EMILY SCHOFIELD NPI 1790107548
Nurse Practitioner - Family in Athens, GA
About EMILY SCHOFIELD
Emily Schofield is a provider established in Athens, Georgia and her medical specialization is Nurse Practitioner with a focus in family with more than 10 years of experience. She graduated from Medical College Of Georgia School Of Medicine in 2013. The NPI number of this provider is 1790107548 and was assigned on January 2014. The practitioner's primary taxonomy code is 363LF0000X with license number RN201966 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.
| NPI | 1790107548 |
| Provider Name | EMILY SCHOFIELD |
| Location Address | 957 BAXTER ST ATHENS, GA 30606 |
| Location Phone | (706) 410-9270 |
| Mailing Address | 961 SMOKY MOUNTAIN SPRINGS LN NE STE A GAINESVILLE, GA 30501 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Is Sole Proprietor? | No |
| Enumeration Date | 01-14-2014 |
| Last Update Date | 09-13-2022 |
A nurse practitioner (NP) like Emily Schofield is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Emily Schofield 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.
Emily Schofield 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 under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.26, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $21.36 for a new patient copayment and $24.69 for an established patient copayment.
Primary Taxonomy
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.
| Taxonomy Code | 363LF0000X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Family |
| License No. | RN201966 |
| License State | GA |
Business Address
957 BAXTER ST
ATHENS, GA
ZIP 30606
Phone: (706) 410-9270
Fax: (706) 410-9276
Mailing Address
961 SMOKY MOUNTAIN SPRINGS LN NE
STE A
GAINESVILLE, GA
ZIP 30501
Phone: (678) 677-8821
Fax: (678) 997-2003
Location Map
PECOS Enrollment and Medicare Participation Status
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 ID | 4981836061 |
| PECOS Enrollment ID | I20140404000768 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 30606 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $55.19 | $169.73 | $85.45 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.79 | $42.43 | $21.36 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.8 | $138.36 | $98.79 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.2 | $34.59 | $24.69 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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% | 97.43 | |
|
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. |
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| Promoting Interoperability (PI) | 25% | 88.47 | |
|
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. |
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| 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. |
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| 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. |
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| MIPS Final Score | - | 95.26 | |
| 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. | |||
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.
- 267Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
- 252Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- 72Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
- 39Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 23Administration of influenza virus vaccine (HCPCS:G0008)
- 22Administration of pneumococcal vaccine (HCPCS:G0009)
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 1 | 0 | 7 | 5 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 0 | 14 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 0 + 1 + 4 + 5 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1790107548 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740265594 | THOMAS EDWARD AREY Organization | Optometrist | 957 BAXTER ST ATHENS, GA 30606 (706) 549-7047 |
| 1306895339 | ATHENS UROLOGICAL ASSOCIATES, LLC Organization | Urology | 957 BAXTER ST ATHENS, GA 30606 (706) 549-4999 |
| 1598984627 | MR. JOHN C REED L.D.O. Individual | Technician/Technologist (Optician) | 957 BAXTER ST ATHENS, GA 30606 (706) 549-4457 |
| 1003008749 | ATHENS OPTICAL INC Organization | Eyewear Supplier | 957 BAXTER ST ATHENS, GA 30606 (706) 549-4457 |
| 1184010233 | ARTICULARIS HEALTHCARE GROUP INC Organization | Internal Medicine (Rheumatology) | 957 BAXTER ST ATHENS, GA 30606 (706) 410-9270 |
| 1225122716 | DR. WILLIAM AIKEN CHAFIN III M.D. Individual | Internal Medicine (Rheumatology) | 957 BAXTER ST ATHENS, GA 30606 (706) 410-9270 |
| 1467891564 | STEPHEN MERLE ELMORE MD Individual | Internal Medicine (Rheumatology) | 957 BAXTER ST ATHENS, GA 30606 (706) 410-9270 |
| 1598739823 | JULIO RAFAEL BRAVO M.D. Individual | Internal Medicine (Rheumatology) | 957 BAXTER ST ATHENS, GA 30606 (064) 100-9270 |
Frequently Asked Questions
What is Emily Schofield NPI number?
The NPI number assigned to this healthcare provider is 1790107548, registered as an "individual" on January 14, 2014
Where is Emily Schofield located?
The provider is located at 957 Baxter St Athens, Ga 30606 and the phone number is (706) 410-9270
Which is Emily Schofield specialty?
The provider's speciality is Nurse Practitioner with a focus in Family
How many years of experience does Emily Schofield have?
The provider has more than 10 years of experience. She graduated from Medical College Of Georgia School Of Medicine in 2013.
Is Emily Schofield registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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 are Emily Schofield Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
How much is a visit to Emily Schofield ?
Medicare beneficiaries should expect a typical cost of $85.45 with an average copayment of $21.36 for new patient appointments. Established patients should expect a typical charge of $98.79 and an average copayment of 24.69. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Emily Schofield ?
The most common procedures or services performed by this practitioner are: Complete blood cell count (red cells, white blood cell, platelets), automated test, Blood test, comprehensive group of blood chemicals, Aspiration and/or injection of large joint or joint capsule, Insertion of needle into vein for collection of blood sample, Administration of influenza virus vaccine and Administration of pneumococcal vaccine.
How do I update my NPI information?
The NPI record of Emily Schofield was last updated on January 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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