CALVIN DYMOND RPA-C NPI 1811986649
Physician Assistant - Surgical in Middletown, NY

Individual Male Years of Experience 19 Physician Assistant Surgical PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 89.1

About CALVIN DYMOND RPA-C

Calvin Dymond is a provider established in Middletown, New York and his medical specialization is Physician Assistant with a focus in surgical with more than 19 years of experience. The NPI number of Calvin Dymond is 1811986649 and was assigned on October 2005. The practitioner's primary taxonomy code is 363AS0400X with license number 010264 (NY). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1811986649
Provider Name CALVIN DYMOND RPA-C
Provider Location Address95 CRYSTAL RUN RD MIDDLETOWN, NY 10941
Provider Mailing Address155 CRYSTAL RUN RD MIDDLETOWN, NY 10941
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Enumeration Date10-14-2005
Last Update Date11-17-2009

Calvin Dymond 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.

Calvin Dymond 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. According to Medicare claims data he has hospital affiliations with Westchester Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.1, 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 Code363AS0400X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationSurgical
License No.010264
License StateNY

Business Address

CALVIN DYMOND RPA-C
95 CRYSTAL RUN RD
MIDDLETOWN, NY
ZIP 10941
Phone: (845) 703-6999
Fax: (845) 703-6297

Get Directions


Mailing Address

CALVIN DYMOND RPA-C
155 CRYSTAL RUN RD
MIDDLETOWN, NY
ZIP 10941
Phone: (845) 703-6999
Fax: (845) 703-6297


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 ID244283513
PECOS Enrollment IDI20050226000032
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% 100
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% 66
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% 65.1
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 - 89.1
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.

  • 24Repair of knee joint (HCPCS:27447)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Calvin Dymond is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
WESTCHESTER MEDICAL CENTER100 WOODS RD
VALHALLA, NY 10595
(914) 493-7000Acute Care Hospitals330234

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant010264NYNo

Taxonomy Description: a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical010264NYNo

Taxonomy Description: Not Available

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
Q36605MEDICARE UPIN (02)NY
02650764MEDICAID (05)NY
5772L47771MEDICARE PIN (08)NY

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.
1811986649
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28211881268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 8 + 8 + 1 + 2 + 6 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1811986649 is valid because the calculated check digit 9 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
1710979299 RANDOLPH COHEN MD
Individual
Obstetrics & Gynecology95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1689668071 ROBIN KARPFEN MD
Individual
Obstetrics & Gynecology95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1487602017 HANNA KIM M.D.
Individual
Dermatology95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1467406157 KIM SHARON HARDWICK RPA-C
Individual
Physician Assistant (Surgical)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1396799664MR. DANIEL JAMES MCCABE DMA, MA, CCC-SLP
Individual
Speech-Language Pathologist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1689694127 MYRIAM BABCOCK P.T.
Individual
Physical Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1336338045 SUSANNA PRIMAKOFF RPA-C
Individual
Physician Assistant (Surgical)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1457516411 TAHIR ABDULLAH KHAN M.D.
Individual
Internal Medicine (Rheumatology)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1275789141 ELENA KATZAP D.O
Individual
Internal Medicine (Rheumatology)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1467605758MR. DAVID JOHN MOHR M.S., P.T.
Individual
Physical Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1295044022 THOMAS JAMES CINQUE D.P.T.
Individual
Physical Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1689723314 HOWARD MICHAEL ESKANAZY D.O.
Individual
Family Medicine95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1538346663 DEBORAH ANN GLEBOCKI O.T.
Individual
Occupational Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1003018722 RICHARD ESCANO P.T.
Individual
Physical Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1780888354 PARANTAP GUPTA MD
Individual
Internal Medicine (Gastroenterology)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1063494821 DEBORAH SHERMAN N.P.
Individual
Nurse Practitioner (Women's Health)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1669461851 JANICE KRYSTAL ASCENCIO M.D.
Individual
Obstetrics & Gynecology95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1831299957 MICHELE DALLAIRE BRANCH M.S.
Individual
Genetic Counselor, MS95 CRYSTAL RUN RD CRYSTAL RUN HEALTHCARE
MIDDLETOWN, NY 10941
(845) 703-6999
1922230853CRYSTAL RUN AMBULATORY SURGERY
Organization
Clinic/Center (Ambulatory Surgical)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1164719464 PHYLLIS ANN L'ESTRANGE NP
Individual
Nurse Practitioner95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999

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
Calvin Dymond Rpa-c 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.