DR. NATEE POOPAT MD NPI 1760492821

Otolaryngology (Otolaryngology/Facial Plastic Surgery) in Upland, CA

NPI 1760492821 Individual Male Years of Experience 23 Otolaryngology Otolaryngology/Facial Plastic Surgery PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 42.6 Medicare Quality Reporting

About NATEE POOPAT

Natee Poopat is a provider established in Upland, California and his medical specialization is otolaryngology (otolaryngology/facial plastic surgery) with more than 23 years of experience. He graduated from Wayne State University School Of Medicine in 1999. The NPI number of Natee Poopat is 1760492821 and was assigned on August 2006. The practitioner's primary taxonomy code is 207YX0905X with license number A86293 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

Natee Poopat 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

Natee Poopat 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 San Antonio Regional Hospital, Casa Colina Hospital and Pomona Valley Hospital 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 42.6, 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 provider also has detailed performance information the following quality measures: e-prescribing and security risk analysis.

NPI

1760492821

Provider NameDR. NATEE POOPAT MD
Provider Location Address1030 EAST FOOTHILL BLVD STE 101 UPLAND, CA 91786
Provider Mailing Address1030 EAST FOOTHILL BLVD STE 101 UPLAND, CA 91786
GenderMale
NPI Entity TypeIndividual
Medical School NameWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1999
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-09-2006
Last Update Date11-04-2011


Primary Taxonomy

Taxonomy Code207YX0905X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
SpecializationOtolaryngology/Facial Plastic Surgery
License No.A86293
License StateCA
Taxonomy DescriptionAn otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Business Address

DR. NATEE POOPAT MD
1030 EAST FOOTHILL BLVD
STE 101
UPLAND, CA
ZIP 91786
Phone: (909) 981-5859
Fax: (909) 981-8293

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Mailing Address

DR. NATEE POOPAT MD
1030 EAST FOOTHILL BLVD
STE 101
UPLAND, CA
ZIP 91786
Phone: (909) 981-5859
Fax: (909) 981-8293



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 ID9032199906
PECOS Enrollment IDI20040721001366
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% 0
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% 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 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% 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.
MIPS Final Score - 42.6
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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
e-Prescribing 85% 1997
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
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 electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

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.

  • 181Eardrum testing using ear probe (HCPCS:92567)
  • 179Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • 49Removal of impact ear wax, one ear (HCPCS:69210)
  • 25Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • 16Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)

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. Natee Poopat is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SAN ANTONIO REGIONAL HOSPITAL999 SAN BERNARDINO ROAD
UPLAND, CA 91786
(714) 985-2811Acute Care Hospitals50099
CASA COLINA HOSPITAL255 E BONITA AVE
POMONA, CA 91767
(909) 596-7733Acute Care Hospitals50782
POMONA VALLEY HOSPITAL MEDICAL CENTER1798 N GAREY AVE
POMONA, CA 91767
(909) 865-9500Acute Care Hospitals50231

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
BP8707119OTHER (01)CA
I08489MEDICARE UPIN (02)
00A862930MEDICAID (05)CA
00A862930MEDICARE ID-TYPE UNSPECIFIED (04)CA
A86293OTHER (01)CA

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.