DR. ARVIN KUMAR RAO M.D. NPI 1780635904

Otolaryngology in Littleton, CO

NPI 1780635904 Individual Male Years of Experience 20 Otolaryngology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About ARVIN RAO

Arvin Rao is a provider established in Littleton, Colorado and his medical specialization is otolaryngology with more than 20 years of experience. He graduated from University Of Colorado School Of Medicine, Denver in 2001. The NPI number of Arvin Rao is 1780635904 and was assigned on May 2006. The practitioner's primary taxonomy code is 207Y00000X with license number 44580 (CO). The provider is registered as an individual and his NPI record was last updated 5 years ago.

Arvin Rao 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

Arvin Rao 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.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: closing the referral loop: receipt of specialist report, documentation of current medications in the medical record, e-prescribing, health information exchange exclusion, onc direct review attestation, patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, security risk analysis and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1780635904

Provider NameDR. ARVIN KUMAR RAO M.D.
Provider Location Address15 W DRY CREEK CIR LITTLETON, CO 80120
Provider Mailing Address15 W DRY CREEK CIR LITTLETON, CO 80120
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-12-2006
Last Update Date03-24-2016


Primary Taxonomy

Taxonomy Code207Y00000X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
License No.44580
License StateCO
Taxonomy DescriptionAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Business Address

DR. ARVIN KUMAR RAO M.D.
15 W DRY CREEK CIR
LITTLETON, CO
ZIP 80120
Phone: (303) 953-6767
Fax: (303) 740-9311

Get Directions


Mailing Address

DR. ARVIN KUMAR RAO M.D.
15 W DRY CREEK CIR
LITTLETON, CO
ZIP 80120
Phone: (303) 953-6767
Fax: (303) 740-9311



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID6901809755
PECOS Enrollment IDI20060816000226
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

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.

  • 1600Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • 577Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • 101Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • 79Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • 32Removal of impact ear wax, one ear (HCPCS:69210)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. 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 Rate Number of Patients
Closing the Referral Loop: Receipt of Specialist Report 13% 30
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
Documentation of Current Medications in the Medical Record 97% 1106
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 99% 1851
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patient-Specific Education 38% 1129
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.
Pneumococcal Vaccination Status for Older Adults 35% 481
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 1057
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Influenza Immunization 17% 393
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 519
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 38% 29
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97% 519
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 46% 1129
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.
View, Download, or Transmit (VDT) 1% 1129
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

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
I59814MEDICARE UPIN (02)CO
C805676MEDICARE PIN (08)CO

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1114029113DR. GERALD CAPOOT M.D.
Individual
Specialist15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 798-1309
1447352349DR. ROBERT BRADLEY CULBERSON M.D.
Individual
Specialist15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 798-1309
1194901801COMPREHENSIVE ENT, HEAD AND NECK SURGERY, PC
Organization
Otolaryngology15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 798-1309
1710383310COLORADO PULMONARY INTENSIVISTS
Organization
Nurse Practitioner (Gerontology)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1114182003 DAVID YU M.D.
Individual
Internal Medicine15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1801868401 MIKE JOSEPH MCMILLAN MD
Individual
Family Medicine15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1427019215DR. ANDREA L RYAN DO
Individual
Internal Medicine15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1407278740 SHANDA BARTEL NP
Individual
Nurse Practitioner (Family)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1447624978 MARGARET V BERNARD NP
Individual
Nurse Practitioner (Family)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1639153141DR. RONALD L MILLER MD
Individual
Internal Medicine15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1117
1386948206MS. MARIANNE DENISE MORALES ACNP-BC
Individual
Nurse Practitioner (Acute Care)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1063657369 JODIE L GROUT NP
Individual
Nurse Practitioner (Acute Care)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1457647646DR. NITIN KUMAR GUPTA D.O.
Individual
Internal Medicine (Pulmonary Disease)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1598004780 ALECIA BRYNDA ACNP
Individual
Nurse Practitioner (Critical Care Medicine)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1093132243 BREE NAIBAUER N.P.
Individual
Nurse Practitioner (Acute Care)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1932505179 ALEXANDRA RAE DIPAOLO AGNP
Individual
Nurse Practitioner (Critical Care Medicine)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1083002372 JACOB WEINSTEIN APN
Individual
Nurse Practitioner (Acute Care)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1100
1295285815MRS. ALLISON WAGSTAFF
Individual
Clinical Nurse Specialist (Acute Care)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1111
1083726160DR. RANDY TAYLOR M.D.,PH.D
Individual
Specialist15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 798-1309
1922391648 DANIEL A KELMENSON MD
Individual
Internal Medicine (Pulmonary Disease)15 W DRY CREEK CIR
LITTLETON, CO 80120
(303) 952-1104

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.