DR. ERIC DORNBLASER DO NPI 1629042619
Emergency Medicine in Bethlehem, PA
About DR. ERIC DORNBLASER DO
Eric Dornblaser is a provider established in Bethlehem, Pennsylvania and his medical specialization is Emergency Medicine. The NPI number of this provider is 1629042619 and was assigned on February 2006. The practitioner's primary taxonomy code is 207P00000X with license number OS004779L (PA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1629042619 |
| Provider Name | DR. ERIC DORNBLASER DO |
| Location Address | 801 OSTRUM ST BETHLEHEM, PA 18015 |
| Location Phone | (610) 954-4500 |
| Mailing Address | PO BOX 509 SCRANTON, PA 18501 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | N/A |
| Enumeration Date | 02-15-2006 |
| Last Update Date | 07-08-2007 |
Eric Dornblaser 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.7, 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
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 Code | 207P00000X |
| Classification | Emergency Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | OS004779L |
| License State | PA |
| Taxonomy Description | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
801 OSTRUM ST
BETHLEHEM, PA
ZIP 18015
Phone: (610) 954-4500
Mailing Address
PO BOX 509
SCRANTON, PA
ZIP 18501
Location Map
PECOS Enrollment and Medicare Participation Status
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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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% | 100 | |
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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. |
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| Promoting Interoperability (PI) | 25% | 85.6 | |
|
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. |
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| 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. |
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| Cost | 20% | 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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| MIPS Final Score | - | 95.7 | |
| 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. | |||
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 |
|---|---|---|
| 0010231900002 | MEDICAID (05) | PA |
| B37223 | MEDICARE UPIN (02) | PA |
| 121809GE1 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA |
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. | |||||||||
| 1 | 6 | 2 | 9 | 0 | 4 | 2 | 6 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 4 | 4 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 4 + 4 + 6 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1629042619 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1902809288 | DR. STEVEN T. PUCCIO DO Individual | Orthopaedic Surgery | 801 OSTRUM ST PPHP2 BETHLEHEM, PA 18015 (610) 954-1735 |
| 1669470761 | COREY JAY SEYLER P.A.-C. Individual | Physician Assistant | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-6048 |
| 1245218072 | HUGH D O'DONNELL MD Individual | Neurological Surgery | 801 OSTRUM ST FOUNTAIN HILL, PA 18015 (610) 954-4900 |
| 1376523027 | DR. LIVIA BRATIS D.O. Individual | Internal Medicine (Pulmonary Disease) | 801 OSTRUM ST BETHLEHEM, PA 18015 (484) 526-3890 |
| 1750355749 | DR. JACK CHAMBERS DO Individual | Emergency Medicine | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-4500 |
| 1306810312 | DR. SCOTT MELANSON MD Individual | Emergency Medicine | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-4500 |
| 1740254531 | DR. MICHAEL HELLER MD Individual | Emergency Medicine | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-4500 |
| 1972577674 | DR. CHRISTOPHER STROMSKI MD Individual | Emergency Medicine | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-4500 |
| 1851366298 | DR. DAVID PRONCHIK MD Individual | Emergency Medicine | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-9746 |
| 1134197874 | HOMESTAR MEDICAL EQUIPMENT & INFUSION SERVICES Organization | Home Infusion | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-4961 |
| 1700840527 | PATRICK J BROGLE MD Individual | Orthopaedic Surgery | 801 OSTRUM ST PPHP2 BETHLEHEM, PA 18015 (610) 954-1735 |
| 1588621049 | ALDO CARMONA MD Individual | Anesthesiology | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-5810 |
| 1467410563 | HUGH CARLIN MD Individual | Anesthesiology | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-5810 |
| 1417915927 | MARYELLEN P AHERN MD Individual | Anesthesiology | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-5810 |
| 1245288638 | SAMUEL PACIOTTI MD Individual | Anesthesiology | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-5810 |
| 1386693513 | ROBERT T HODGES MD Individual | Anesthesiology | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-5810 |
| 1629027859 | PATRICIA MORRIS MD Individual | Anesthesiology | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-5810 |
| 1730138421 | RALPH R SISSON MD Individual | Anesthesiology | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-5810 |
| 1467403154 | JAYNE FEBBRARO CRNP Individual | Nurse Practitioner (Neonatal) | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-4434 |
| 1972554574 | RENA L. SZITANKO PAC Individual | Physician Assistant | 801 OSTRUM ST BETHLEHEM, PA 18015 (610) 954-4434 |
Frequently Asked Questions
What is Dr. Eric Dornblaser DO NPI number?
The NPI number assigned to this healthcare provider is 1629042619, registered as an "individual" on February 15, 2006
Where is Dr. Eric Dornblaser DO located?
The provider is located at 801 Ostrum St Bethlehem, Pa 18015 and the phone number is (610) 954-4500
Which is Dr. Eric Dornblaser DO specialty?
The provider's speciality is Emergency Medicine
What insurance does Dr. Eric Dornblaser DO accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Eric Dornblaser DO registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
What are Dr. Eric Dornblaser DO Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
How much is a visit to Dr. Eric Dornblaser DO?
Medicare beneficiaries should expect a typical cost of $87.96 with an average copayment of $21.99 for new patient appointments. Established patients should expect a typical charge of $101.62 and an average copayment of 25.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Dr. Eric Dornblaser DO was last updated on February 15, 2006. 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]
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