MICHAEL L. WALDSCHMIDT M.D. NPI 1811995129
Surgery - Vascular Surgery in Liberty, MO
About MICHAEL L. WALDSCHMIDT M.D.
Michael Waldschmidt is a provider established in Liberty, Missouri and his medical specialization is Surgery with a focus in vascular surgery . The NPI number of this provider is 1811995129 and was assigned on July 2005. The practitioner's primary taxonomy code is 2086S0129X with license number R2E49 (MO). The provider is registered as an individual and his NPI record was last updated 6 years ago.
| NPI | 1811995129 |
| Provider Name | MICHAEL L. WALDSCHMIDT M.D. |
| Location Address | 2521 GLENN HENDREN DR SUITE 112 LIBERTY, MO 64068 |
| Location Phone | (816) 842-5555 |
| Mailing Address | 2750 CLAY EDWARDS DR STE 304 KANSAS CITY, MO 64116 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-11-2005 |
| Last Update Date | 12-15-2016 |
Michael Waldschmidt 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 73.7, 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 provider also has detailed performance information the following quality measures: chronic care and preventative care management for empaneled patients, clinical data registry reporting, closing the referral loop: receipt of specialist report, documentation of current medications in the medical record, engagement of patients through implementation of improvements in patient portal, implementation of medication management practice improvements, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, provide patients electronic access to their health information, public health registry reporting, security risk analysis, tobacco use and use of decision support and standardized treatment protocols.
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 | 2086S0129X |
| Classification | Surgery |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Vascular Surgery |
| License No. | R2E49 |
| License State | MO |
| Taxonomy Description | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
2521 GLENN HENDREN DR
SUITE 112
LIBERTY, MO
ZIP 64068
Phone: (816) 842-5555
Fax: (816) 842-8888
Mailing Address
2750 CLAY EDWARDS DR STE 304
KANSAS CITY, MO
ZIP 64116
Phone: (816) 842-5555
Fax: (816) 842-8888
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 |
| 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 |
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% | 75.6 | |
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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% | 57 | |
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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 | |
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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 | |
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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 | - | 73.7 | |
| 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. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| In order to receive credit for this activity, a MIPS eligible clinician must manage chronic and preventive care for empaneled patients (that is, patients assigned to care teams for the purpose of population health management), which could include one or more of the following actions:- Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions;- Use evidence based, condition-specific pathways for care of chronic conditions (for example, hypertension, diabetes, depression, asthma, and heart failure). These might include, but are not limited to, the NCQA Diabetes Recognition Program (DRP) and the NCQA Heart/Stroke Recognition Program (HSRP);- Use pre-visit planning, that is, preparations for conversations or actions to propose with patient before an in-office visit to optimize preventive care and team management of patients with chronic conditions;- Use panel support tools, (that is, registry functionality) or other technology that can use clinical data to identify trends or data points in patient records to identify services due;- Use predictive analytical models to predict risk, onset and progression of chronic diseases; and/orUse reminders and outreach (e.g., phone calls, emails, postcards, patient portals, and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Clinical Data Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. | ||
| Closing the Referral Loop: Receipt of Specialist Report | 0% | 48 |
| Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred. | ||
| Controlling High Blood Pressure | 52% | 56 |
| Percentage of patients 18-85 years of age who had a diagnosis of hypertension overlapping the measurement period and whose most recent blood pressure was adequately controlled (<140/90mmHg) during the measurement period. | ||
| Documentation of Current Medications in the Medical Record | 96% | 822 |
| Percentage of visits for patients aged 18 years and older for which the MIPS eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration. | ||
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following:Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups;Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 23% | 634 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 11% | 28 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% | 176 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 85% | 176 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. | ||
| Provide Patients Electronic Access to Their Health Information | 66% | 760 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Public Health Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Tobacco use | Yes | N/A |
| Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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.
- 40Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
- 28Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
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 |
|---|---|---|
| 0406697A | MEDICARE UPIN (02) | MO |
| C52184 | MEDICARE UPIN (02) | MO |
| 202238903 | MEDICAID (05) | MO |
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 | 8 | 1 | 1 | 9 | 9 | 5 | 1 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 18 | 9 | 10 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 1 + 8 + 9 + 1 + 0 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1811995129 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 |
|---|---|---|---|
| 1740283753 | DR. THOMAS F JONES MD Individual | Specialist | 2521 GLENN HENDREN DR STE 408 LIBERTY, MO 64068 (816) 478-4887 |
| 1518960467 | DR. DALE H WYTOCK MD Individual | Specialist | 2521 GLENN HENDREN DR STE 408 LIBERTY, MO 64068 (816) 478-4887 |
| 1871580712 | DR. RICHARD BLAIR CURNOW M.D. Individual | Orthopaedic Surgery | 2521 GLENN HENDREN DR SUITE 204 LIBERTY, MO 64068 (816) 781-6066 |
| 1003895749 | DR. JONATHAN PHILIP HORWITZ D.O. Individual | Internal Medicine (Gastroenterology) | 2521 GLENN HENDREN DR LIBERTY, MO 64068 (816) 478-4887 |
| 1164498168 | MRS. MARY A LUCE MD Individual | Otolaryngology | 2521 GLENN HENDREN DR SUITE 104 LIBERTY, MO 64068 (816) 781-1001 |
| 1215903216 | MR. DAVID T ROUSE JR. MD Individual | Otolaryngology | 2521 GLENN HENDREN DR STE 104 LIBERTY, MO 64068 (816) 781-1001 |
| 1891763363 | MR. MATTHEW E BEUERLEIN MD Individual | Otolaryngology | 2521 GLENN HENDREN DR STE 104 LIBERTY, MO 64068 (816) 781-1001 |
| 1982672457 | MR. GREGORY J MULCAHY MD Individual | Otolaryngology | 2521 GLENN HENDREN DR SUITE 104 LIBERTY, MO 64068 (816) 781-1001 |
| 1205881604 | DR. LINDA J CROUSE MD Individual | Specialist | 2521 GLENN HENDREN DR SUITE 306 LIBERTY, MO 64068 (816) 407-5430 |
| 1578597076 | DR. CHARLES WILLIAM BEGGS M.D. Individual | Surgery | 2521 GLENN HENDREN DR SUITE 108 LIBERTY, MO 64068 (816) 781-3515 |
| 1396761334 | LIBERTY ORTHOPEDIC ASSOCIATES, P.C. Organization | Orthopaedic Surgery | 2521 GLENN HENDREN DR SUITE 204 LIBERTY, MO 64068 (816) 781-6066 |
| 1720124191 | MICHAEL K. DEIPARINE M.D. Individual | Surgery (Vascular Surgery) | 2521 GLENN HENDREN DR SUITE 112 LIBERTY, MO 64068 (816) 781-5006 |
| 1235274127 | VASCULAR SURGERY ASSOCIATES, P.C. Organization | Surgery (Vascular Surgery) | 2521 GLENN HENDREN DR SUITE 112 LIBERTY, MO 64068 (816) 781-5006 |
| 1922280148 | LIBERTY ORTHOPEDIC ASSOCIATES, P.C. Organization | Orthopaedic Surgery | 2521 GLENN HENDREN DR SUITE 204 LIBERTY, MO 64068 (816) 781-6066 |
| 1801064035 | TERRENCE W. COLEMAN, MD, PC Organization | Internal Medicine (Gastroenterology) | 2521 GLENN HENDREN DR SUITE 109 LIBERTY, MO 64068 (816) 781-4444 |
| 1083884183 | LIBERTY NEUROLOGY, LLC Organization | Psychiatry & Neurology (Neurology) | 2521 GLENN HENDREN DR SUITE 202 LIBERTY, MO 64068 (816) 401-2693 |
| 1740444611 | SHERYL ANN NESPORY CRNFA Individual | Registered Nurse (Medical-Surgical) | 2521 GLENN HENDREN DR SUITE 410 LIBERTY, MO 64068 (816) 792-0010 |
| 1013146448 | LIBERTY CARDIOVASCULAR SPECIALISTS Organization | Internal Medicine (Cardiovascular Disease) | 2521 GLENN HENDREN DR SUITE 306 LIBERTY, MO 64068 (816) 407-5430 |
| 1730280819 | VAS-NES, P.C. Organization | Surgery | 2521 GLENN HENDREN DR SUITE 410 LIBERTY, MO 64068 (816) 792-0010 |
| 1689634313 | DR. MICHAEL FORD GIBSON M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2521 GLENN HENDREN DR SUITE 308 LIBERTY, MO 64068 (816) 407-5490 |
Frequently Asked Questions
What is Michael Waldschmidt M.D. NPI number?
The NPI number assigned to this healthcare provider is 1811995129, registered as an "individual" on July 11, 2005
Where is Michael Waldschmidt M.D. located?
The provider is located at 2521 Glenn Hendren Dr Suite 112 Liberty, Mo 64068 and the phone number is (816) 842-5555
Which is Michael Waldschmidt M.D. specialty?
The provider's speciality is Surgery with a focus in Vascular Surgery
What insurance does Michael Waldschmidt M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Michael Waldschmidt M.D. 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 Michael Waldschmidt M.D. Quality Ratings?
The provider obtained a high score in the following performance measures: Documentation of Current Medications in the Medical Record. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Michael Waldschmidt M.D.?
Medicare beneficiaries should expect a typical cost of $88.64 with an average copayment of $22.16 for new patient appointments. Established patients should expect a typical charge of $72.09 and an average copayment of 18.02. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Michael Waldschmidt M.D.?
The most common procedures or services performed by this practitioner are: Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers and Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers.
How do I update my NPI information?
The NPI record of Michael Waldschmidt M.D. was last updated on July 11, 2005. 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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