MARSHALL COUNTY HMPN, LLC
NPI 1780955898
Family Medicine in Madill, OK


Patient Care Rating: 2 out of 5 stars

NPI Status: Active since January 20, 2012

Contact Information

2 HOSPITAL DRIVE
MADILL, OK
ZIP 73446
Phone: (580) 795-0191

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  • Organization
  • Family Medicine
  • Accepts Insurance

About MARSHALL COUNTY HMPN, LLC

This page provides the complete NPI Profile along with additional information for Marshall County Hmpn, Llc, a primary care provider established in Madill, Oklahoma operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1780955898 assigned on January 2012. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Marshall County Hmpn, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Michael L Gingras (Vice President)

NPI
1780955898
Provider Name
MARSHALL COUNTY HMPN, LLC
Entity Type
Organization
Location Address
2 HOSPITAL DRIVE MADILL, OK 73446
Location Phone
(580) 795-0191
Mailing Address
5811 PELICAN BAY BLVD SUITE 500 NAPLES, FL 34108
Mailing Phone
(239) 598-3131
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-20-2012
Last Update Date
11-26-2012
Code Navigator

A primary care provider (PCP) like Marshall County Hmpn, Llc 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 .

According to the Home Health Compare program data, Marshall County Hmpn, Llc has a below average overall quality rating based on the provider's performance on seven separate quality measures including: timely initiation of care, improvement in ambulation, bed transferring, bathing, shortness of breath, management of oral medications and relapse in acute care hospitalizations. The Quality of Patient Star Rating for this provider is 2 out of 5 and summarizes some of the current health care provider performance measures.

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL L GINGRAS

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(239) 598-3131

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
OKAAA3593MEDICARE PIN (08)OK 

Nursing Home Compare Information

The Centers for Medicare and Medicaid Services publishes Home Health Compare quality of care data to provide consumers an easy way to compare "Medicare-certified" home health agencies throughout the nation. "Medicare-certified" home health agencies are approved by Medicare and meet certain federal health and safety requirements.

The Home Health Compare information helps consumers learn how well home health agencies care for their patients, how often each agency used best practices when caring for its patients and what patients said about their recent home health care experience.

Quality of Patient Care Rating Quality of Patient Care Rating
The quality of patient care star rating summarizes 8 of the 23 quality measures reported on Home Health Compare. It provides a single indicator of an agency's performance compared to other agencies.
- 2 out of 5 stars - MARSHALL COUNTY HOME HEALTH, INC performance was below the average of other agencies on selected measures.
Ownership Type Ownership Type
Home health agencies can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. The type of ownership may affect agency resources and how services are organized. Quality can vary in home health agencies within each of the different types of ownership. Each agency needs to be judged on its own merits.
Proprietary
Offers Nursing Care Offers Nursing Care?
The home health agency offers care given or supervised by registered nurses. Nurses provide direct care; manage, observe, and evaluate a patient’s care; and teach the patient and his or her family caregiver. Examples include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about diabetes care. Any service that could be done safely by a non-medical person (or by yourself) without the supervision of a nurse isn’t skilled nursing care. Medicare covers home health skilled nursing care that's part time and intermittent.
Yes
Offers Physical Therapy Offers Physical Therapy?
The home health agency offers treatment of injury and disease by mechanical means, like heat, light, exercise, and massage.
Yes
Offers Occupational Therapy Offers Occupational Therapy?
The home health agency offers services given to help you return to usual activities (like bathing, preparing meals, and housekeeping) after illness either on an inpatient or outpatient basis.
Yes
Offers Speech Therapy Offers Speech Therapy?
The home health agency offers services to assist with problems involving speech, language, and swallowing. Communication problems can be present at birth or develop after an injury or illness, like a stroke.
Yes
Offers Medical Social Services Medical Social Services?
The home health agency offers services to help with social and emotional concerns related to your illness. This might include counseling or help in finding resources in your community.
No
Offers Home Health Aide Offers Home Health Aide?
The home health agency offers part time or intermittent services to help with daily living activities.
Yes
Medicare Certification Date06-25-1992
Number of episodes used to calculate how much Medicare spends at this agency Number of episodes used to calculate how much Medicare spends at this agency
Number of episodes of care used to calculate how much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally.
314
How often patients got better at walking or moving around? How often patients got better at walking or moving around?
This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to ambulate.
87.1%
How often patients got better at getting in and out of bed? How often patients got better at getting in and out of bed?
This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to get in and out of bed.
71.9%
How often patients got better at bathing? How often patients got better at bathing?
This quality measure shows the percentage of home health quality episodes during which the patient got better at bathing self.
75.9%
How often patients' breathing improved? How often patients' breathing improved?
This quality measure shows the percentage of home health quality episodes during which the patient became less short of breath or dyspneic.
42.8%
How often the home health team began their patients' care in a timely manner? How often the home health team began their patients' care in a timely manner?
This quality measure shows the percentage of episodes of care initiated or resumed on the date the physician ordered, or within within 24-48 hours of referral.
92.4%
How often the home health team made sure that their patients have received a flu shot for the current flu season? How often the home health team made sure that their patients have received a flu shot for the current flu season?
This quality measure shows the percentage of home health quality episodes during which patients received the influenza immunization for the current flu season.
62%
How often physician-recommended actions to address medication issues were completed timely? How often physician-recommended actions to address medication issues were completed timely?
This quality measure shows the percentage of home health quality episodes forwhich a drug regimen review was conducted at the start of care or resumption of care and completion of recommended actions from timely follow-up with a physician occurred each time potential clinically significant medication issues were identified throughout that quality episode.
100%
Percent of Residents Experiencing One or More Falls with Major Injury How often a patient had one or more falls with a major injury?
This measure reports the percentage of patients who suffer falls that may result in major injuries and are a risk for patients living at the health home.
4.5%
Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment How often a patient has an admission and discharge functional assessment and an admission care plan that addresses function?
This measure displays hows how often the home health team completed a functional assessment for patients at both admission and discharge, and developed a functional care plan at admission.
100%
How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally? How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally?
This measure evaluates Home Health resource use relative to the resource use of the national median of all Home Health providers. Specifically, the measure assesses the Medicare spending performed by the Home Health provider and other healthcare providers during an MSPB-PAC episode.
0.87%

Reviews for MARSHALL COUNTY HMPN, LLC

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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 1780955898, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 8 → 16 → 7 9 → 18 → 9 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 6 + 0 + 1 + 8 + 5 + 1 + 0 + 8 + 1 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1780955898.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Rural Health)
2 HOSPITAL DRIVE
MADILL, OK 73446

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780955898, enumerated as an "organization" on January 20, 2012.

The provider is located at 2 HOSPITAL DRIVE MADILL, OK 73446 and the phone number is (580) 795-0191.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to verify.