DEREK KEITH HOLCOMBE M.D. NPI 1841203833

Internal Medicine (Gastroenterology) in Alexander City, AL

NPI 1841203833 Individual Male Years of Experience 34 Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About DEREK HOLCOMBE

Derek Holcombe is an internal medicine provider established in Alexander City, Alabama and his medical specialization is internal medicine (gastroenterology) with more than 34 years of experience. He graduated from University Of South Carolina School Of Medicine in 1988. The NPI number of Derek Holcombe is 1841203833 and was assigned on August 2006. The practitioner's primary taxonomy code is 207RG0100X with license number 14800 (AL). The provider is registered as an individual and his NPI record was last updated December 2021.

An internist like Derek Keith Holcombe M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Derek Holcombe is enrolled in PECOS and is eligible to order or refer healthcare 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

Derek Holcombe 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 Russell Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: breast cancer screening, cervical cancer screening, colorectal cancer screening, documentation of current medications in the medical record, e-prescribing, immunization registry reporting, implementation of use of specialist reports back to referring clinician or group to close referral loop, initiate cdc training on antibiotic stewardship, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, use of high-risk medications in the elderly and use of high-risk medications in the elderly. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1841203833

Provider Name DEREK KEITH HOLCOMBE M.D.
Provider Location Address3368 HIGHWAY 280 SUITE 214 ALEXANDER CITY, AL 35010
Provider Mailing Address3368 HIGHWAY 280 SUITE 214 ALEXANDER CITY, AL 35010
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year1988
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-14-2006
Last Update Date12-07-2021


Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.14800
License StateAL
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

DEREK KEITH HOLCOMBE M.D.
3368 HIGHWAY 280
SUITE 214
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 329-2829
Fax: (256) 329-9135

Get Directions


Mailing Address

DEREK KEITH HOLCOMBE M.D.
3368 HIGHWAY 280
SUITE 214
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 329-2829
Fax: (256) 329-9135



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID6507926771
PECOS Enrollment IDI20081208000684
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

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.

  • 414Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 276Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • 129Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • 84Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 55Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)
  • 40Removal of hemorrhoid by rubber banding (HCPCS:46221)

Quality Reporting

The following quality measures meets 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 Rate Number of Patients
Breast Cancer Screening 55% 517
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Cervical Cancer Screening 13% 471
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years
Colorectal Cancer Screening 67% 945
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Documentation of Current Medications in the Medical Record 89% 2856
Percentage of visits for patients aged 18 years and older for which the eligible professional or 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
e-Prescribing 99% 363
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 89% 3236
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 97% 1955
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 9% 862
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 22% 1710
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 Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Influenza Immunization 11% 1118
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 10% 31
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 50% 694
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 46% 694
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 Patient Access 100% 1955
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 1% 1955
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Use of High-Risk Medications in the Elderly 38% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
862
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 72% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
862
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

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. Derek Holcombe is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
RUSSELL MEDICAL CENTER3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7100Acute Care Hospitals10065

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
529603400MEDICAID (05)AL
100008592OTHER (01)AL
51028627OTHER (01)AL

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1467442715DR. ADELAIDE M. BROWN PH.D.
Individual
Psychologist (Clinical)3368 HIGHWAY 280 SUITE G20
ALEXANDER CITY, AL 35010
(256) 329-2626
1972594265KATHARINE R. COOPER, M.D., P.C.
Organization
Specialist3368 HIGHWAY 280 SUITE 205
ALEXANDER CITY, AL 35010
(256) 234-2464
1821057845 KATHARINE R COOPER M.D.
Individual
Obstetrics & Gynecology (Gynecology)3368 HIGHWAY 280 SUITE 205
ALEXANDER CITY, AL 35010
(256) 234-2464
1427006717 MARK REID TUCKER M.D.
Individual
Ophthalmology3368 HIGHWAY 280 SUITE 215
ALEXANDER CITY, AL 35010
(256) 329-9064
1942250022DR. JAMES ROBERT NOBLES JR. O.D.
Individual
Optometrist3368 HIGHWAY 280
ALEX CITY, AL 35010
(256) 329-9064
1538268685EYE ASSOCIATES PC
Organization
Ophthalmology3368 HIGHWAY 280 SUITE 215
ALEXANDER CITY, AL 35010
(256) 329-9064
1366530578BONE & JOINT SPECIALISTS, P.C.
Organization
Orthopaedic Surgery3368 HIGHWAY 280 SUITE 116
ALEXANDER CITY, AL 35010
(256) 329-9133
1225102833 MICHELE GOLDHAGEN MD
Individual
Emergency Medicine3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7134
1598839037 SHIRLEY LAZENBY MD
Individual
Emergency Medicine3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7134
1487728903 RALPH HAMM JR. NP
Individual
Nurse Practitioner3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-7134
1578621736CARDIOLOGY OF CENTRAL ALABAMA, P.C.
Organization
Internal Medicine (Cardiovascular Disease)3368 HIGHWAY 280 SUITE 130
ALEXANDER CITY, AL 35010
(256) 234-2644
1538295241CENTRAL ALABAMA GASTROENTEROLOGY,PC
Organization
Internal Medicine (Gastroenterology)3368 HIGHWAY 280 SUITE 214
ALEXANDER CITY, AL 35010
(256) 329-2829
1407054620SA CASSIDY MD PC
Organization
Surgery3368 HIGHWAY 280 SUITE 207
ALEXANDER CITY, AL 35010
(256) 215-3490
1013117936BARBARA A. MICHNA M.D.
Organization
Surgery3368 HIGHWAY 280 PROFESSIONAL BUILING SUITE 218
ALEXANDER CITY, AL 35010
(256) 215-5501
1316120884MEDICAL PARK OPTICAL INC.
Organization
Eyewear Supplier3368 HIGHWAY 280
ALEXANDER CITY, AL 35010
(256) 329-8646
1780853697OBGYN ASSOCIATES
Organization
Obstetrics & Gynecology3368 HIGHWAY 280 SUITE 111
ALEXANDER CITY, AL 35010
(256) 234-3477
1992976245O. GORDON ROBINSON,JR.,MD, PC
Organization
Plastic Surgery3368 HIGHWAY 280 SUITE 200
ALEXANDER CITY, AL 35010
(256) 329-2197
1255587648MRS. LORI G. MCCOLLUM M.C.D., CCC-A
Individual
Audiologist3368 HIGHWAY 280 SUITE G-15
ALEXANDER CITY, AL 35010
(256) 329-1114
1710137575SOUTHERN HEAD & NECK SURGERY
Organization
Otolaryngology (Otolaryngic Allergy)3368 HIGHWAY 280 SUITE G-15
ALEXANDER CITY, AL 35010
(256) 329-1114
1982844460 SHELLEY MARIE MOORE NP-C
Individual
Nurse Practitioner (Family)3368 HIGHWAY 280 SUITE 107
ALEXANDER CITY, AL 35010
(256) 212-9300

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
The code describing 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.