PETER W KOZICKY MD NPI 1619975992
Orthopaedic Surgery in Hazleton, PA

About PETER W KOZICKY MD

Peter Kozicky is a provider established in Hazleton, Pennsylvania and his medical specialization is Orthopaedic Surgery. The NPI number of Peter Kozicky is 1619975992 and was assigned on July 2005. The practitioner's primary taxonomy code is 207X00000X with license number MD020512E (PA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1619975992
Provider Name PETER W KOZICKY MD
Location Address50 MOISEY DRIVE SUITE 202 HAZLETON, PA 18202
Location Phone(570) 501-6730
Mailing AddressPO BOX 1347 KINGSTON, PA 18704
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date07-12-2005
Last Update Date05-19-2014



The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 48.4, 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 following quality measures were reported for this provider: annual registration in the prescription drug monitoring program, collection and follow-up on patient experience and satisfaction data on beneficiary engagement, collection and use of patient experience and satisfaction data on access, e-prescribing, immunization registry reporting, medication reconciliation, patient-specific education, provide patient access, secure messaging and security risk analysis.



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 Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
License No.MD020512E
License StatePA
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Accepted Insurance

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

  • Medicaid
  • Medicare

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

Business Address

PETER W KOZICKY MD
50 MOISEY DRIVE
SUITE 202
HAZLETON, PA
ZIP 18202
Phone: (570) 501-6730
Fax: (570) 501-3837

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Mailing Address

PETER W KOZICKY MD
PO BOX 1347
KINGSTON, PA
ZIP 18704
Phone: (570) 288-8881
Fax: (570) 288-8065


Location Map

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% 0
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% 77
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% 77.8
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 - 48.4
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 Reporting

The following quality measures meet 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 Number of Patients
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Collection and follow-up on patient experience and satisfaction data on beneficiary engagementYesN/A
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.
Collection and use of patient experience and satisfaction data on accessYesN/A
Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs.
e-Prescribing 29% 21
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Immunization Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Medication Reconciliation 93% 292
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 60% 243
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 97% 243
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 3% 243
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

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.

  • 142Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 139Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)

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
030720LPBMEDICARE PIN (08)
0006446160003MEDICAID (05)PA
B33682MEDICARE UPIN (02)

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.
1619975992
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262918710918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 1 + 8 + 7 + 1 + 0 + 9 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1619975992 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.

NPI Name / Type Taxonomy Address
1851392187ANESTHESIA CARE CONSULTANTS
Organization
Anesthesiology50 MOISEY DRIVE SUITE 204
HAZLETON, PA 18202
(570) 501-6860
1013918176 PAULA A FEENEY CRNA
Individual
Nurse Anesthetist, Certified Registered50 MOISEY DRIVE SUITE 204
HAZLETON, PA 18202
(570) 501-6860
1083665772PAIN CARE CONSULTANTS
Organization
Specialist50 MOISEY DRIVE SUITE 204
HARLETON, PA 18202
(570) 501-6860
1700839008BEECHMONT ANESTHESIA
Organization
Anesthesiology50 MOISEY DRIVE SUITE 204
HAZLETON, PA 18202
(570) 501-6860
1518031228DR. SYED F QADRI MD
Individual
Physical Medicine & Rehabilitation50 MOISEY DRIVE SUITE 206
HAZLETON, PA 18202
(570) 501-6899
1003009606PLUS 1 RX, LLC
Organization
Pharmacy (Community/Retail Pharmacy)50 MOISEY DRIVE SUITE 218
HAZLETON, PA 18202
(570) 501-6610
1285684324 SHU-GUANG XU MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)50 MOISEY DRIVE SUITE 210
HAZLETON, PA 18202
(484) 884-3333
1780010751 BONNIE GREGORY CRNP
Individual
Nurse Practitioner (Adult Health)50 MOISEY DRIVE SUITE 202
HAZLETON, PA 18202
(570) 501-6840
1558400010DR. YAQOOB MOHYUDDIN MD
Individual
Internal Medicine (Cardiovascular Disease)50 MOISEY DRIVE SUITE 109
HAZLETON, PA 18202
(570) 501-6580
1851406821HAZLETON SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)50 MOISEY DRIVE SUITE 100
HAZLETON, PA 18202
(570) 501-6500
1689873473DR. DANIEL GAVIO DC
Individual
Chiropractor50 MOISEY DRIVE SUITE 206
HAZLETON, PA 18202
(570) 501-6700

Frequently Asked Questions

What is Peter Kozicky MD NPI number?

The NPI number assigned to Peter Kozicky MD is 1619975992, registered as an "individual" on July 12, 2005

Where is Peter Kozicky MD located?

The provider is located at 50 Moisey Drive Suite 202 Hazleton, Pa 18202 and the phone number is (570) 501-6730

Which is Peter Kozicky MD specialty?

The provider's speciality is Orthopaedic Surgery

What insurance does Peter Kozicky MD accept?

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

What are some of the services provided by Peter Kozicky MD?

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of large joint or joint capsule and Injection, methylprednisolone acetate, 40 mg.

How do I update my NPI information?

The NPI record of Peter Kozicky MD was last updated on July 12, 2005. 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]