MATTHEW KOZIOL DPT
NPI 1578082012
Physical Therapist in Hamburg, MI


Quality Rating: 95.34 out of 100 score

NPI Status: Active since September 15, 2017

Contact Information

10020 PROFESSIONAL CENTER DRIVE
HAMBURG, MI
ZIP 48139
Phone: (810) 893-7623
Fax: (810) 893-7624

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  • Individual
  • Male
  • Physical Therapist
  • Accepts Insurance

About MATTHEW KOZIOL

This page provides the complete NPI Profile along with additional information for Matthew Koziol, a provider established in Hamburg, Michigan with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1578082012 assigned on September 2017. The practitioner's primary taxonomy code is 225100000X with license number 5501018441 (MI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1578082012
Provider Name
MATTHEW KOZIOL DPT
Gender
Male
Entity Type
Individual
Location Address
10020 PROFESSIONAL CENTER DRIVE HAMBURG, MI 48139
Location Phone
(810) 893-7623
Location Fax
(810) 893-7624
Mailing Address
2122 YORK RD STE 300 OAK BROOK, IL 60523
Mailing Phone
(630) 575-6200
Is Sole Proprietor?
No
Enumeration Date
09-15-2017
Last Update Date
10-01-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
5501018441
License State
MI
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

5501018441 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

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

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.34, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 95.34 out of 100

    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.

  • Quality Score: 94.52

    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 Score: 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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 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.

  • Cost Score: 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.

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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.
1578082012
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514808402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 0 + 8 + 4 + 0 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1578082012 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

MISS CYNTHIA CATHERINE DEMATTEIS ATC

Specialist/Technologist

(Athletic Trainer)

10020 PROFESSIONAL CENTER DRIVE
HAMBURG, MI
ZIP 48139

(810) 231-6906

MICHIGAN REHABILITATION SPECIALISTS, LLC

Physical Therapist

10020 PROFESSIONAL CENTER DRIVE
SUITE 100
HAMBURG, MI
ZIP 48139

(810) 231-6904

DR. STEPHANIE LYNN PETERSON M.D.

Internal Medicine

10020 PROFESSIONAL CENTER DRIVE
SUITE 120
HAMBURG, MI
ZIP 48139

(810) 231-0252

DANELLE HALE DPT

Physical Therapist

10020 PROFESSIONAL CENTER DRIVE
SUITE 100
HAMBURG, MI
ZIP 48139

(810) 231-6904

MISS ASHLEE GAIL WINES DPT

Physical Therapist

10020 PROFESSIONAL CENTER DRIVE
SUITE 100
HAMBURG, MI
ZIP 48139

(810) 231-6904

MICHAEL J PAPPAS DPT

Physical Therapist

10020 PROFESSIONAL CENTER DRIVE
STE. 100
HAMBURG, MI
ZIP 48139

(810) 893-7623

HEATHER D'AGOSTA DPT

Physical Therapist

10020 PROFESSIONAL CENTER DRIVE
HAMBURG, MI
ZIP 48139

(810) 893-7623

ANNE CLARK DPT

Physical Therapist

10020 PROFESSIONAL CENTER DRIVE
HAMBURG, MI
ZIP 48139

(810) 231-6904

IHA HEALTH SERVICES CORPORATION

Internal Medicine

10020 PROFESSIONAL CENTER DRIVE
SUITE 120
HAMBURG, MI
ZIP 48139

(810) 231-0256

ATHLETICO LTD

Clinic/Center

10020 PROFESSIONAL CENTER DRIVE
HAMBURG, MI
ZIP 48139

(810) 893-7623

RACHEL WALK DO

Internal Medicine

10020 PROFESSIONAL CENTER DRIVE
HAMBURG, MI
ZIP 48139

(810) 231-0252

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578082012, enumerated as an "individual" on September 15, 2017.

The provider is located at 10020 PROFESSIONAL CENTER DRIVE HAMBURG, MI 48139 and the phone number is (810) 893-7623.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.