DR. TIMOTHY G CAUDILL MD NPI 1720083686

Anesthesiology in Walla Walla, WA

NPI 1720083686 Individual Male Years of Experience 32 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 99

About TIMOTHY CAUDILL

Timothy Caudill is a provider established in Walla Walla, Washington and his medical specialization is anesthesiology with more than 32 years of experience. He graduated from University Of Nevada School Of Medicine in 1990. The NPI number of Timothy Caudill is 1720083686 and was assigned on June 2005. The practitioner's primary taxonomy code is 207L00000X with license number MD00032378 (WA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

An anesthesiologist like Dr. Timothy G Caudill Md manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Timothy Caudill 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

Timothy Caudill 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 Providence St Mary Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99, 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.

NPI

1720083686

Provider NameDR. TIMOTHY G CAUDILL MD
Provider Location Address401 W POPLAR ST WALLA WALLA, WA 99362
Provider Mailing AddressPO BOX 1663 WALLA WALLA, WA 99362
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year1990
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-16-2005
Last Update Date01-21-2008


Primary Taxonomy

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.MD00032378
License StateWA
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

DR. TIMOTHY G CAUDILL MD
401 W POPLAR ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 529-1284

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Mailing Address

DR. TIMOTHY G CAUDILL MD
PO BOX 1663
WALLA WALLA, WA
ZIP 99362
Phone: (509) 529-1284



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 ID3779543533
PECOS Enrollment IDI20100923001434
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

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% 98.1
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% N/A
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% 86.8
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 - 99
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.

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 46Anesthesia for lens surgery (HCPCS:00142)
  • 44Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 31Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • 28Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 16Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)

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. Timothy Caudill is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PROVIDENCE ST MARY MEDICAL CENTER401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 522-5900Acute Care Hospitals500002

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
075072MEDICAID (05)OR
8180499MEDICAID (05)WA
050051134OTHER (01)WA
GAB01006MEDICARE PIN (08)WA
F88851MEDICARE UPIN (02)WA

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1619972577DR. KURT J SCHLICKER MD
Individual
Anesthesiology401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 529-1284
1467438044DR. JAMES BURATTO M.D.
Individual
Radiology (Diagnostic Radiology)401 W POPLAR ST RADIOLOGY
WALLA WALLA, WA 99362
(509) 522-5790
1528014420 MATTHEW J SACKS MD
Individual
Specialist401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 525-2220
1124075841MRS. CYNTHIA LYNN RASCH MD
Individual
Internal Medicine401 W POPLAR ST PSMPG HOSPITALISTS
WALLA WALLA, WA 99362
(509) 525-3320
1972517381 JOSEPH F MEYER MD
Individual
Internal Medicine401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 525-3320
1588678999 DANIEL BYRON MILLER MD
Individual
Emergency Medicine401 W POPLAR ST PSMMC ER
WALLA WALLA, WA 99362
(509) 522-5802
1578577987 MICHAEL S BERNSTEIN MD
Individual
Internal Medicine (Pulmonary Disease)401 W POPLAR ST PULMONARY MEDICINE
WALLA WALLA, WA 99362
(509) 522-5940
1407960339 RENEE M SCHROETLIN MD
Individual
Emergency Medicine401 W POPLAR ST EMERGENCY DEPARTMENT
WALLA WALLA, WA 99362
(509) 522-5802
1720195068 BRADLEY LOYAL JOHNSON MD
Individual
Radiology (Diagnostic Radiology)401 W POPLAR ST RADIOLOGY
WALLA WALLA, WA 99362
(509) 522-5790
1861504029DR. THOMAS P KOEHLER MD
Individual
Internal Medicine401 W POPLAR ST HOSPITALISTS
WALLA WALLA, WA 99362
(509) 522-5145
1457427528ST MARY MEDICAL CENTER
Organization
Durable Medical Equipment & Medical Supplies401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 522-5900
1184761033 PAUL C ZIEVERS MD
Individual
Anesthesiology401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 529-1284
1982746210 KURT L LEINWEBER DO
Individual
Anesthesiology401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 529-1284
1225238207 JARED L WUTZKE M.D.
Individual
Emergency Medicine401 W POPLAR ST PSMMC ER
WALLA WALLA, WA 99362
(509) 522-5802
1124212246THOMAS V MAROLDO, MD
Organization
Specialist401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 525-2220
1982899266ST. MARY MEDICAL CENTER
Organization
General Acute Care Hospital401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 522-5514
1508053174DR. BENJAMIN HARDWICK LEACH MD
Individual
Internal Medicine401 W POPLAR ST HOSPITALISTS
WALLA WALLA, WA 99362
(509) 522-5145
1225208333MS. SUSAN C. FRIESEN FNP, ARNP
Individual
Nurse Practitioner (Family)401 W POPLAR ST
WALLA WALLA, WA 99362
(509) 522-5802
1669645099 ALISSA N RALSTON ARNP
Individual
Nurse Practitioner401 W POPLAR ST ST. MARY MEDICAL CENTER, CARDIOLOGY SUITE
WALLA WALLA, WA 99362
(509) 522-5731
1730348368 REBECCA A HAWKINS ARNP
Individual
Licensed Practical Nurse401 W POPLAR ST PALLIATIVE CARE
WALLA WALLA, WA 99362
(509) 522-5514

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.