NICHOLAS DARBY NPI 1700339454

Family Medicine in Centreville, AL

NPI 1700339454 Individual Male Years of Experience 6 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About NICHOLAS DARBY

Nicholas Darby is a primary care provider established in Centreville, Alabama and his medical specialization is family medicine with more than 6 years of experience. He graduated from University Of Alabama School Of Medicine in 2016. The NPI number of Nicholas Darby is 1700339454 and was assigned on July 2016. The practitioner's primary taxonomy code is 207Q00000X with license number MD.37113 (AL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

A primary care provider (PCP) like Nicholas Darby sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Nicholas Darby is enrolled in PECOS and is eligible to order or refer healthcare 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

Nicholas Darby 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 North Alabama Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: e-prescribing, health information exchange exclusion, immunization registry reporting, measurement and improvement at the practice and panel level, onc direct review attestation, onc-acb surveillance attestation (optional), security risk analysis, specialized registry reporting, specialized registry reporting for multiple registry engagement and use of decision support and standardized treatment protocols. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1700339454

Provider Name NICHOLAS DARBY
Provider Location Address405 BELCHER ST CENTREVILLE, AL 35042
Provider Mailing Address405 BELCHER ST CENTREVILLE, AL 35042
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year2016
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-29-2016
Last Update Date10-04-2018


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD.37113
License StateAL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

NICHOLAS DARBY
405 BELCHER ST
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-2992

Get Directions


Mailing Address

NICHOLAS DARBY
405 BELCHER ST
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-2992



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID2466730486
PECOS Enrollment IDI20181106001916
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

Quality Reporting

The following quality measures meets 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 Rate Number of Patients
e-Prescribing 97% 1249
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

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. Nicholas Darby is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTH ALABAMA MEDICAL CENTER1701 VETERANS DRIVE
FLORENCE, AL 35630
(256) 768-8400Acute Care Hospitals10006

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1679954648MRS. NICHOLE SHARP PRITCHETT RN, MSN, NP-C
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1568838746MRS. KACIE E WOOD NP-C
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1871965236MRS. SUZANNE VENTRESS TOMPKINS PA-C
Individual
Physician Assistant (Medical)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1114378486MR. JOSHUA ELLEDGE CRNP
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1316289515CAHABA MEDICAL CARE FOUNDATION
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1902346802 SUMAYAH ABED
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1083143598 STEPHANIE SAVAGE CRNP
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1164932141 KAYLEE LAURA PERKINS PA
Individual
Physician Assistant405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1891293296 KATHRYN CLAIRE AHALT FNP-C
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1962422337DR. JOHN BRYAN WAITS M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1780821959 LACY MICHELLE SMITH MD
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1982048146DR. ADAM ROBERT ROSS M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1932513843 DAKOTA PRICE MD
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1114361227 AUSTIN KLINT M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1578887584 JEREMY CRIDER M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1629312566DR. LENA JEANELLE GAMBLE MD, PHD
Individual
Community Health Worker405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1033592563 JAMIE BISHOP
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 316-7690
1508350620 ANDRIA EVE KNIGHTEN
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1831683747 WHITNEY HUDMAN MD
Individual
Student in an Organized Health Care Education/Training Program405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1639663453 JULIA TODD DO
Individual
Student in an Organized Health Care Education/Training Program405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992

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
The code describing 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.