DR. TYRUS ANDREW PRITCHARD M.D.
NPI 1710988902
Urology in Florence, AL

NPI Status: Active since August 10, 2005

Contact Information

646 COX CREEK PKWY
SUITE B
FLORENCE, AL
ZIP 35630
Phone: (256) 764-9994
Fax: (256) 246-0035

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  • Individual
  • Male
  • Urology
  • PECOS Enrolled
  • Medicare Quality Reporting

About TYRUS PRITCHARD

This page provides the complete NPI Profile along with additional information for Tyrus Pritchard, a provider established in Florence, Alabama with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1710988902 assigned on August 2005. The practitioner's primary taxonomy code is 208800000X with license number 9036 (AL). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1710988902
Provider Name
DR. TYRUS ANDREW PRITCHARD M.D.
Gender
Male
Entity Type
Individual
Location Address
646 COX CREEK PKWY SUITE B FLORENCE, AL 35630
Location Phone
(256) 764-9994
Location Fax
(256) 246-0035
Mailing Address
646 COX CREEK PKWY SUITE B FLORENCE, AL 35630
Mailing Phone
(256) 764-9994
Mailing Fax
(256) 246-0035
Is Sole Proprietor?
Yes
Enumeration Date
08-10-2005
Last Update Date
10-24-2012
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
9036
License State
AL
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Insurance Plans Accepted

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

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

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

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
51507927OTHER (01)ALBCBS
340020160MEDICARE PIN (08)AL 
C76490MEDICARE UPIN (02)AL 
051507927MEDICARE ID-TYPE UNSPECIFIED (04)AL 

Medicare Participation & PECOS Enrollment Status

Tyrus Pritchard 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 35630 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.31
  • Minimum New Patient Price $52.65
  • Maximum New Patient Price $161.63
  • Average New Patient Copayment $30.57
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.4

Established Patients Visit Costs *

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

  • Average Established Patient Price $66.08
  • Minimum Established Patient Price $16.56
  • Maximum Established Patient Price $131.65
  • Average Established Patient Copayment $16.52
  • Minimum Established Patient Copayment $4.14
  • Maximum Established Patient Copayment $32.91

* 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
Care Plan 0% 521
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Documentation of Current Medications in the Medical Record 99% 1636
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Engagement of New Medicaid Patients and Follow-upYesN/A
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.
e-Prescribing 95% 194
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 98% 41
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 15% 352
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: Body Mass Index (BMI) Screening and Follow-Up Plan 30% 933
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 2% 47
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/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 84% 352
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 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.
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 34% 107
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

Reviews for DR. TYRUS ANDREW PRITCHARD M.D.

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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.
1710988902
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201881690
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 8 + 1 + 6 + 9 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1710988902 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 11 providers are registered at the same or nearby location.

WILLIAM ALLEN HOBBS M.D.

Internal Medicine

646 COX CREEK PKWY
SUITE B
FLORENCE, AL
ZIP 35630

(256) 760-4544

DR. JOHN EDGAR BARTMESS M.D.

Internal Medicine

646 COX CREEK PKWY
SUITE B
FLORENCE, AL
ZIP 35630

(256) 760-4544

DAVID THOMAS BROWN M.D.

Internal Medicine

646 COX CREEK PKWY
SUITE B
FLORENCE, AL
ZIP 35630

(256) 760-4544

DR. PERIN KEITH THOMPSON MD

Ophthalmology

646 COX CREEK PKWY
SUITE A
FLORENCE, AL
ZIP 35630

(256) 760-1771

DR. LEWIS KEITH FRASER M.D.

Ophthalmology

646 COX CREEK PKWY
STE A
FLORENCE, AL
ZIP 35630

(256) 760-1771

FLORENCE MEDICAL ASSOCIATES, L. L. C.

Internal Medicine

646 COX CREEK PKWY
SUITE B
FLORENCE, AL
ZIP 35630

(256) 760-4544

T. A. PRITCHARD, M.D., P.C.

Specialist

646 COX CREEK PKWY
SUITE B
FLORENCE, AL
ZIP 35630

(256) 764-9994

DR. MICHAEL KEVIN GRAY M.D.

Ophthalmology

646 COX CREEK PKWY
SUITE A
FLORENCE, AL
ZIP 35630

(256) 760-1771

FLORENCE OPHTHALMOLOGY PC

Durable Medical Equipment & Medical Supplies

646 COX CREEK PKWY
SUITE A
FLORENCE, AL
ZIP 35630

(256) 760-1771

DR. MICHAEL L BRUMMITT M.D.

Ophthalmology

646 COX CREEK PKWY
SUITE A
FLORENCE, AL
ZIP 35630

(256) 760-1771

JONATHAN BRADBERRY MD

Internal Medicine

646 COX CREEK PKWY
FLORENCE, AL
ZIP 35630

(256) 764-9994

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710988902, enumerated as an "individual" on August 10, 2005.

The provider is located at 646 COX CREEK PKWY SUITE B FLORENCE, AL 35630 and the phone number is (256) 764-9994.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.