JEFFREY LOUIS MCGILBRA MD NPI 1578542007

Psychiatry & Neurology (Psychiatry) in Meridian, MS

NPI 1578542007 Individual Male Years of Experience 23 Psychiatry & Neurology Psychiatry PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JEFFREY MCGILBRA

Jeffrey Mcgilbra is a provider established in Meridian, Mississippi and his medical specialization is psychiatry & neurology (psychiatry) with more than 23 years of experience. He graduated from University Of Mississippi School Of Medicine in 1999. The NPI number of Jeffrey Mcgilbra is 1578542007 and was assigned on January 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 18633 (MS). The provider is registered as an individual and his NPI record was last updated 7 years ago.

A psychiatrist like Jeffrey Louis Mcgilbra Md are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Jeffrey Mcgilbra 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

Jeffrey Mcgilbra 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 he has hospital affiliations with Laird Hospital Inc, H C Watkins Memorial Hospital Inc, Baptist Medical Center-leake, Baptist Medical Center Attala and Choctaw General Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: onc direct review attestation and security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1578542007

Provider Name JEFFREY LOUIS MCGILBRA MD
Provider Location Address5000 HIGHWAY 39 NORTH MERIDIAN, MS 39301
Provider Mailing AddressPO BOX 518 MARION, MS 39342
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year1999
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date01-12-2006
Last Update Date09-22-2014


Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License No.18633
License StateMS
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

JEFFREY LOUIS MCGILBRA MD
5000 HIGHWAY 39 NORTH
MERIDIAN, MS
ZIP 39301
Phone: (601) 453-5493
Fax: (888) 735-7202

Get Directions


Mailing Address

JEFFREY LOUIS MCGILBRA MD
PO BOX 518
MARION, MS
ZIP 39342
Phone: (601) 646-7700
Fax: (601) 646-7800



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID2860461704
PECOS Enrollment IDI20040928000889
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

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.

  • 232Psychiatric diagnostic evaluation (HCPCS:90791)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients

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. Jeffrey Mcgilbra is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LAIRD HOSPITAL INC25117 HIGHWAY 15
UNION, MS 39365
(601) 774-8214Critical Access Hospitals251322
H C WATKINS MEMORIAL HOSPITAL INC605 SOUTH ARCHUSA AVENUE
QUITMAN, MS 39355
(601) 776-6925Critical Access Hospitals251316
BAPTIST MEDICAL CENTER-LEAKE1100 HIGHWAY 16 EAST
CARTHAGE, MS 39051
(601) 267-1422Critical Access Hospitals251315
BAPTIST MEDICAL CENTER ATTALA220 HWY 12 WEST
KOSCIUSKO, MS 39090
(662) 289-4311Critical Access Hospitals251336
CHOCTAW GENERAL HOSPITAL401 VANITY FAIR LANE, PO BOX 618
BUTLER, AL 36904
(205) 459-9100Critical Access Hospitals11304

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
531981OTHER (01)
260000639MEDICARE ID-TYPE UNSPECIFIED (04)MS
02479791MEDICAID (05)MS
I16594MEDICARE UPIN (02)

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.