MICHAEL V. BESS M.D.
NPI 1699727677
Emergency Medicine in Palm Coast, FL
Quality Rating: 88.4 out of 100 score
NPI Status: Active since May 17, 2006
Contact Information
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL
ZIP 32164
Phone: (386) 586-2000
- Individual
- Male
- Emergency Medicine
- PECOS Enrolled
About MICHAEL BESS
Michael Bess is a provider established in Palm Coast, Florida and his medical specialization is Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1699727677 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X with license number ME76455 (FL). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1699727677
- Provider Name
- MICHAEL V. BESS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164
- Location Phone
- (386) 586-2000
- Mailing Address
- 75 BLACK HICKORY WAY ORMOND BEACH, FL 32174
- Mailing Phone
- (386) 615-1650
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-17-2006
- Last Update Date
- 12-03-2009
- Code Navigator
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 88.4, 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.
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME76455
- License State
- FL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Location Map
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 35.078002 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Anthem Blue Cross and Blue Shield
- Anthem Bronze Pathway HMO 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway HMO 7450/0% (+ Incentives) - HMO
- Anthem Bronze Pathway HMO 7500/50% Standard (Cleveland) - HMO
- Anthem Bronze Pathway HMO 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway HMO 9450 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Catastrophic Pathway HMO 9450 ( + Incentives) - HMO
- Anthem Gold Pathway HMO 2000/25% Standard (Cincinnati) - HMO
- Anthem Silver Pathway HMO 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway HMO 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway HMO 5000 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway HMO 5400/0% ( + Incentives) - HMO
- Anthem Silver Pathway HMO 5800/40% Standard (Cleveland) - HMO
- Anthem Silver Pathway HMO 6000/25% ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
CareSource
- CareSource Marketplace Bronze First - HMO
- CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Gold - HMO
- CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Silver - HMO
- CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Gold - HMO
- CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Silver - HMO
- CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Gold - HMO
- CareSource Marketplace Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Low Premium Silver - HMO
- CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Silver - HMO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
H19581 | MEDICARE UPIN (02) | ||
2189724 | MEDICAID (05) | OH | |
BE4028804 | MEDICARE PIN (08) | OH |
PECOS Enrollment and Medicare Participation Status
Michael Bess 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.
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: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
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 32164 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.24
- Minimum New Patient Price $58.4
- Maximum New Patient Price $178.79
- Average New Patient Copayment $22.56
- Minimum New Patient Copayment $14.6
- Maximum New Patient Copayment $44.69
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.76
- Minimum Established Patient Price $17.74
- Maximum Established Patient Price $145.28
- Average Established Patient Copayment $25.94
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $36.32
* 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.
Overall MIPS Quality 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: 88.4 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: 78.92
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: 100
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.
Clinician Services
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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 28
Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
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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 | 9 | 9 | 7 | 2 | 7 | 6 | 7 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 18 | 9 | 14 | 2 | 14 | 6 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 8 + 9 + 1 + 4 + 2 + 1 + 4 + 6 + 1 + 4 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1699727677 is valid because the calculated check digit 7 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 |
---|---|---|---|
1063461838 | EMCARE PHYSICIAN PROVIDERS, INC. Organization | Emergency Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (385) 586-2010 |
1891744744 | FLORIDA EM-I MEDICAL SERVICES PA Organization | Emergency Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2010 |
1780638064 | JOHN P. MCCARTHY M.D. Individual | Emergency Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2010 |
1033165279 | DARYL M. TURNER M.D. Individual | Emergency Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 536-2000 |
1366498842 | ALAN F. TRELOAR PA Individual | Physician Assistant | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2010 |
1265459002 | DAVID F. ALANIZ CRNA Individual | Nurse Anesthetist, Certified Registered | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2000 |
1174545396 | DR. MICHAEL GABLE DO Individual | Emergency Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2010 |
1346262789 | DR. ALVARO R ALVAREZ-FARINETTI M.D. Individual | Radiology (Radiation Oncology) | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2060 |
1861404865 | MOULTRIE INPATIENT PHYSICIANS Organization | Internal Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2003 |
1588765945 | DR. AKRAM BATNIJI M.D. Individual | Emergency Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2010 |
1578881314 | MR. ELVIS SCOTT RUTLEDGE RN Individual | Registered Nurse | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2000 |
1740599596 | ELIZABETH ANNE LAGASSE MHS, RD, LDN Individual | Dietitian, Registered | 60 MEMORIAL MEDICAL PKWY FLORIDA HOSPITAL FLAGLER PALM COAST, FL 32164 (386) 586-4572 |
1871781906 | FLORIDA ONCOLOGY NETWORK PA Organization | Radiology (Radiation Oncology) | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2060 |
1073561171 | GARY W. MORSE P.A. Individual | Physician Assistant | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2010 |
1477598373 | ELISE ELLEN KULAGA PA Individual | Physician Assistant | 60 MEMORIAL MEDICAL PKWY FLORIDA HOSPITAL FLAGLER PALM COAST, FL 32164 (386) 586-2000 |
1114952801 | DIANA ROBBINS NP Individual | Nurse Practitioner | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2010 |
1518926021 | DR. DIVYA PINGLE M.D. Individual | Internal Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-4743 |
1093139677 | SHELLY EDENS R.D., C.S.O., L.D.N. Individual | Dietitian, Registered | 60 MEMORIAL MEDICAL PKWY FOOD AND NUTRITION DEPARTMENT PALM COAST, FL 32164 (386) 586-4320 |
1851465520 | DR. ROBERT T LIVINGSTON MD Individual | Family Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2010 |
1073561379 | WATERCANAL ER SVCS PARTNERSHIP LLC Organization | Emergency Medicine | 60 MEMORIAL MEDICAL PKWY PALM COAST, FL 32164 (386) 586-2010 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699727677, enumerated in the NPI registry as an "individual" on May 17, 2006
The provider is located at 60 Memorial Medical Pkwy Palm Coast, Fl 32164 and the phone number is (386) 586-2000
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report.
This NPI record was last updated on May 17, 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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