DR. ALLEN L BABCOCK M.D.
NPI 1689640088
Orthopaedic Surgery in Auburn Hills, MI

NPI Status: Active since February 24, 2006

Contact Information

3100 CROSS CREEK PKWY
SUITE 200
AUBURN HILLS, MI
ZIP 48326
Phone: (248) 377-8000
Fax: (248) 377-2929

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  • Individual
  • Male
  • Orthopaedic Surgery
  • PECOS Enrolled
  • Medicare Quality Reporting

About ALLEN BABCOCK

This page provides the complete NPI Profile along with additional information for Allen Babcock, a provider established in Auburn Hills, Michigan with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1689640088 assigned on February 2006. The practitioner's primary taxonomy code is 207X00000X with license number 4301030915 (MI). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1689640088
Provider Name
DR. ALLEN L BABCOCK M.D.
Gender
Male
Entity Type
Individual
Location Address
3100 CROSS CREEK PKWY SUITE 200 AUBURN HILLS, MI 48326
Location Phone
(248) 377-8000
Location Fax
(248) 377-2929
Mailing Address
3100 CROSS CREEK PKWY SUITE 200 AUBURN HILLS, MI 48326
Mailing Phone
(248) 377-8000
Mailing Fax
(248) 377-2929
Is Sole Proprietor?
No
Enumeration Date
02-24-2006
Last Update Date
01-13-2020
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301030915
License State
MI
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Medicare Participation & PECOS Enrollment Status

Allen Babcock 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: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48326 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.38
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $18.09
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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
e-Prescribing 74% 126
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 49% 142
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 84% 612
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 50% 1091
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.
Provide Patient Access 59% 1091
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 78% 1091
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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689640088, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 2 + 4 + 0 + 0 + 1 + 6 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1689640088.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
3100 CROSS CREEK PKWY, STE 120
AUBURN HILLS, MI 48326
Specialist/Technologist (Athletic Trainer)
3100 CROSS CREEK PKWY
AUBURN HILLS, MI 48326
Clinic/Center (Health Service)
3100 CROSS CREEK PKWY, SUITE 160
AUBURN HILLS, MI 48326
Nurse Practitioner (Family)
3100 CROSS CREEK PKWY, SUITE 200
AUBURN HILLS, MI 48326
Physical Therapist (Orthopedic)
3100 CROSS CREEK PKWY, SUITE 200
AUBURN HILLS, MI 48326
Physical Therapist (Orthopedic)
3100 CROSS CREEK PKWY, SUITE 200
AUBURN HILLS, MI 48326
Clinic/Center (Physical Therapy)
3100 CROSS CREEK PKWY
AUBURN HILLS, MI 48326
Physical Therapist (Orthopedic)
3100 CROSS CREEK PKWY, SUITE 110
AUBURN HILLS, MI 48326
Physical Therapist
3100 CROSS CREEK PKWY, SUITE 110
AUBURN HILLS, MI 48326
Internal Medicine
3100 CROSS CREEK PKWY, SUITE 220
AUBURN HILLS, MI 48326
Physical Therapist (Orthopedic)
3100 CROSS CREEK PKWY, STE 200
AUBURN HILLS, MI 48326
Internal Medicine (Pulmonary Disease)
3100 CROSS CREEK PKWY, SUITE 210B
AUBURN HILLS, MI 48326
Internal Medicine (Pulmonary Disease)
3100 CROSS CREEK PKWY, SUITE 210
AUBURN HILLS, MI 48326
Specialist
3100 CROSS CREEK PKWY, SUITE 140
AUBURN HILLS, MI 48326
Physician Assistant (Medical)
3100 CROSS CREEK PKWY, SUITE 200
AUBURN HILLS, MI 48326
Physical Therapist
3100 CROSS CREEK PKWY, SUITE 200
AUBURN HILLS, MI 48326
Internal Medicine
3100 CROSS CREEK PKWY, SUITE 220
AUBURN HILLS, MI 48326
Physician Assistant (Medical)
3100 CROSS CREEK PKWY, STE 200
AUBURN HILLS, MI 48326
Physical Therapist
3100 CROSS CREEK PKWY, SUITE 110
AUBURN HILLS, MI 48326
Orthopaedic Surgery
3100 CROSS CREEK PKWY, SUITE 200
AUBURN HILLS, MI 48326

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689640088, enumerated as an "individual" on February 24, 2006.

The provider is located at 3100 CROSS CREEK PKWY SUITE 200 AUBURN HILLS, MI 48326 and the phone number is (248) 377-8000.

Orthopaedic Surgery with taxonomy code 207X00000X.