DR. ETHAN DALIERE SCHRAM M.D. NPI 1659320703
Internal Medicine - Medical Oncology in Saint Helena, CA
About DR. ETHAN DALIERE SCHRAM M.D.
Ethan Schram is an internist established in Saint Helena, California and his medical specialization is Internal Medicine with a focus in medical oncology with more than 20 years of experience. He graduated from University Of California, Davis School Of Medicine in 2003. The NPI number of this provider is 1659320703 and was assigned on May 2006. The practitioner's primary taxonomy code is 207RX0202X with license number A100608 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
| NPI | 1659320703 |
| Provider Name | DR. ETHAN DALIERE SCHRAM M.D. |
| Location Address | 10 WOODLAND RD MARTIN-O'NEIL CANCER CENTER SAINT HELENA, CA 94574 |
| Location Phone | (707) 967-5721 |
| Mailing Address | 10 WOODLAND RD MARTIN-O'NEIL CANCER CENTER SAINT HELENA, CA 94574 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-08-2006 |
| Last Update Date | 03-30-2012 |
An internist like Ethan Schram is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Ethan Schram 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.
Ethan Schram 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 Providence Queen Of The Valley Medical Center, Adventist Health St Helena, Adventist Health Ukiah Valley, Ucsf Medical Center and Ucsf Medical Center.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 79.36, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $48.89 for a new patient copayment and $28.95 for an established patient copayment.
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 | 207RX0202X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Medical Oncology |
| License No. | A100608 |
| License State | CA |
| Taxonomy Description | An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
Business Address
10 WOODLAND RD
MARTIN-O'NEIL CANCER CENTER
SAINT HELENA, CA
ZIP 94574
Phone: (707) 967-5721
Fax: (707) 967-5722
Mailing Address
10 WOODLAND RD
MARTIN-O'NEIL CANCER CENTER
SAINT HELENA, CA
ZIP 94574
Phone: (707) 967-5721
Fax: (707) 967-5722
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 |
| PECOS PAC ID | 6406852284 |
| PECOS Enrollment ID | I20100923000428 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 94574 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99205 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $65.83 | $195.58 | $195.58 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $16.45 | $48.89 | $48.89 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $21.39 | $160.84 | $115.81 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.34 | $40.21 | $28.95 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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% | 72.29 | |
|
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% | 82 | |
|
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 | - | 79.36 | |
| 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. | |||
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.
- 3780Injection, denosumab, 1 mg (HCPCS:J0897)
- 84Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
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. Ethan Schram is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER | 1000 TRANCAS ST NAPA, CA 94558 | (707) 252-4411 | Acute Care Hospitals | 50009 | |
| ADVENTIST HEALTH ST HELENA | 10 WOODLAND ROAD SAINT HELENA, CA 94574 | (707) 963-3611 | Acute Care Hospitals | 50013 | |
| ADVENTIST HEALTH UKIAH VALLEY | 275 HOSPITAL DRIVE UKIAH, CA 95482 | (707) 462-3111 | Acute Care Hospitals | 50301 | |
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE, BOX 0296 SAN FRANCISCO, CA 94143 | (415) 353-2733 | Acute Care Hospitals | 50454 | |
| UCSF MEDICAL CENTER | 15630 18TH AVE - HWY 53 CLEARLAKE, CA 95422 | (707) 994-6486 | Critical Access Hospitals | 51317 |
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 |
|---|---|---|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | A100608 | CA | No | |
Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. | |||||||
| 2 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | A100608 | CA | No |
Taxonomy Description: an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. | |||||||
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 | 5 | 9 | 3 | 2 | 0 | 7 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 6 | 2 | 0 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 6 + 2 + 0 + 7 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1659320703 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 |
|---|---|---|---|
| 1275535700 | WILLIAM DUGE MD Individual | Radiology (Diagnostic Radiology) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 261-7821 |
| 1104812585 | DR. HIROFUMI HASHIMOTO MD Individual | Internal Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6399 |
| 1619950193 | EDWARD STUMP M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6311 |
| 1033192547 | DAN CLAY M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6311 |
| 1174507552 | EDWIN CARLSON M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-3611 |
| 1912981382 | GARY MISHKIN M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-3611 |
| 1508840513 | JOSE RENE MIRANDA M.D. Individual | Emergency Medicine | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-3611 |
| 1851355705 | ANDREW DEMETRIUS HORPENIUK M.D., M.P.H. Individual | Preventive Medicine (Occupational Medicine) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6491 |
| 1083679781 | DR. DAVID R RACKER M.D. Individual | Radiology (Diagnostic Radiology) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6430 |
| 1336194497 | RCOA-ADVENTIST HEALTH, LLC Organization | Clinic/Center (Radiology, Mobile) | 10 WOODLAND RD SAINT HELENA, CA 94574 (866) 293-3500 |
| 1922020221 | DAVID KIM M.D. Individual | Hospitalist | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6399 |
| 1205859683 | DIANE LYNN HAMBRICK M.D. Individual | Family Medicine (Addiction Medicine) | 10 WOODLAND RD ST. HELENA HOSPITAL SAINT HELENA, CA 94574 (707) 967-5720 |
| 1689778987 | DR. STEVEN CARLTON HERBER MD Individual | Surgery (Plastic and Reconstructive Surgery) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 967-5981 |
| 1962508960 | CAROL L ISAACS MD Individual | Dermatology | 10 WOODLAND RD LLOYD BLDG STE 501 ST HELENA, CA 94574 (707) 963-5450 |
| 1386856888 | JOANNE HATCH R.D. Individual | Dietitian, Registered | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6218 |
| 1730396433 | MAILE SHUBIN Individual | Dietitian, Registered | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-3218 |
| 1558578013 | PETRA SCHLENKE R.D. Individual | Dietitian, Registered | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6432 |
| 1013117977 | DR. GEOFFREY WILLIAM HORN DO Individual | Radiology (Diagnostic Radiology) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6430 |
| 1174793574 | ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. Organization | Psychiatry & Neurology (Neurology) | 10 WOODLAND RD SUITE 502 SAINT HELENA, CA 94574 (707) 963-1882 |
| 1467786400 | DAVID F. JADWIN D.O. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 10 WOODLAND RD SAINT HELENA, CA 94574 (707) 963-6483 |
Frequently Asked Questions
What is Dr. Ethan Schram M.D. NPI number?
The NPI number assigned to this healthcare provider is 1659320703, registered as an "individual" on May 08, 2006
Where is Dr. Ethan Schram M.D. located?
The provider is located at 10 Woodland Rd Martin-o'neil Cancer Center Saint Helena, Ca 94574 and the phone number is (707) 967-5721
Which is Dr. Ethan Schram M.D. specialty?
The provider's speciality is Internal Medicine with a focus in Medical Oncology
How many years of experience does Dr. Ethan Schram M.D. have?
The provider has more than 20 years of experience. He graduated from University Of California, Davis School Of Medicine in 2003.
Is Dr. Ethan Schram M.D. 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. Ethan Schram M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
How much is a visit to Dr. Ethan Schram M.D.?
Medicare beneficiaries should expect a typical cost of $195.58 with an average copayment of $48.89 for new patient appointments. Established patients should expect a typical charge of $115.81 and an average copayment of 28.95. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Ethan Schram M.D.?
The most common procedures or services performed by this practitioner are: Injection, denosumab, 1 mg and Injection beneath the skin or into muscle for therapy, diagnosis, or prevention.
Is Dr. Ethan Schram M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER, ADVENTIST HEALTH ST HELENA, ADVENTIST HEALTH UKIAH VALLEY, UCSF MEDICAL CENTER and UCSF MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Ethan Schram M.D. was last updated on May 08, 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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