DR. HALEY WOLF M.D. NPI 1558658302

Family Medicine in Springfield, MO

NPI 1558658302 Individual Female Years of Experience 11 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 96.9

About HALEY WOLF

Haley Wolf is a primary care provider established in Springfield, Missouri and her medical specialization is family medicine with more than 11 years of experience. She graduated from University Of Missouri, Columbia School Of Medicine in 2011. The NPI number of Haley Wolf is 1558658302 and was assigned on June 2011. The practitioner's primary taxonomy code is 207Q00000X with license number 2011015250 (MO). The provider is registered as an individual and her NPI record was last updated 11 years ago.

A primary care provider (PCP) like Dr. Haley Wolf M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Haley Wolf is enrolled in PECOS and is eligible to order or refer healthcare 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

Haley Wolf is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Mercy Hospital Springfield, Mercy Hospital Carthage and Cox Barton County Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.9, 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.01 for a new patient copayment and $24.31 for an established patient copayment.

NPI

1558658302

Provider NameDR. HALEY WOLF M.D.
Provider Location Address1423 N JEFFERSON AVE STE B100 SPRINGFIELD, MO 65802
Provider Mailing Address1423 N JEFFERSON AVE STE B100 SPRINGFIELD, MO 65802
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year2011
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-30-2011
Last Update Date06-30-2011


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.2011015250
License StateMO
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. HALEY WOLF M.D.
1423 N JEFFERSON AVE
STE B100
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 269-8817
Fax: (417) 269-8744

Get Directions


Mailing Address

DR. HALEY WOLF M.D.
1423 N JEFFERSON AVE
STE B100
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 269-8817
Fax: (417) 269-8744



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
PECOS PAC ID8628396835
PECOS Enrollment IDI20150421000194
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 65802 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.2 $167.17 $84.04
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.55 $41.79 $21.01
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.43 $136.28 $97.26
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.1 $34.07 $24.31

* The physician office visit costs information is obtained by Medicare's 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 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% 79.9
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 - 96.9
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.

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.

  • 234Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 51Administration of influenza virus vaccine (HCPCS:G0008)
  • 45Administration of pneumococcal vaccine (HCPCS:G0009)
  • 44Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 30Automated urinalysis test (HCPCS:81003)
  • 24Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 18X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 15Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Haley Wolf is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MERCY HOSPITAL SPRINGFIELD1235 E CHEROKEE
SPRINGFIELD, MO 65804
(417) 820-2000Acute Care Hospitals260065
MERCY HOSPITAL CARTHAGE3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
(417) 358-8121Critical Access Hospitals261338
COX BARTON COUNTY HOSPITAL29 NW 1ST LANE
LAMAR, MO 64759
(417) 682-6081Critical Access Hospitals261325

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538155296 RONALD BENSCOTER M.D.
Individual
Emergency Medicine1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-6583
1154310738DR. MARTIN JONES M.D.
Individual
Emergency Medicine1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-6583
1518956127DR. HOWARD JARVIS III M.D.
Individual
Emergency Medicine1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-6583
1578507794 RANDALL J CROSS MD
Individual
Family Medicine1423 N JEFFERSON AVE SUITE K-500
SPRINGFIELD, MO 65802
(417) 875-3000
1841306313 REBEKAH A SIMMONS RD/LD
Individual
Dietitian, Registered1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-6062
1013018555 DOUGLAS SCOTT HAM DO
Individual
Emergency Medicine1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-6583
1023190113LESTER E. COX MEDICAL CENTERS
Organization
Pediatrics1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-5711
1073675633REGIONAL SERVICES
Organization
Emergency Medicine1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-6583
1245393867DR. CARRIE JEAN BALL PHARM.D.
Individual
Pharmacist1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-3418
1013043033 SUZANNE PAMELA DEMIER PSYD
Individual
Psychologist1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-6891
1710013503 PATRICK K LORD PSYD
Individual
Psychologist1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-6891
1114108099DR. LEI CHEN MD
Individual
Family Medicine1423 N JEFFERSON AVE A100
SPRINGFIELD, MO 65802
(417) 269-8787
1154595213 DARRELL WILLIAMS LPC
Individual
Counselor (Professional)1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-2273
1245404326 TRESSA MOYLE LCSW
Individual
Social Worker (Clinical)1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-2273
1356515431 LISA DEAN LPC
Individual
Counselor (Professional)1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-2273
1073788998DR. DAVID WILLIAM BROWN M.D.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)1423 N JEFFERSON AVE SUITE K500
SPRINGFIELD, MO 65802
(417) 875-3462
1518129881LESTER E COX MEDICAL CENTERS
Organization
General Acute Care Hospital1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-6107
1174773170 PAMELA LAROY VANN MSW
Individual
Social Worker (Clinical)1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-3719
1528212560MRS. LAUREN NICOLE LEE RD
Individual
Dietitian, Registered1423 N JEFFERSON AVE
SPRINGFIELD, MO 65802
(417) 269-3907
1831486661DR. CATHERINE EDELE BENBOW D.O.
Individual
Family Medicine1423 N JEFFERSON AVE STE B100
SPRINGFIELD, MO 65802
(417) 269-8817

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
The code describing 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.