MR. JOHN D STEMM P.T.
NPI 1679652150
Physical Therapist in Oklahoma City, OK

Quality Rating: 89.42 out of 100 score

NPI Status: Active since November 03, 2006

Contact Information

9600 BROADWAY EXT
OKLAHOMA CITY, OK
ZIP 73114
Phone: (405) 230-9575

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Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Overall Quality Performance
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physical Therapist
Accepts Insurance

About JOHN STEMM

This page provides the complete NPI Profile along with additional information for John Stemm, a provider established in Oklahoma City, Oklahoma with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1679652150 assigned on November 2006. The practitioner's primary taxonomy code is 225100000X with license number 3509 (OK). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1679652150
Provider Name: MR. JOHN D STEMM P.T.
Gender: Male
Entity Type: Individual
Location Address: 9600 BROADWAY EXT OKLAHOMA CITY, OK 73114
Location Phone: (405) 230-9575
Mailing Address: 9600 BROADWAY EXT OKLAHOMA CITY, OK 73114
Mailing Phone: (405) 486-2337
Mailing Fax
Is Sole Proprietor?: Yes
Enumeration Date: 11-03-2006
Last Update Date: 09-28-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code

225100000X

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

License No.

3509

License State

Taxonomy Description

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

Diagnose and manage movement dysfunction and enhance physical and functional abilities.
Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.

PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of Oklahoma

Blue Advantage Bronze PPO? 202 - PPO
Blue Advantage Bronze PPO? 203 - PPO
Blue Advantage Bronze PPO? Standard - PPO
Blue Advantage Gold PPO? 309 - PPO
Blue Advantage Gold PPO? 604 - PPO
Blue Advantage Gold PPO? Standard - PPO
Blue Advantage Silver PPO? 204 - PPO
Blue Advantage Silver PPO? 501 - PPO
Blue Advantage Silver PPO? Standard - PPO
Blue Preferred Bronze PPO? Standard - PPO
Blue Preferred Gold PPO? Standard - PPO
Blue Preferred Security PPO? 200 - PPO
Blue Preferred Silver PPO? Standard - PPO

Taro Health Plan

TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

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

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.42, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

Final Score: 89.42 out of 100

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 Score: 91.14

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 Score: 81

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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

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 Score: 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.
Cost Score: 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.

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	7	9	6	5	2	1	5	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	14	9	12	5	4	1	10
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 + 5 + 4 + 1 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1679652150 is valid because the calculated check digit 0 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.

BRUNA MAE VARALLI-CLAYPOOL PA

Physician Assistant

(Medical)

9600 BROADWAY EXT
OKLAHOMA CITY, OK
ZIP 73114

About JOHN STEMM

Location Map

Specialty - Primary Taxonomy

Physical Therapist

Insurance Plans Accepted

Blue Cross and Blue Shield of Oklahoma

Taro Health Plan

Overall MIPS Quality Performance

Final Score: 89.42 out of 100

Quality Score: 91.14

Promoting Interoperability Score: 81

Improvement Activities Score: 40

Cost Score: N/A

Cost Score: N/A

Reviews for MR. JOHN D STEMM P.T.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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