ARDEN LEROY AYLOR MD NPI 1629267141

Family Medicine (Geriatric Medicine) in Talladega, AL

NPI 1629267141 Individual Male Years of Experience 18 Family Medicine Geriatric Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About ARDEN AYLOR

Arden Aylor is a primary care provider established in Talladega, Alabama and his medical specialization is family medicine (geriatric medicine) with more than 18 years of experience. The NPI number of Arden Aylor is 1629267141 and was assigned on October 2007. The practitioner's primary taxonomy code is 207QG0300X with license number 42258 (TX). The provider is registered as an individual and his NPI record was last updated 8 years ago.

A primary care provider (PCP) like Arden Leroy Aylor Md 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

Arden Aylor 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

Arden Aylor 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 Northeast Alabama Regional Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: annual registration in the prescription drug monitoring program, consultation of the prescription drug monitoring program, documentation of current medications in the medical record, e-prescribing, health information exchange, immunization registry reporting, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, specialized registry reporting, use of high-risk medications in the elderly and use of high-risk medications in the elderly. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1629267141

Provider Name ARDEN LEROY AYLOR MD
Provider Location Address803 NORTH ST E TALLADEGA, AL 35160
Provider Mailing Address803 NORTH ST E TALLADEGA, AL 35160
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-22-2007
Last Update Date09-18-2013


Primary Taxonomy

Taxonomy Code207QG0300X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGeriatric Medicine
License No.42258
License StateTX
Taxonomy DescriptionA family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Business Address

ARDEN LEROY AYLOR MD
803 NORTH ST E
TALLADEGA, AL
ZIP 35160
Phone: (256) 362-1600
Fax: (256) 362-8698

Get Directions


Mailing Address

ARDEN LEROY AYLOR MD
803 NORTH ST E
TALLADEGA, AL
ZIP 35160
Phone: (256) 362-1600
Fax: (256) 362-8698



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 ID5799848149
PECOS Enrollment IDI20120119000576
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.

  • 392Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 286Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 164Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 153Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
  • 60Administration of influenza virus vaccine (HCPCS:G0008)
  • 51Urinalysis, manual test (HCPCS:81002)
  • 46Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 26Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 22X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 16X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 14X-ray of shoulder, minimum of 2 views (HCPCS:73030)

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
Documentation of Current Medications in the Medical Record 100% 9158
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 99% 32812
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 44% 1210
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 95% 399
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 90% 2208
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.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99% 2183
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 73% 640
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86% 1693
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 77% 1693
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 67% 2208
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 7% 2208
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.
Use of High-Risk Medications in the Elderly 10% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
523
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 25% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
523
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

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. Arden Aylor is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTHEAST ALABAMA REGIONAL MEDICAL CENTER400 EAST 10TH STREET
ANNISTON, AL 36207
(256) 235-5121Acute Care Hospitals10078

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine28874ALNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine28874ALNo

Taxonomy Description: a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

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
$$$$$$$$$OTHER (01)TX
1996126-01MEDICAID (05)TX
511-35487OTHER (01)AL
8L5146MEDICARE PIN (08)TX
PP30842OTHER (01)TX

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063493351DR. DAWSON LEIGH MURPHY M.D.
Individual
Surgery803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1205817509DR. DAVID H ROBERTS M.D.
Individual
Surgery803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1821150087REGIONAL HEALTH MANAGEMENT CORPORATION
Organization
Specialist803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1215918511DR. CHARLES R LAMBERT M.D.
Individual
Family Medicine803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1598154635 APRIL BROWN CRNP
Individual
Nurse Practitioner (Family)803 NORTH ST E
TALLADEGA, AL 35160
(256) 362-1600
1336249994 ANNE B. DAVIS M.D.
Individual
Internal Medicine803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252
1952401887 JOAN V. PATTERSON CRNP
Individual
Nurse Practitioner (Family)803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252
1700956265 MARY PAGE H MCKINNEY CRNP
Individual
Nurse Practitioner803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252
1164833539 BRIDGET GIBSON MD
Individual
Family Medicine803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252
1861456923BAPTIST HEALTH CENTERS LLC
Organization
Internal Medicine803 NORTH ST E
TALLADEGA, AL 35160
(256) 315-2252

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.