MATTHEW JAMES NESPER MD
NPI 1851372528
Radiology - Diagnostic Radiology in Oakland, CA


Quality Rating: 100 out of 100 score

NPI Status: Active since November 09, 2005

Contact Information

411 30TH ST
#508
OAKLAND, CA
ZIP 94609
Phone: (925) 274-4950
Fax: (925) 274-4975

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  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology
  • Medicare Quality Reporting

About MATTHEW NESPER

Matthew Nesper is a provider established in Oakland, California and his medical specialization is Radiology with a focus in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1851372528 assigned on November 2005. The practitioner's primary taxonomy code is 2085R0202X with license number G45701 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1851372528
Provider Name
MATTHEW JAMES NESPER MD
Gender
Male
Entity Type
Individual
Location Address
411 30TH ST #508 OAKLAND, CA 94609
Location Phone
(925) 274-4950
Location Fax
(925) 274-4975
Mailing Address
411 30TH ST #508 OAKLAND, CA 94609
Mailing Phone
(925) 274-4950
Mailing Fax
(925) 274-4975
Is Sole Proprietor?
No
Enumeration Date
11-09-2005
Last Update Date
12-22-2010
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The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, 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 following quality measures were reported for this provider: implementation of improvements that contribute to more timely communication of test results, implementation of use of specialist reports back to referring clinician or group to close referral loop, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, radiology: exposure dose or time reported for procedures using fluoroscopy and use of decision support and standardized treatment protocols.

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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
G45701
License State
CA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid

  • Blue Cross Blue Shield


*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
00G457010MEDICAID (05)CA 
00G457013MEDICARE PIN (08)CA 
CG931MEDICARE PIN (08)CA 
00G457011MEDICARE ID-TYPE UNSPECIFIED (04)CA 
A50153MEDICARE UPIN (02) 
00G457010OTHER (01)CABLUE SHIELD
00G457015MEDICARE PIN (08)CA 

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 100 out of 100

    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.

  • Quality Score: 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 Score: 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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 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.

  • Cost Score: 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.

Quality Reporting

The following quality measures meet 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 Number of Patients
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100% 59
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 322

    X-ray of chest, 1 view (HCPCS:71045)

  • 122

    Mammography of both breasts (HCPCS:77067)

  • 45

    Ct scan head or brain (HCPCS:70450)

  • 40

    Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

  • 36

    Bone density measurement using dedicated x-ray machine (HCPCS:77080)

  • 29

    X-ray of chest, 2 views (HCPCS:71046)

  • 28

    Ct scan chest (HCPCS:71250)

  • 27

    Ct scan of abdomen and pelvis (HCPCS:74176)

  • 27

    X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

  • 23

    Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

  • 21

    Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

  • 19

    X-ray of shoulder, minimum of 2 views (HCPCS:73030)

  • 14

    X-ray of knee, 3 views (HCPCS:73562)

  • 12

    Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

Reviews for MATTHEW JAMES NESPER MD

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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.
1851372528
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2810167454
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 6 + 7 + 4 + 5 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1851372528 is valid because the calculated check digit 8 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
1467445767DR. EDWARD DRASIN M.D.
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1790778728DR. STEPHEN J. KAHN M.D.
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1487648853DR. HAYDEN O. EVANS M.D.
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1972597458DR. YURIRIA S. LOBATO MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1982698452DR. RICHARD J. KEENE MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1295720704DR. DOUGLAS C. RIEHLE MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1588659882DR. MICHAEL MAIMAN MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1144215955DR. PATRICK J PERKINS MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1538155841DR. HUMPHREY STUART MANSFIELD MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1609867894MRS. PATRICIA A WALKER DDS
Individual
Dentist (General Practice)411 30TH ST STE 414
OAKLAND, CA 94609
(510) 465-9111
1265480099PACIFIC IMAGING CONSULTANTS, A MEDICAL GROUP, INC.
Organization
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1376643254 WADE R CARTWRIGHT MD
Individual
Otolaryngology411 30TH ST # 401
OAKLAND, CA 94609
(510) 834-6642
1205924701DR. MOREY ABRAM WEINGARTEN MD
Individual
Psychiatry & Neurology (Psychiatry)411 30TH ST SUITE 412
OAKLAND, CA 94609
(510) 836-2757
1396829867DR. AIMEE MCKINNEY PORTER D.C.
Individual
Chiropractor411 30TH ST SUITE 304
OAKLAND, CA 94609
(510) 444-2772
1356413983 LORENZO PUERTAS JR. L.AC.
Individual
Acupuncturist411 30TH ST SUITE 304
OAKLAND, CA 94609
(510) 444-2772
1639225444DR. CHRISTOPHER MICHAEL SUE M.D.
Individual
Psychiatry & Neurology (Psychiatry)411 30TH ST SUITE 314
OAKLAND, CA 94609
(510) 273-4200
1356549620 ESTHER ELISABETH JONES
Individual
Counselor411 30TH ST # 314
OAKLAND, CA 94609
(510) 273-4200
1437349255 JAMES JORDAN
Individual
Counselor411 30TH ST #314
OAKLAND, CA 94609
(510) 273-4200
1003006362 MICHELE MABRY WILSON
Individual
Counselor411 30TH ST #314
OAKLAND, CA 94609
(510) 273-4200
1679761597 CAROLINE SAMIEZADE-YAZD
Individual
Religious Nonmedical Nursing Personnel411 30TH ST #314
OAKLAND, CA 94609
(510) 273-4200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851372528, enumerated in the NPI registry as an "individual" on November 09, 2005

The provider is located at 411 30th St #508 Oakland, Ca 94609 and the phone number is (925) 274-4950

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

The most common procedures or services performed by this practitioner are: X-ray of chest, 1 view, Mammography of both breasts, Ct scan head or brain, Ct scan of abdomen and pelvis with contrast, Bone density measurement using dedicated x-ray machine, X-ray of chest, 2 views, Ct scan chest, Ct scan of abdomen and pelvis, X-ray of hip with pelvis, 2-3 views, Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck, X-ray of shoulder, minimum of 2 views, X-ray of knee, 3 views and Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers.

This NPI record was last updated on November 09, 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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