THOMAS V. NAPATANO PT, DPT NPI 1801396627
Physical Therapist in Westfield, NJ

Individual Male Physical Therapist MIPS Quality Score 78.6

About THOMAS V. NAPATANO PT, DPT

Thomas Napatano is a provider established in Westfield, New Jersey and his medical specialization is Physical Therapist. The NPI number of Thomas Napatano is 1801396627 and was assigned on February 2018. The practitioner's primary taxonomy code is 225100000X with license number 40QA01777400 (). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1801396627
Provider Name THOMAS V. NAPATANO PT, DPT
Provider Location Address1124 SOUTH AVE W WESTFIELD, NJ 07090
Provider Mailing AddressPO BOX 1014 CLARK, NJ 07066
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date02-19-2018
Last Update Date02-25-2020



Thomas Napatano is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 78.6, 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.



Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.40QA01777400
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

THOMAS V. NAPATANO PT, DPT
1124 SOUTH AVE W
WESTFIELD, NJ
ZIP 07090
Phone: (908) 233-1222

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Mailing Address

THOMAS V. NAPATANO PT, DPT
PO BOX 1014
CLARK, NJ
ZIP 07066
Phone: (732) 855-9751
Fax: (732) 855-9755


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% 73.4
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% 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.
MIPS Final Score - 78.6
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.

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.
1801396627
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801691264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 6 + 9 + 1 + 2 + 6 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1801396627 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194820191 MICHAEL B BAUMER PT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1124326087 STEPHANIE M RINALDI OT, MS
Individual
Occupational Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1225538432TWIN BORO PHYSICAL THERAPY ASSOCIATES PA
Organization
Occupational Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1497770846 HEIDI ACKERMAN PT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1417236753 JESSICA GARRY KLASKIN PT, DPT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1487679379 NANCY A. PIDANE PT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1033625942 JESSICA RAMIREZ OTR
Individual
Occupational Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1275004095 CLAIRE MARIE PERFETTI DPT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1003011156 MAHALIA ELAINE S ONG OTR/L, CHT, CLT
Individual
Occupational Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1154091221 OLIVIA GRACE WILKERSON DPT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1649926924DR. RYAN ROBERT VRINDTEN PT, DPT
Individual
Physical Therapist (Orthopedic)1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222

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
Thomas V. Napatano Pt, Dpt 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.