DR. RABELAIS TATCHUM-TALOM MD
NPI 1851520639
Hospitalist in Mount Pleasant, PA

Medicare Participation & PECOS Enrollment Status

Rabelais Tatchum-talom is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Rabelais Tatchum-talom 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 749439289

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20120927000362

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 22 times for 22 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 36 times for 36 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 141 times for 137 patients

Initial hospital observation care per day, typically 70 minutes

This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.

This service was performed 13 times for 12 patients

Initial hospital observation care per day, typically 70 minutes

This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.

This service was performed 13 times for 13 patients

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.58 for a new patient copayment and $24.2 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 15666 ZIP code area.

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Rabelais Tatchum-talom is affiliated with the following medical facilities:

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

• Overall Quality Rating Not Available - There are too few measures or measure groups reported to calculate a star rating or measure group score.

  The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

• Quietness - 2 out of 5 stars - Fair

  Quietness - star rating

• Recommend Hospital - 2 out of 5 stars - Fair

  Recommend hospital - star rating

• Cleanliness - 3 out of 5 stars - Average

  Cleanliness - star rating

• Care Transition - 2 out of 5 stars - Fair

  Care transition - star rating

• Discharge Information - 5 out of 5 stars - Excellent

  Discharge information - star rating

• Communication About Medicines - 4 out of 5 stars - Good

  Communication about medicines - star rating

• Staff Responsiveness - 3 out of 5 stars - Average

  Staff responsiveness - star rating

• Doctor Communication - 4 out of 5 stars - Good

  Doctor communication - star rating

• Nurse Communication - 4 out of 5 stars - Good

  Nurse communication - star rating

• Hospital Type Acute Care Hospitals - Voluntary non-profit - Other

• Emergency Services: Yes

  Shows if the hospital provides emergency services like acute medical care or trauma care.

• Meaningful Use of Electronic Health Records: Y

  Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

• Death rate for heart attack patients is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Death rate for COPD patients is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Death rate for heart failure patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Death rate for pneumonia patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Death rate for stroke patients is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Pressure ulcer rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Iatrogenic pneumothorax rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• In-hospital fall-associated fracture rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Postoperative hemorrhage or hematoma rate is number of cases too small

  Evaluation Period: July 2021 - June 2023

• Perioperative pulmonary embolism or deep vein thrombosis rate is number of cases too small

  Evaluation Period: July 2021 - June 2023

• Abdominopelvic accidental puncture or laceration rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

Hospital Associated Infections Quality Ratings

• Clostridium Difficile (C.Diff) is no different than national benchmark

  Evaluation Period: January 2023 - December 2023

Unplanned Hospital Visits Quality Ratings

• Hospital return days for heart attack patients is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Hospital return days for heart failure patients is average days per 100 discharges

  Evaluation Period: July 2020 - June 2023

• Hospital return days for pneumonia patients is average days per 100 discharges

  Evaluation Period: July 2020 - June 2023

• Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate

  Evaluation Period: January 2020 - December 2022

• Rate of inpatient admissions for patients receiving outpatient chemotherapy is no different than the national rate

  Evaluation Period: January 2022 - December 2022

• Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is no different than the national rate

  Evaluation Period: January 2022 - December 2022

• Ratio of unplanned hospital visits after hospital outpatient surgery is number of cases too small

  Evaluation Period: January 2022 - December 2022

• Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is number of cases too small

  Evaluation Period: July 2020 - June 2023

• Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Heart failure (HF) 30-Day Readmission Rate is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate

  Evaluation Period: July 2022 - June 2023

• Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate

  Evaluation Period: July 2020 - June 2023

Hospital Maternal Health Quality Ratings

• Maternal Morbidity Structural Measure: Not Applicable (our hospital does not provide inpatient labor/delivery care)

  Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
  Evaluation Period: January 2023 - December 2023

Hospital Timely and Effective Care Quality Ratings

• Intensive Care Unit Venous Thromboembolism Prophylaxis is not available

  Evaluation Period: January 2023 - December 2023

• Venous Thromboembolism Prophylaxis is not available

  Evaluation Period: January 2023 - December 2023

• Discharged on Statin Medication is 97

  Evaluation Period: January 2023 - December 2023

• Antithrombotic Therapy by End of Hospital Day 2 is 95

  Evaluation Period: January 2023 - December 2023

• Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available

  Evaluation Period: January 2023 - December 2023

• Discharged on Antithrombotic Therapy is 90

  Evaluation Period: January 2023 - December 2023

• Severe Sepsis 6-Hour Bundle is 90 %

  Septic Shock 6 Hour.
  Evaluation Period: January 2023 - December 2023

• Severe Sepsis 3-Hour Bundle is 75

  Evaluation Period: January 2023 - December 2023

• Septic Shock 6-Hour Bundle is not available %

  Severe Sepsis 6 Hour.
  Evaluation Period: January 2023 - December 2023

• Septic Shock 3-Hour Bundle is 51 %

  Septic Shock 3 Hour.
  Evaluation Period: January 2023 - December 2023

• Appropriate care for severe sepsis and septic shock is 57 %

  Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
  Evaluation Period: January 2023 - December 2023

• Safe Use of Opioids - Concurrent Prescribing is 14

  Evaluation Period: January 2023 - December 2023

• ST-Segment Elevation Myocardial Infarction (STEMI) is not available

  Evaluation Period: January 2023 - December 2023

• Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

  Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
  Evaluation Period: January 2022 - December 2022

• Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 98 %

  Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
  Evaluation Period: January 2022 - December 2022

• Head CT results is not available %

  Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
  Evaluation Period: January 2023 - December 2023

• Left before being seen is 1 %

  Percentage of patients who left the emergency department before being seen.
  Evaluation Period: January 2022 - December 2022

• Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is not available minutes

  Average time patients spent in the emergency department before being sent home.
  Evaluation Period: January 2023 - December 2023

• Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 121 minutes

  Average time patients spent in the emergency department before leaving from the visit.
  Evaluation Period: January 2023 - December 2023

• Healthcare workers given influenza vaccination is 94%

  Percentage of healthcare workers given influenza vaccination.
  Evaluation Period: October 2023 - March 2024

• Hospital Harm - Severe Hyperglycemia is not available

  Evaluation Period: January 2023 - December 2023

• Hospital Harm - Severe Hypoglycemia is not available

  Evaluation Period: January 2023 - December 2023

• Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 37.8%

  Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
  Evaluation Period: October 2023 - December 2023

• Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available

  Evaluation Period: January 2023 - December 2023

• Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available

  Evaluation Period: January 2023 - December 2023

• Emergency department volume is medium

  Evaluation Period: January 2022 - December 2022

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