DR. ERIC KIRK THOBURN MD NPI 1700883485

Radiology - Diagnostic Radiology in Gainesville, FL

Individual Male Years of Experience 39 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 72.7

About DR. ERIC KIRK THOBURN MD

Eric Thoburn is a provider established in Gainesville, Florida and his medical specialization is Radiology with a focus in diagnostic radiology with more than 39 years of experience. He graduated from University Of South Florida College Of Medicine in 1984. The NPI number of Eric Thoburn is 1700883485 and was assigned on July 2005. The practitioner's primary taxonomy code is 2085R0202X with license number ME0057091 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI

1700883485

Provider NameDR. ERIC KIRK THOBURN MD
Provider Location Address1600 SW ARCHER RD GAINESVILLE, FL 32610
Provider Mailing AddressPO BOX 918025 ORLANDO, FL 32891
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year1984
Is Sole Proprietor?No
Enumeration Date07-07-2005
Last Update Date10-13-2010



Eric Thoburn 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.

Eric Thoburn 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 Uf Health Shands Hospital and Uf Health Leesburg 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 72.7, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $18.26 for an established patient copayment.



Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.ME0057091
License StateFL
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. ERIC KIRK THOBURN MD
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 265-0291

Get Directions


Mailing Address

DR. ERIC KIRK THOBURN MD
PO BOX 918025
ORLANDO, FL
ZIP 32891
Phone: (352) 265-0291


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 ID3971493115
PECOS Enrollment IDI20040319000325
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 32610 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.4 $178.79 $90.24
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.6 $44.69 $22.56
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.74 $145.28 $73.05
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $36.32 $18.26

* The physician office visit costs information is obtained by Medicare's 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 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% 54.3
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% 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 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% 69.1
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 - 72.7
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.

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. Eric Thoburn is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UF HEALTH SHANDS HOSPITAL1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-8000Acute Care Hospitals100113
UF HEALTH LEESBURG HOSPITAL600 E DIXIE AVE
LEESBURG, FL 34748
(352) 323-5762Acute Care Hospitals100084

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingME0057091FLNo

Taxonomy Description: a Radiology doctor of Osteopathy that specializes in Body Imaging.

22085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingME0057091FLNo

Taxonomy Description: a licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.

32085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyME0057091FLNo

Taxonomy Description: a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

42085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyME0057091FLNo

Taxonomy Description: a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

52085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric RadiologyME0057091FLNo

Taxonomy Description: a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

62085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic RadiologyME0057091FLNo

Taxonomy Description: Not Available

72085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundME0057091FLNo

Taxonomy Description: a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

8208600000XAllopathic & Osteopathic PhysiciansSurgeryME0057091FLNo

Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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
002668700MEDICAID (05)FL
F65178MEDICARE UPIN (02)FL
23246UMEDICARE PIN (08)FL

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.
1700883485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001686416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 6 + 8 + 6 + 4 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1700883485 is valid because the calculated check digit 5 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
1669475554 WALTER J MILTON MD
Individual
Radiology (Diagnostic Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0301
1669476347MS. JOAN ELLA ENGLISH PA-C
Individual
Physician Assistant1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-9350
1245234624DR. BRUCE K. STECHMILLER MD
Individual
Internal Medicine (Hematology & Oncology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-7832
1174528780 SCOTT WILLIAM PETERSON MD
Individual
Radiology (Vascular & Interventional Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0290
1023015823 ANTHONY P MCDONALD MD
Individual
Surgery1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 374-6078
1164421772 ROBERTA MOORE SLATER MD
Individual
Radiology (Diagnostic Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0291
1164421764 WEI HE ARNP
Individual
Nurse Practitioner (Pediatrics)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 266-7240
1871593913 NAM HOANG DANG MD
Individual
Internal Medicine (Medical Oncology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-7832
1568454684 CLAIRE ALEXANDRIA FLINT CRNA
Individual
Nurse Anesthetist, Certified Registered1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 264-0077
1003809237MR. ROBERT M CLONAN CRNA
Individual
Nurse Anesthetist, Certified Registered1600 SW ARCHER RD
GAINESVILLE, FL 32610
(800) 642-1999
1558356402 MUTASIM N. ABU-HASAN MD
Individual
Pediatrics (Pediatric Pulmonology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-8379
1598750390DR. JYOTI BUDANIA MD
Individual
Pediatrics1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 371-3604
1669469326 ANDRE PIERRE BOEZAART MD PHD
Individual
Anesthesiology1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 392-3441
1215924501 MELISSA MAI VU MD
Individual
Anesthesiology1600 SW ARCHER RD
GAINESVILLE, FL 32610
(904) 953-2000
1932198819 LILLIAN MARGARET VAN HOUTEN ARNP
Individual
Nurse Practitioner (Pediatrics)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 334-1400
1124017017MRS. MELISSA KIMBERLY MAISENBACHER M.S.,C.G.C.
Individual
Genetic Counselor, MS1600 SW ARCHER RD UF PEDIATRIC GENETICS
GAINESVILLE, FL 32610
(352) 392-4104
1215918487DR. WILLIAM ALISON CUMMING M.D.
Individual
Radiology (Pediatric Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0102
1871575183 BELINDA WESLEY SELLI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-9900
1306828793DR. SCOTT L. MYERS MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)1600 SW ARCHER RD SUITE 3341
GAINESVILLE, FL 32610
(352) 265-5471
1053394262 SCOTT ANDREWS RIVKEES MD
Individual
Pediatrics (Pediatric Endocrinology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-9001

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. Eric Kirk Thoburn Md 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.