DR. DANIEL BRISMAN MD NPI 1790868081

Physical Medicine & Rehabilitation in Teaneck, NJ

NPI 1790868081 Individual Male Years of Experience 29 Physical Medicine & Rehabilitation PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 80.8 Medicare Quality Reporting

NPI Profile for DR. DANIEL BRISMAN MD

Daniel Brisman is a provider established in Teaneck, New Jersey and his medical specialization is physical medicine & rehabilitation with more than 29 years of experience. He graduated from Tufts University School Of Medicine in 1994. The NPI number of Daniel Brisman is 1790868081 and was assigned on October 2006. The practitioner's primary taxonomy code is 208100000X with license number MA69045 (NJ). The provider is registered as an individual and his NPI record was last updated 15 years ago.

Daniel Brisman 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.

Daniel Brisman 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 80.8, 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 following quality measures were reported for this provider: advance care planning, annual registration in the prescription drug monitoring program, care plan, elder maltreatment screen and follow-up plan, implementation of fall screening and assessment programs and provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record.

NPI

1790868081

Provider NameDR. DANIEL BRISMAN MD
Provider Location Address1 DEGRAW AVE TEANECK, NJ 07666
Provider Mailing Address1 DEGRAW AVE TEANECK, NJ 07666
GenderMale
NPI Entity TypeIndividual
Medical School NameTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1994
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-23-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code208100000X
ClassificationPhysical Medicine & Rehabilitation
TypeAllopathic & Osteopathic Physicians
License No.MA69045
License StateNJ
Taxonomy DescriptionPhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Business Address

DR. DANIEL BRISMAN MD
1 DEGRAW AVE
TEANECK, NJ
ZIP 07666
Phone: (201) 928-0200
Fax: (201) 928-0820

Get Directions


Mailing Address

DR. DANIEL BRISMAN MD
1 DEGRAW AVE
TEANECK, NJ
ZIP 07666
Phone: (201) 928-0200
Fax: (201) 928-0820



PECOS Enrollment and 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 ID840184362
PECOS Enrollment IDI20040213000294
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% 75.5
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% N/A
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% 59.9
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 - 80.8
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.

Quality Reporting

The following quality measures meet 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 Number of Patients
Advance Care PlanningYesN/A
Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning.
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Care Plan 100% 263
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Elder Maltreatment Screen and Follow-Up Plan 99% 188
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
Implementation of fall screening and assessment programsYesN/A
Implementation of fall screening and assessment programs to identify patients at risk for falls and address modifiable risk factors (e.g., Clinical decision support/prompts in the electronic health record that help manage the use of medications, such as benzodiazepines, that increase fall risk).
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.

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
028091MEDICARE ID-TYPE UNSPECIFIED (04)NJ
6818706MEDICAID (05)NJ
G93031MEDICARE UPIN (02)NJ

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1790868081
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718016616016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 6 + 1 + 6 + 0 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1790868081 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1598791998 NEIL MICHAEL SANTOS PT
Individual
Physical Therapist (Orthopedic)1 DEGRAW AVE NORTH JERSEY ORTHOPEDIC SPECIALISTS
TEANECK, NJ 07666
(201) 692-9699
1598793358 MARIE KAREN FERRER PT
Individual
Physical Therapist (Orthopedic)1 DEGRAW AVE NORTH JERSEY ORTHOPEDIC SPECIALISTS
TEANECK, NJ 07666
(201) 692-9699
1891892816DR. JAY S MEYEROWITZ MD
Individual
Internal Medicine (Geriatric Medicine)1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1780766857DR. KAREN C LEE MD
Individual
Internal Medicine1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1659453975DR. JOSEPH RIZZO MD
Individual
Internal Medicine1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1154404358DR. JANET PETRUCELLI MD
Individual
Physical Medicine & Rehabilitation1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1316026594DR. TUAN NGUYEN MD
Individual
Physical Medicine & Rehabilitation1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1205994712 PHILIP E BARBA P.T.
Individual
Physical Therapist1 DEGRAW AVE
TEANECK, NJ 07666
(201) 692-9699
1093848905ASPEN MEDICAL ASSOCIATES, PA
Organization
Internal Medicine1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1952574956 GEMMA T. PEDRAZA-HETALIA PT
Individual
Physical Therapist1 DEGRAW AVE
TEANECK, NJ 07666
(201) 353-9000
1427223106 MICHAL R SHEPS D.O.
Individual
Physical Medicine & Rehabilitation1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1699912196ASPEN MEDICAL ASSOCIATES, LLC
Organization
Internal Medicine1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1740216019 JODIE J DU PT
Individual
Physical Therapist (Orthopedic)1 DEGRAW AVE NORTH JERSEY ORTHOPAEDIC SPECIALISTS
TEANECK, NJ 07666
(201) 692-9699
1104908268DR. ALICIA PROWSE MD
Individual
Internal Medicine (Geriatric Medicine)1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1679655906DR. JEFFREY SALIZZONI MD
Individual
Internal Medicine (Pulmonary Disease)1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1679655930DR. JOEL ADLER MD
Individual
Internal Medicine1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1518232693 ANNA MARKH
Individual
Physical Medicine & Rehabilitation1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1841424702 ORNELA REHOVA M.D
Individual
Physical Medicine & Rehabilitation1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1205178365 DIMIR ABRAR
Individual
Physical Medicine & Rehabilitation1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200
1932512100 STACIE MARZOLF DO, MPH
Individual
Physical Medicine & Rehabilitation1 DEGRAW AVE
TEANECK, NJ 07666
(201) 928-0200

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
Dr. Daniel Brisman Md is registered as an entity type code: 1. The entity type code describes 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.