DR. GONZALO IVAR HIDALGO M.D. NPI 1679640254

Specialist in Alexandria, LA

NPI 1679640254 Individual Male Years of Experience 22 Specialist PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 94.1 Medicare Quality Reporting

NPI Profile for DR. GONZALO IVAR HIDALGO M.D.

Gonzalo Hidalgo is a provider established in Alexandria, Louisiana and his medical specialization is specialist with more than 22 years of experience. The NPI number of Gonzalo Hidalgo is 1679640254 and was assigned on November 2006. The practitioner's primary taxonomy code is 174400000X with license number 025214 (LA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

Gonzalo Hidalgo 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.

Gonzalo Hidalgo 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 Christus St Frances Cabrini Hospital, Rapides Regional Medical Center, Byrd Regional Hospital, Hardtner Medical Center and Christus Central Louisiana Surgical Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.1, 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: chronic care and preventative care management for empaneled patients, documentation of current medications in the medical record, e-prescribing, implementation of medication management practice improvements, medication reconciliation, 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, provide patient access, secure messaging, security risk analysis, specialized registry reporting and use of decision support and standardized treatment protocols.

NPI

1679640254

Provider NameDR. GONZALO IVAR HIDALGO M.D.
Provider Location Address3311 PRESCOTT RD SUITE 216 ALEXANDRIA, LA 71301
Provider Mailing Address3311 PRESCOTT RD SUITE 216 ALEXANDRIA, LA 71301
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-29-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.025214
License StateLA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

DR. GONZALO IVAR HIDALGO M.D.
3311 PRESCOTT RD
SUITE 216
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 443-0490
Fax: (318) 443-0690

Get Directions


Mailing Address

DR. GONZALO IVAR HIDALGO M.D.
3311 PRESCOTT RD
SUITE 216
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 443-0490
Fax: (318) 443-0690



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
PECOS PAC ID1951349620
PECOS Enrollment IDI20050422000263
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

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
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% 71.4
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% 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.
MIPS Final Score - 94.1
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
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Documentation of Current Medications in the Medical Record 99% 2333
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 91% 394
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Medication Reconciliation 99% 543
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 58% 1563
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 24% 1551
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 85% 551
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 48% 1563
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 0% 1563
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.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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.

  • 261Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 259Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • 185Neuropsychological testing, interpretation, and report by psychologist or physician per hour (HCPCS:96118)
  • 147Nerve transmission studies, 5-6 studies (HCPCS:95909)
  • 39Measurement and recording of brain wave (EEG) activity, awake and drowsy (HCPCS:95816)
  • 18Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)

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. Gonzalo Hidalgo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CHRISTUS ST FRANCES CABRINI HOSPITAL3330 MASONIC DRIVE
ALEXANDRIA, LA 71301
(318) 487-1122Acute Care Hospitals190019
RAPIDES REGIONAL MEDICAL CENTER211 4TH STREET
ALEXANDRIA, LA 71301
(318) 769-3000Acute Care Hospitals190026
BYRD REGIONAL HOSPITAL1020 FERTITTA BLVD
LEESVILLE, LA 71446
(337) 239-9041Acute Care Hospitals190164
HARDTNER MEDICAL CENTER1102 N PINE ROAD
OLLA, LA 71465
(318) 495-3131Critical Access Hospitals191315
CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL651 NORTH BOLTON AVE
ALEXANDRIA, LA 71301
(318) 449-6400Acute Care Hospitals190298

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
H51389MEDICARE UPIN (02)LA
4A824MEDICARE ID-TYPE UNSPECIFIED (04)LA
1108162MEDICAID (05)LA

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1679640254
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491240210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 2 + 4 + 0 + 2 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1679640254 is valid because the calculated check digit 4 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
1063410074DR. RICHARD PAUL TEXADA SR. MD
Individual
Urology3311 PRESCOTT RD SUITE 100
ALEXANDRIA, LA 71301
(318) 442-3384
1265431597DR. DARRYL J AGUILAR MD
Individual
Surgery3311 PRESCOTT RD STE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1528067873DR. JAMES MICHAEL CONERLY MD
Individual
Surgery3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1205835329 JAMES SUTER PA
Individual
Physician Assistant3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1477552503DR. JAMES N PARRISH MD
Individual
Surgery3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1538168554DR. WAYNE L WATKINS M.D.
Individual
Surgery3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767
1972503415DR. STEPHEN PHILIP KATZ M.D.
Individual
Specialist3311 PRESCOTT RD SUITE 415
ALEXANDRIA, LA 71301
(318) 443-9300
1083607774JOAN WALKER, M.D., LLC
Organization
Family Medicine3311 PRESCOTT RD SUITE 411
ALEXANDRIA, LA 71301
(318) 767-2200
1215918503DR. VINCENT D MALLORY MD
Individual
Family Medicine3311 PRESCOTT RD STE 316
ALEXANDRIA, LA 71301
(318) 487-1717
1366428617 HAISSAM N BOUZ M.D.
Individual
Specialist3311 PRESCOTT RD SUITE 314
ALEXANDRIA, LA 71301
(318) 448-8517
1972581973DR. AMY E. BABIN M. D.
Individual
Obstetrics & Gynecology3311 PRESCOTT RD SUITE 410
ALEXANDRIA, LA 71301
(318) 443-7222
1568440550DR. EDAN DAMIAN MORAN M. D.
Individual
Obstetrics & Gynecology (Gynecology)3311 PRESCOTT RD
ALEXANDRIA, LA 71301
(318) 443-7222
1316926280DR. GLENN R AUCOIN M. D.
Individual
Obstetrics & Gynecology3311 PRESCOTT RD SUITE 410
ALEXANDRIA, LA 71301
(318) 443-7222
1295714038 ROBERT M TAYLOR
Individual
Physical Medicine & Rehabilitation3311 PRESCOTT RD SUITE 203
ALEXANDRIA, LA 71301
(318) 442-6814
1770555286 ROBERT J. FREEDMAN JR. M.D.
Individual
Internal Medicine (Cardiovascular Disease)3311 PRESCOTT RD SUITE 112
ALEXANDRIA, LA 71301
(318) 767-0960
1336112861 ALAA H YOUNES M.D.
Individual
Internal Medicine (Cardiovascular Disease)3311 PRESCOTT RD SUITE 112
ALEXANDRIA, LA 71301
(318) 767-0960
1124134853DR. YASSER M NAKHLAWI M.D.
Individual
Pediatrics (Adolescent Medicine)3311 PRESCOTT RD SUITE 210
ALEXANDRIA, LA 71301
(318) 487-1477
1972690584 WILLIAM HENRY MACKLIN M.D., FACS
Individual
Specialist3311 PRESCOTT RD SUITE 105
ALEXANDRIA, LA 71301
(318) 484-2667
1861527814MRS. BEVERLY SUE LOWENTRITT FNP
Individual
Nurse Practitioner (Family)3311 PRESCOTT RD
ALEXANDRIA, LA 71301
(318) 449-7917
1225249105 PHILIP A COLE II MD
Individual
Surgery3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301
(318) 442-6767

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
Dr. Gonzalo Ivar Hidalgo M.d. 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.