MISS MARICHELLE T UY PA-C NPI 1619903663

Physician Assistant - Medical in Springfield, MA

Individual Female Physician Assistant Medical PECOS Enrolled MIPS Quality Score 93.8

About MISS MARICHELLE T UY PA-C

Marichelle Uy is a primary care provider established in Springfield, Massachusetts and her medical specialization is Physician Assistant with a focus in medical . The NPI number of Marichelle Uy is 1619903663 and was assigned on June 2006. The practitioner's primary taxonomy code is 363AM0700X with license number PA8648 (MA). The provider is registered as an individual and her NPI record was last updated May 2022.

A primary care provider (PCP) like Miss Marichelle T Uy Pa-c 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

NPI

1619903663

Provider NameMISS MARICHELLE T UY PA-C
Provider Location Address3350 MAIN ST SPRINGFIELD, MA 01107
Provider Mailing Address280 CHESTNUT ST FL 2 SPRINGFIELD, MA 01199
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-23-2006
Last Update Date05-06-2022



Marichelle Uy 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..

Marichelle Uy is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.8, 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.



Primary Taxonomy

Taxonomy Code363AM0700X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationMedical
License No.PA8648
License StateMA

Business Address

MISS MARICHELLE T UY PA-C
3350 MAIN ST
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 794-9338
Fax: (413) 794-9754

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Mailing Address

MISS MARICHELLE T UY PA-C
280 CHESTNUT ST FL 2
SPRINGFIELD, MA
ZIP 01199
Phone: (413) 794-5700
Fax: (413) 794-1629


PECOS Enrollment and 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
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% 89.3
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% 89.6
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 - 93.8
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.

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.
1619903663
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26291806612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 1 + 8 + 0 + 6 + 6 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1619903663 is valid because the calculated check digit 3 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
1023098209 LINDA ESTHER BORNSTEIN MD
Individual
Radiology (Radiation Oncology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9175
1609846849 MARY ANN D. LOWEN M.D.
Individual
Radiology (Radiation Oncology)3350 MAIN ST D' AMOUR CENTER FOR CANCER CARE
SPRINGFIELD, MA 01107
(413) 794-9338
1619077369 BRIAN ACKER M.D.
Individual
Specialist3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9175
1942391891DR. MICHAEL YUNES
Individual
Specialist3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9175
1619900172PIONEER VALLEY RADIATION ONCOLOGY, PC
Organization
Specialist3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9175
1750480422DR. THOMAS NAPIER M.D.
Individual
Specialist3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9175
1548207293 GERRI LYNN SMITH NP
Individual
Nurse Practitioner3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1578530804DR. CHANDRAVATHI LOKE MD
Individual
Internal Medicine (Hematology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1518928431 JAMES A STEWART MD
Individual
Internal Medicine (Medical Oncology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1427016484 WILSON C MERTENS M.D.
Individual
Internal Medicine (Medical Oncology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1750325791 LESLIE M HOWARD MD
Individual
Internal Medicine (Hematology & Oncology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1588682488 LUCINDA J CASSELLS MD
Individual
Family Medicine (Hospice and Palliative Medicine)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1891713715 DEBORAH KATZ MD
Individual
Internal Medicine (Medical Oncology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1326066200 ARMEN ASIK M.D
Individual
Internal Medicine (Medical Oncology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1831117720 CANDACE M BIGNELL NP
Individual
Nurse Practitioner (Adult Health)3350 MAIN ST 2ND FLOOR
SPRINGFIELD, MA 01107
(413) 794-9338
1891717344 HELEN C. JAMES NP
Individual
Nurse Practitioner (Family)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1952323271 JOHN C MCCANN MD
Individual
Internal Medicine (Hematology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1740202076 RICHARD H STEINGART MD
Individual
Internal Medicine (Hematology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338
1821103912 TASHANNA K MYERS MD
Individual
Obstetrics & Gynecology (Gynecologic Oncology)3350 MAIN ST 4TH FL
SPRINGFIELD, MA 01107
(413) 794-9338
1174751267 SYED S ALI III MD
Individual
Internal Medicine (Medical Oncology)3350 MAIN ST
SPRINGFIELD, MA 01107
(413) 794-9338

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
Miss Marichelle T Uy Pa-c is registered as an entity type code: 1. The entity type code describes 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.