DR. ALFRED J TRIA JR. MD
NPI 1760593404
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Somerset, NJ

NPI Status: Active since August 31, 2006

Contact Information

1527 STATE HIGHWAY 27
STE 1300
SOMERSET, NJ
ZIP 08873
Phone: (732) 249-4444
Fax: (732) 249-6528

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  • Individual
  • Male
  • Orthopaedic Surgery
  • Adult Reconstructive Orthopaedic Surgery
  • PECOS Enrolled
  • Medicare Quality Reporting

About ALFRED TRIA

This page provides the complete NPI Profile along with additional information for Alfred Tria, a provider established in Somerset, New Jersey with a medical specialization in Orthopaedic Surgery, focusing in adult reconstructive orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1760593404 assigned on August 2006. The practitioner's primary taxonomy code is 207XS0114X with license number 25MA03141000 (NJ). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1760593404
Provider Name
DR. ALFRED J TRIA JR. MD
Gender
Male
Entity Type
Individual
Location Address
1527 STATE HIGHWAY 27 STE 1300 SOMERSET, NJ 08873
Location Phone
(732) 249-4444
Location Fax
(732) 249-6528
Mailing Address
1527 STATE HIGHWAY 27 STE 1300 SOMERSET, NJ 08873
Mailing Phone
(732) 249-4444
Mailing Fax
(732) 249-6528
Is Sole Proprietor?
No
Enumeration Date
08-31-2006
Last Update Date
12-19-2007
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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

Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery

Taxonomy Code
207XS0114X
Type
Allopathic & Osteopathic Physicians
License No.
25MA03141000
License State
NJ
Taxonomy Description
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

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.

*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
D19581MEDICARE UPIN (02) 
CC8492MEDICARE PIN (08)NJ 
0976601MEDICAID (05)NJ 
160102MEDICARE ID-TYPE UNSPECIFIED (04)NJ 

Medicare Participation & PECOS Enrollment Status

Alfred Tria 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: Durable Medical Equipment (DME) 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: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Patient-Specific Education 91% 32
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.
Provide Patient Access 66% 32
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.
Secure Messaging 6% 32
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
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.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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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 1760593404, 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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 5 → 10 → 1 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 0 + 9 + 6 + 4 + 0 + 24 = 56

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.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760593404.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1527 STATE HIGHWAY 27, STE 1300
SOMERSET, NJ 08873
Orthopaedic Surgery
1527 STATE HIGHWAY 27, SUITE 1300
SOMERSET, NJ 08873
Physical Therapist
1527 STATE HIGHWAY 27, SUITE 1100
SOMERSET, NJ 08873

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760593404, enumerated as an "individual" on August 31, 2006.

The provider is located at 1527 STATE HIGHWAY 27 STE 1300 SOMERSET, NJ 08873 and the phone number is (732) 249-4444.

Orthopaedic Surgery with taxonomy code 207XS0114X and a focus in Adult Reconstructive Orthopaedic Surgery.

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