R.PH.
Individual
Pharmacist1500 DIVISION ST
OREGON CITY, OR 97045
(503) 518-3251
1497744221 LORETTA INEZ MORALES RPH
Individual
Pharmacist1500 DIVISION ST
OREGON CITY, OR 97045
(503) 657-6718
1487634861 TIEN AHN WEE MD
Individual
Radiology (Diagnostic Radiology)1500 DIVISION ST
OREGON CITY, OR 97045
(503) 656-1631
1770545592DR. DONALD JOSEPH SCHILLER M.D.
Individual
Emergency Medicine1500 DIVISION ST
OREGON CITY, OR 97045
(503) 656-1631
1871551341 GEORGE F DRASIN MD
Individual
Radiology (Diagnostic Radiology)1500 DIVISION ST
OREGON CITY, OR 97045
(503) 221-0161
1811945496 ROBERT E STEPHENSON MD
Individual
Radiology (Diagnostic Radiology)1500 DIVISION ST
OREGON CITY, OR 97045
(503) 723-6545
1730138736RIVER RADIOLOGISTS, PC
Organization
Radiology (Diagnostic Radiology)1500 DIVISION ST
OREGON CITY, OR 97045
(503) 221-0161
1306896683 DAVID A. PASS M.D.
Individual
Anesthesiology1500 DIVISION ST
OREGON CITY, OR 97045
(503) 656-1631
1598711996WILLAMETTE ANESTHESIOLOGY GROUP
Organization
Anesthesiology1500 DIVISION ST
OREGON CITY, OR 97045
(503) 656-1631
1942257639DR. MICHAEL DAVID TENISON M.D.
Individual
Emergency Medicine1500 DIVISION ST
OREGON CITY, OR 97045
(503) 657-6742
1023059664DR. SAMUEL POLEN FREEDMAN M.D.
Individual
Emergency Medicine1500 DIVISION ST
OREGON CITY, OR 97045
(503) 657-6742
1639108434WILLAMETTE FALLS HOSPITAL
Organization
General Acute Care Hospital1500 DIVISION ST
OREGON CITY, OR 97045
(503) 657-6704
1265446926DR. JULIA CARMEN TIMBERLAKE MD
Individual
Radiology (Diagnostic Radiology)1500 DIVISION ST
OREGON CITY, OR 97045
(503) 650-6263
1023172301DR. DAVID JAMES LINDQUIST M.D.
Individual
Emergency Medicine1500 DIVISION ST
OREGON CITY, OR 97045
(503) 657-8440
1720127269 JEANNIE C LEE CRNA
Individual
Nurse Anesthetist, Certified Registered1500 DIVISION ST
OREGON CITY, OR 97045
(503) 657-6723
1881818029DR. MATTHEW DAVID ORTH D.O.
Individual
Radiology (Diagnostic Radiology)1500 DIVISION ST
OREGON CITY, OR 97045
(541) 758-5047
1295955904 MAURI TRAYLOR CRNA
Individual
Nurse Anesthetist, Certified Registered1500 DIVISION ST
OREGON CITY, OR 97045
(503) 657-6273
1679778179 JONATHAN PETER YARRIS M.D.
Individual
Emergency Medicine1500 DIVISION ST
OREGON CITY, OR 97045
(503) 656-1631
1437348885MR. BERNARD MUNDALL CRNA
Individual
Nurse Anesthetist, Certified Registered1500 DIVISION ST
OREGON CITY, OR 97045
(503) 657-6723
1891972188 RAYMOND C. HARRY MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1500 DIVISION ST
OREGON CITY, OR 97045
(503) 650-6816

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. Lowan Stewart 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.