DR. RICHARD ELLISON ABERNATHY M.D.
NPI 1841265329
Surgery in Foley, AL
NPI Status: Active since February 20, 2006
Contact Information
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
Phone: (251) 949-3400
- Individual
- Male
- Surgery
- Medicare Quality Reporting
About RICHARD ABERNATHY
This page provides the complete NPI Profile along with additional information for Richard Abernathy, a provider established in Foley, Alabama with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1841265329 assigned on February 2006. The practitioner's primary taxonomy code is 208600000X with license number 14486 (AL). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1841265329
- Provider Name
- DR. RICHARD ELLISON ABERNATHY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1613 N MCKENZIE ST FOLEY, AL 36535
- Location Phone
- (251) 949-3400
- Mailing Address
- 1613 N MCKENZIE ST FOLEY, AL 36535
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-20-2006
- Last Update Date
- 03-26-2014
- Code Navigator
A surgeon like Richard Abernathy treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 14486
- License State
- AL
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E20720 | MEDICARE UPIN (02) | AL | |
| 020045155 | MEDICARE PIN (08) | AL | |
| 90502 | MEDICARE PIN (08) | AL |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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 |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • 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 condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use 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. | ||
| Documentation of Current Medications in the Medical Record | 100% | 28 |
| 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 | ||
| 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/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| 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. | ||
Reviews for DR. RICHARD ELLISON ABERNATHY M.D.
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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 | 4 | 1 | 2 | 6 | 5 | 3 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 4 | 6 | 10 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 4 + 6 + 1 + 0 + 3 + 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 1841265329 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.
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SHAWN T. GUFFIN M.D.
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DR. RALPH H EWING JR. M.D.
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MARK R CONNELL M.D.
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FOLEY, AL
ZIP 36535
MRS. ELIZABETH ANNE MICHON CRNP
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(Family)
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
L.A. ANESTHESIA LLC
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1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
M AND M ANESTHESIOLOGY PA
Anesthesiology
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
MRS. JENNIFER KOCH MEZICK PA-C
Physician Assistant
(Medical)
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
COASTAL ANESTHESIA-SOUTH BALDWIN, PC
Anesthesiology
1613 N MCKENZIE ST
ANESTHESIA DEPT
FOLEY, AL
ZIP 36535
SOUTH BALDWIN ANESTHESIA, PC
Anesthesiology
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
DR. WILLIAM P JONES M.D.
Radiology
(Diagnostic Radiology)
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
DR. JOHN J CAMPBELL M.D.
Radiology
(Diagnostic Radiology)
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
SHELIA STEPHENS CRNP
Emergency Medicine
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
MS. KATHLEEN MARIE OUZTS ARNP
Nurse Practitioner
(Acute Care)
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
ASHLEY MATTIONI SELF CRNP
Nurse Practitioner
(Family)
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
DR. WILLIAM GARRETSON D.O.
Surgery
(Vascular Surgery)
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
DR. WILLIAM ALLYN ROBERTS MD
Orthopaedic Surgery
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
MRS. RHETT HANCOCK BROWN FNP-C
Nurse Practitioner
(Family)
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
DR. JANET L. HOFFMAN MD
Family Medicine
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
BRUCE LOVINS MD
Family Medicine
1613 N MCKENZIE ST
FOLEY, AL
ZIP 36535
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841265329, enumerated as an "individual" on February 20, 2006.
The provider is located at 1613 N MCKENZIE ST FOLEY, AL 36535 and the phone number is (251) 949-3400.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
