DR. MARK EDWARD HALSTEAD MD
NPI 1598783227
Pediatrics - Sports Medicine in Chesterfield, MO
About Dr. Mark Edward Halstead Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK EDWARD HALSTEAD MD (NPI 1598783227) is an individual sports medicine provider in Chesterfield, Missouri, licensed in Missouri (2004011774) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mark Edward Halstead Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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 79.29, 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.
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Final Score: 79.29 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.
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Quality Score: 71.46
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 comprises 40% of a provider's final MIPS score.
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.
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Promoting Interoperability Score: 100
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 comprises 25% of a provider's final MIPS score.
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 comprises 15% of a provider's final MIPS score.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category comprises 15% of a provider's final MIPS score. -
Cost Score: 59.51
The Cost performance category assesses 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 comprises 20% of a provider's final MIPS score.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Mark Halstead is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | ONE BARNES-JEWISH HOSPITAL PLAZA SAINT LOUIS, MO 63110 | (314) 747-3000 | Acute Care Hospitals | |
| BARNES-JEWISH ST PETERS HOSPITAL | 10 HOSPITAL DR SAINT PETERS, MO 63376 | (636) 916-9000 | Acute Care Hospitals | |
| PROGRESS WEST HOSPITAL | 2 PROGRESS POINT PKWY O FALLON, MO 63368 | (636) 344-1000 | Acute Care Hospitals |
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598783227, enumerated as an "individual" on July 18, 2006.
The provider is located at 14532 S OUTER 40 RD DEPT ORTHOPAEDIC SURGERY, STE 200 CHESTERFIELD, MO 63017 and the phone number is (314) 514-3500.
Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Cox HealthPlans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Mark Halstead is affiliated with: BARNES JEWISH HOSPITAL, BARNES-JEWISH ST PETERS HOSPITAL and PROGRESS WEST HOSPITAL.
