WILLIAM L MILROTH M.D.
NPI 1740280304
General Practice in Mc Connellsburg, PA
NPI Status: Active since July 26, 2005
Contact Information
318 N 1ST ST
MC CONNELLSBURG, PA
ZIP 17233
Phone: (717) 485-3186
Fax: (717) 485-3249
- Individual
- Male
- General Practice
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM MILROTH
This page provides the complete NPI Profile along with additional information for William Milroth, a primary care provider established in Mc Connellsburg, Pennsylvania with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1740280304 assigned on July 2005. The practitioner's primary taxonomy code is 208D00000X with license number MD008223E (PA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1740280304
- Provider Name
- WILLIAM L MILROTH M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 318 N 1ST ST MC CONNELLSBURG, PA 17233
- Location Phone
- (717) 485-3186
- Location Fax
- (717) 485-3249
- Mailing Address
- PO BOX 721 MC CONNELLSBURG, PA 17233
- Mailing Phone
- (717) 485-3186
- Mailing Fax
- (717) 485-3249
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-26-2005
- Last Update Date
- 04-09-2013
- Code Navigator
A primary care provider (PCP) like William Milroth sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD008223E
- License State
- PA
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
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.
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 |
|---|---|---|---|
| 02404100 | OTHER (01) | PA | HIGHMARK BLUECROSS |
| 000016552 | OTHER (01) | PA | HIGHMARK BLUE SHIELD |
| B32718 | MEDICARE UPIN (02) | PA | |
| 259120 | MEDICARE PIN (08) | PA | |
| 016552 | MEDICARE PIN (08) | PA | |
| 0006133060002 | MEDICAID (05) | PA |
Medicare Participation & PECOS Enrollment Status
William Milroth 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Tubing used with positive airway pressure device (HCPCS:A7037)
2 DME suppliers used 14 Medicare Claims 14 Services Paid
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 |
|---|---|---|
| Breast Cancer Screening | 66% | 733 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Colorectal Cancer Screening | 57% | 1509 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Eye Exam | 10% | 607 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Falls: Screening for Future Fall Risk | 32% | 948 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
| Implementation of co-location PCP and MH services | Yes | N/A |
| Integration facilitation and promotion of the colocation of mental health and substance use disorder services in primary and/or non-primary clinical care settings. | ||
| Pneumococcal Vaccination Status for Older Adults | 68% | 948 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1740280304, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740280304, enumerated as an "individual" on July 26, 2005.
The provider is located at 318 N 1ST ST MC CONNELLSBURG, PA 17233 and the phone number is (717) 485-3186.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Highmark Blue Shield, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.
