DR. MELISSA A. ATWOOD DO
NPI 1720221450
Pediatrics - Pediatric Critical Care Medicine in Milwaukee, WI


Quality Rating: 78.74 out of 100 score

NPI Status: Active since April 10, 2009

Contact Information

9000 W WISCONSIN AVE
PEDIATRIC CRITICAL CARE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 266-3360
Fax: (414) 266-3563

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  • Individual
  • Female
  • Pediatrics
  • Pediatric Critical Care Medicine
  • Accepts Insurance
  • PECOS Enrolled

About MELISSA ATWOOD

This page provides the complete NPI Profile along with additional information for Melissa Atwood, a pediatrician established in Milwaukee, Wisconsin with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1720221450 assigned on April 2009. The practitioner's primary taxonomy code is 2080P0203X with license number 52763 (WI). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1720221450
Provider Name
DR. MELISSA A. ATWOOD DO
Other Name
MS. MELISSA A. ZVAN
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
9000 W WISCONSIN AVE PEDIATRIC CRITICAL CARE MILWAUKEE, WI 53226
Location Phone
(414) 266-3360
Location Fax
(414) 266-3563
Mailing Address
9000 W WISCONSIN AVE PEDIATRIC CRITICAL CARE MILWAUKEE, WI 53226
Mailing Phone
(414) 266-3360
Mailing Fax
(414) 266-3563
Is Sole Proprietor?
No
Enumeration Date
04-10-2009
Last Update Date
11-07-2014
Code Navigator

A pediatrician like Melissa Atwood is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
License No.
52763
License State
WI
Taxonomy Description
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

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)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

52763 (WI)

Insurance Plans Accepted

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

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
  • HMO Gold 1500 - HMO
  • HMO Gold 2400 - HMO
  • HMO HDHP Bronze 7200 - HMO
  • HMO HDHP Silver 5400 - HMO
  • HMO Silver 5000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

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
73601 2024MEDICARE PIN (08)WI 
1720221450MEDICAID (05)WI 
68086 0769MEDICARE PIN (08)WI 

Medicare Participation & PECOS Enrollment Status

Melissa Atwood 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

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 78.74, 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: 78.74 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: 64.17

    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: 64.98

    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: 64.98

    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.

Reviews for DR. MELISSA A. ATWOOD DO

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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.
1720221450
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740422410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 2 + 2 + 4 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1720221450 is valid because the calculated check digit 0 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.

DR. SHANE A FISHER DDS

Dentist

(Pediatric Dentistry)

9000 W WISCONSIN AVE
MAIL STATION 773-DENTAL CLINIC
MILWAUKEE, WI
ZIP 53226

(414) 266-2040

CRAIG C PORTER MD

Pediatrics

(Pediatric Nephrology)

9000 W WISCONSIN AVE
PEDIATRIC NEPHROLOGY
MILWAUKEE, WI
ZIP 53226

(414) 337-7702

ANGELA MARIE PICKART MS

Genetic Counselor, MS

9000 W WISCONSIN AVE
MS 716
MILWAUKEE, WI
ZIP 53226

(414) 266-2910

DR. SRIDHAR RAO M.D., PH.D.

Pediatrics

(Pediatric Hematology-Oncology)

9000 W WISCONSIN AVE
PEDIATRIC HEMATOLOGY/ONCOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-2420

DR. KEVIN J KELLY MD

Pediatrics

(Pediatric Allergy/Immunology)

9000 W WISCONSIN AVE
PEDIATRIC ALLERGY/IMMUNOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 607-5280

MR. ROGER D. COHEN M.D.

Surgery

(Pediatric Surgery)

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. BRUCE M CAMITTA MD

Pediatrics

(Pediatric Hematology-Oncology)

9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226

(414) 456-4170

DR. CHERYL A MUSZYNSKI MD

Neurological Surgery

9000 W WISCONSIN AVE
CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. JENNIFER L FREETO MD

Hospitalist

9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. ERIC J WALBERGH MD

Anesthesiology

(Critical Care Medicine)

9000 W WISCONSIN AVE
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-3560

DR. ANDREA L WINTHROP MD

Surgery

(Pediatric Surgery)

9000 W WISCONSIN AVE
CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. MICHAEL B LEVY MD

Allergy & Immunology

9000 W WISCONSIN AVE
CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. BARBARA W PALMISANO MD

Anesthesiology

9000 W WISCONSIN AVE
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-3560

DR. ROBERT R MONTGOMERY MD

Pediatrics

(Pediatric Hematology-Oncology)

9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

MS. KATHY A EGGENER NP

Registered Nurse

9000 W WISCONSIN AVE
CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

DR. TATYANA C STRONG MD

Anesthesiology

9000 W WISCONSIN AVE
PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-3560

MS. LORI SUE WIOREK MA, CCC-A

Audiologist

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226

(414) 266-2931

DR. MARK A KOSTIC MD

Emergency Medicine

(Medical Toxicology)

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226

(414) 805-3666

MR. JOHN M. ROUTES M.D.

Pediatrics

(Pediatric Allergy/Immunology)

9000 W WISCONSIN AVE
PEDIATRIC ALLERY AND IMMUNOLOGY
MILWAUKEE, WI
ZIP 53226

(414) 266-6450

MS. DIANE MARIE CONTRERAS AU.D.,CCC-A

Audiologist

9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226

(414) 266-7674

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720221450, enumerated as an "individual" on April 10, 2009.

The provider is located at 9000 W WISCONSIN AVE PEDIATRIC CRITICAL CARE MILWAUKEE, WI 53226 and the phone number is (414) 266-3360.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

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