DR. JEFFREY THOMAS BORTZ M.D.
NPI 1710191382
Dermatology - MOHS-Micrographic Surgery in Walnut Creek, CA

Quality Rating: 100 out of 100 score

NPI Status: Active since May 10, 2007

Contact Information

355 LENNON LN
SUITE 355
WALNUT CREEK, CA
ZIP 94598
Phone: (925) 932-7704

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Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
Areas of Expertise
Physician Visit Costs
Overall Quality Performance
Quality Reporting
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 37
Dermatology
MOHS-Micrographic Surgery
Accepts Medicare Approved Payment
PECOS Enrolled
Medicare Quality Reporting

About JEFFREY BORTZ

This page provides the complete NPI Profile along with additional information for Jeffrey Bortz, a provider established in Walnut Creek, California with a medical specialization in Dermatology, focusing in mohs-micrographic surgery and more than 37 years of experience. He graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1989. The healthcare provider is registered in the NPI registry with number 1710191382 assigned on May 2007. The practitioner's primary taxonomy code is 207ND0101X with license number A487440 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI: 1710191382
Provider Name: DR. JEFFREY THOMAS BORTZ M.D.
Gender: Male
Entity Type: Individual
Location Address: 355 LENNON LN SUITE 355 WALNUT CREEK, CA 94598
Location Phone: (925) 932-7704
Mailing Address: 355 LENNON LN SUITE 355 WALNUT CREEK, CA 94598
Mailing Phone: (925) 932-7704
Medical School Name: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year: 1989
Is Sole Proprietor?: No
Enumeration Date: 05-10-2007
Last Update Date: 06-18-2013
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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: Dermatology MOHS-Micrographic Surgery
Taxonomy Code: 207ND0101X
Type: Allopathic & Osteopathic Physicians
License No.: A487440
License State: CA
Taxonomy Description: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

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	207N00000X	Allopathic & Osteopathic Physicians	Dermatology	A487440 (CA)
2	207ND0900X	Allopathic & Osteopathic Physicians	Dermatology Dermatopathology	A487440 (CA)
3	207NS0135X	Allopathic & Osteopathic Physicians	Dermatology Procedural Dermatology	A487440 (CA)

Insurance Plans Accepted

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

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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
00A487440	MEDICARE ID-TYPE UNSPECIFIED (04)	CA
F24158	MEDICARE UPIN (02)	CA

Medicare Participation & PECOS Enrollment Status

Jeffrey Bortz is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jeffrey Bortz 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
PECOS PAC ID: 7719084839
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20070523000589
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
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 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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of related skin growth, first growth
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less
Complicated repair of wound of trunk, 2.6-7.5 cm
Destruction of precancer skin growth, 1 growth
Destruction of precancer skin growth, 2-14 growths
Destruction of skin growth, 1-14 growths
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 30-44 minutes
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks
Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $26.12 for a new patient copayment and $21.22 for an established patient copayment.

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 94598 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $104.51
Minimum New Patient Price $69
Maximum New Patient Price $202.35

Average New Patient Copayment $26.12
Minimum New Patient Copayment $17.25
Maximum New Patient Copayment $50.58

Established Patients Visit Costs *

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

Average Established Patient Price $84.91
Minimum Established Patient Price $23.44
Maximum Established Patient Price $166.46

Average Established Patient Copayment $21.22
Minimum Established Patient Copayment $5.86
Maximum Established Patient Copayment $41.61

* 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 provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, 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: 100 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: N/A

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.

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
Biopsy Follow-Up	100%	34
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
Engagement of patients through implementation of improvements in patient portal	Yes	N/A
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
e-Prescribing	98%	95
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Immunization Registry Reporting	Yes	N/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Medication Reconciliation	2%	129
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	48%	599
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.
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling	97%	414
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record	Yes	N/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access	48%	599
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.
Security Risk Analysis	Yes	N/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.
Specialized Registry Reporting	Yes	N/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.

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	7	1	0	1	9	1	3	8	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	2	0	2	9	2	3	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 2 + 9 + 2 + 3 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1710191382 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 4 providers are registered at the same or nearby location.

DR. TIFFANY HSU HAM D.D.S., M.S.

Dentist

(Pediatric Dentistry)

355 LENNON LN
#215
WALNUT CREEK, CA
ZIP 94598

(925) 482-6223

View Profile

VITAS HEALTHCARE CORPORATION OF CALIFORNIA

Hospice Care, Community Based

355 LENNON LN
SUITE 150
WALNUT CREEK, CA
ZIP 94598

(925) 930-9373

View Profile

ALEXANDRA ALABATA INGRAM P.A.

Physician Assistant

(Surgical)

355 LENNON LN
SUITE 295
WALNUT CREEK, CA
ZIP 94598

(925) 357-9786

View Profile

DR. KENNETH C HSIAO MD

Urology

355 LENNON LN
SUITE 205
WALNUT CREEK, CA
ZIP 94598

(925) 935-0627

View Profile

About JEFFREY BORTZ

Location Map

Specialty - Primary Taxonomy

Dermatology MOHS-Micrographic Surgery

Secondary Taxonomies

Dermatology

Dermatology Dermatopathology

Dermatology Procedural Dermatology

Insurance Plans Accepted

Medicare

Medicaid

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 7719084839

PECOS Enrollment ID: I20070523000589

Accepts Medicare Assignment? 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

Areas of Expertise

Biopsy of related skin growth, first growth

Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less

Complicated repair of wound of trunk, 2.6-7.5 cm

Destruction of precancer skin growth, 1 growth

Destruction of precancer skin growth, 2-14 growths

Destruction of skin growth, 1-14 growths

Established patient office or other outpatient visit, 10-19 minutes

Established patient office or other outpatient visit, 20-29 minutes

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm

Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm

Melanoma (skin cancer) excision

New patient office or other outpatient visit, 30-44 minutes

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks

Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Overall MIPS Quality Performance

Final Score: 100 out of 100

Quality Score: N/A

Promoting Interoperability Score: 100

Improvement Activities Score: 40

Cost Score: N/A

Cost Score: N/A

Quality Reporting

Reviews for DR. JEFFREY THOMAS BORTZ M.D.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Jeffrey Bortz's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Jeffrey Bortz accept?

Dermatology
Dermatopathology

Dermatology
Procedural Dermatology