NANCYE R. HALEY M.D. NPI 1568576825
Emergency Medicine in Lebanon, TN

About NANCYE R. HALEY M.D.

Nancye Haley is a provider established in Lebanon, Tennessee and her medical specialization is Emergency Medicine. The NPI number of Nancye Haley is 1568576825 and was assigned on August 2006. The practitioner's primary taxonomy code is 207P00000X with license number 016979 (TN). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1568576825
Provider Name NANCYE R. HALEY M.D.
Location Address1411 W BADDOUR PKWY LEBANON, TN 37087
Location Phone(615) 444-2320
Mailing AddressPO BOX 5000 LEBANON, TN 37088
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-17-2006
Last Update Date02-17-2011

Nancye Haley 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..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.7, 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 provider also has detailed performance information the following quality measures: leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes, measurement and improvement at the practice and panel level, participation in an ahrq-listed patient safety organization. and use of qcdr data for ongoing practice assessment and improvements.



Primary Taxonomy

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.

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.016979
License StateTN
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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Cigna
  • Medicaid
  • Medicare

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

Business Address

NANCYE R. HALEY M.D.
1411 W BADDOUR PKWY
LEBANON, TN
ZIP 37087
Phone: (615) 444-2320
Fax: (615) 449-3163

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Mailing Address

NANCYE R. HALEY M.D.
PO BOX 5000
LEBANON, TN
ZIP 37088
Phone: (615) 444-2320
Fax: (615) 449-3163


Location Map

PECOS Enrollment and Medicare Participation Status

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% 85.1
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% 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 - 90.7
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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changesYesN/A
Ensure full engagement of clinical and administrative leadership in practice improvement that could include one or more of the following: Make responsibility for guidance of practice change a component of clinical and administrative leadership roles; Allocate time for clinical and administrative leadership for practice improvement efforts, including participation in regular team meetings; and/orIncorporate population health, quality and patient experience metrics in regular reviews of practice performance.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.
Use of QCDR data for ongoing practice assessment and improvementsYesN/A
Use of QCDR data, for ongoing practice assessment and improvements in patient safety.

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 Identifier Issuer
E89547MEDICARE UPIN (02)
3024936MEDICAID (05)TN
3024936MEDICARE ID-TYPE UNSPECIFIED (04)TNMEDICARE, PART B, CIGNA

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.
1568576825
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281071284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 0 + 7 + 1 + 2 + 8 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1568576825 is valid because the calculated check digit 5 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
1720056716 KELLYE DYKES CRNA
Individual
Nurse Anesthetist, Certified Registered1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 256-1064
1033187638 ERIC SALSER CRNA
Individual
Nurse Anesthetist, Certified Registered1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 256-1064
1760450241 FREDERICK SCHRIMPE CRNA
Individual
Nurse Anesthetist, Certified Registered1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 256-1064
1629046164 DEBORAH HAAS CRNA
Individual
Nurse Anesthetist, Certified Registered1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 256-1064
1316915614 JOHN MOORE CRNA
Individual
Nurse Anesthetist, Certified Registered1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 256-1064
1164490488 JULIE TERRY CRNA
Individual
Nurse Anesthetist, Certified Registered1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 256-1064
1144299496 BARBARA VOLNER CRNA
Individual
Nurse Anesthetist, Certified Registered1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 256-1064
1154380723 JAMES FYKE CRNA
Individual
Nurse Anesthetist, Certified Registered1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 256-1064
1386697126DR. MARION ALLEN MCFARLAND M.D.
Individual
Emergency Medicine1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 443-2531
1740216688 JOHN LAURENCE BUTCHER MD
Individual
Emergency Medicine1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 443-2531
1669406674UAA PC INC
Organization
Nurse Anesthetist, Certified Registered1411 W BADDOUR PKWY
LEBANON, TN 37087
(813) 287-5718
1295769495ANESTHESIA SERVICES OF WILSON COUNTY PLLC
Organization
Anesthesiology1411 W BADDOUR PKWY
LEBANON, TN 37087
(813) 287-5718
1891702171 RICHARD PEYTON MD
Individual
Radiology (Radiation Oncology)1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 443-6006
1790899078 JEFFREY FLEMING LIVINGSTON M.D.
Individual
Emergency Medicine1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-2320
1124344882LEBANON EMERGENCY PHYSICIANS, PLLC
Organization
Emergency Medicine1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-8262
1164742300TENNESSEE EM-I MEDICAL SERVICES PC
Organization
Physician Assistant1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-8262
1548575400AVE MARIA MEDICAL PLLC
Organization
Internal Medicine1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 443-2544
1063774552LEBANON HMA, LLC
Organization
Internal Medicine (Cardiovascular Disease)1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 443-2500
1013114685DR. CHARLES EDDIE WATERS PHARMD, BCPS, CGP
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1411 W BADDOUR PKWY
LEBANON, TN 37087
(678) 314-0983
1467498279 MOHAN GOUNDER MD
Individual
Internal Medicine1411 W BADDOUR PKWY
LEBANON, TN 37087
(615) 443-2545

Frequently Asked Questions

What is Nancye Haley M.D. NPI number?

The NPI number assigned to Nancye Haley M.D. is 1568576825, registered as an "individual" on August 17, 2006

Where is Nancye Haley M.D. located?

The provider is located at 1411 W Baddour Pkwy Lebanon, Tn 37087 and the phone number is (615) 444-2320

Which is Nancye Haley M.D. specialty?

The provider's speciality is Emergency Medicine

What insurance does Nancye Haley M.D. accept?

The provider might be accepting Cigna, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Nancye Haley M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Nancye Haley M.D.?

Medicare beneficiaries should expect a typical cost of $84.32 with an average copayment of $21.08 for new patient appointments. Established patients should expect a typical charge of $97.84 and an average copayment of 24.46. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Nancye Haley M.D. was last updated on August 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]