DR. RACHEL R WALLER M.D. NPI 1871555680

Internal Medicine in Richmond, VA

NPI 1871555680 Individual Female Internal Medicine MIPS Quality Score 62.1

About RACHEL WALLER

Rachel Waller is an internal medicine provider established in Richmond, Virginia and her medical specialization is internal medicine. The NPI number of Rachel Waller is 1871555680 and was assigned on April 2006. The practitioner's primary taxonomy code is 207R00000X with license number 0101231823 (VA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

An internist like Dr. Rachel R Waller 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.

Rachel Waller is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 62.1, 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.

NPI

1871555680

Provider NameDR. RACHEL R WALLER M.D.
Provider Location Address1250 E MARSHALL ST INTERNAL MEDICINE RICHMOND, VA 23298
Provider Mailing AddressPO BOX 91734 RICHMOND, VA 23291
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-05-2006
Last Update Date06-24-2008


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.0101231823
License StateVA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. RACHEL R WALLER M.D.
1250 E MARSHALL ST
INTERNAL MEDICINE
RICHMOND, VA
ZIP 23298
Phone: (804) 828-9357
Fax: (804) 828-7591

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Mailing Address

DR. RACHEL R WALLER M.D.
PO BOX 91734
RICHMOND, VA
ZIP 23291
Phone: (804) 358-6100
Fax: (804) 342-7619



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% 73.9
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 (PI) 25% 0
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 15% 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 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 20% 74.3
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.
MIPS Final Score - 62.1
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.

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.

  • 32Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • 19Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 19Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

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
P00479186OTHER (01)VA
015217M75MEDICARE ID-TYPE UNSPECIFIED (04)VA
H73462MEDICARE UPIN (02)VA
016381M84MEDICARE PIN (08)VA

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1972508950 LISA L ELLIS M.D.
Individual
Internal Medicine1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 560-8950
1154329886 JAMES L EVANS MD
Individual
Psychiatry & Neurology (Psychiatry)1250 E MARSHALL ST PSYCHIATRY
RICHMOND, VA 23298
(804) 828-3129
1437159316 ANTHONY D CASSANO M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-4620
1912908922MR. STEVEN S RABINOWITZ CRNA
Individual
Nurse Anesthetist, Certified Registered1250 E MARSHALL ST ANESTHESIA CRNA
RICHMOND, VA 23298
(804) 628-6990
1780679688 ROBERT GLASSER MD
Individual
Internal Medicine (Hematology)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-6938
1154316016 STEVEN HOVIS CROSSMAN MD
Individual
Family Medicine1250 E MARSHALL ST FAMILY MEDICINE
RICHMOND, VA 23298
(804) 828-5883
1992786529DR. KEVIN BRADFORD HOOVER MD PHD
Individual
Radiology (Diagnostic Radiology)1250 E MARSHALL ST RADIOLOGY
RICHMOND, VA 23298
(804) 628-3580
1912981093 DEBRA GADDY COHEN NP
Individual
Nurse Practitioner (Pediatrics)1250 E MARSHALL ST PEDIATRICS
RICHMOND, VA 23298
(804) 828-9605
1124002894 NAN G. O'CONNELL M.D.
Individual
Specialist1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 560-8950
1902883176 AMIR TOOR MD
Individual
Internal Medicine (Hematology & Oncology)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 628-4463
1023096195DR. PONJOLA CONEY M.D.
Individual
Obstetrics & Gynecology1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 828-4409
1104804129 PATRICIA MARIE SELIG N.P.
Individual
Nurse Practitioner (Family)1250 E MARSHALL ST MAIN HOSPITAL NURSING ADMINISTRATION
RICHMOND, VA 23298
(804) 828-4928
1679552533 MARTHA PURVIS NP
Individual
Nurse Practitioner (Family)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-5306
1487628848DR. DANIELLE MARIE NOREIKA M.D.
Individual
Internal Medicine1250 E MARSHALL ST IM: PALLIATIVE CARE
RICHMOND, VA 23298
(804) 628-1295
1184699522 TIMOTHY E BUNCHMAN MD
Individual
Pediatrics (Pediatric Nephrology)1250 E MARSHALL ST PEDIATRICS
RICHMOND, VA 23298
(804) 828-3744
1063487437 ANNA K NIZINSKI NP
Individual
Nurse Practitioner1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-9726
1225004369DR. SALIM A DAHLVANI MD
Individual
Psychiatry & Neurology (Geriatric Psychiatry)1250 E MARSHALL ST PSYCHIATRY
RICHMOND, VA 23298
(804) 828-4570
1073581963 MACIEJ TYMOWSKI MD
Individual
Emergency Medicine1250 E MARSHALL ST EMERGENCY DEPARTMENT
RICHMOND, VA 23298
(804) 828-7738
1356300552MR. LANCE J HAMPTON M.D.
Individual
Urology1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-8146
1336104033DR. MARGARET M SANDERS M.D.
Individual
Radiology (Diagnostic Radiology)1250 E MARSHALL ST RADIOLOGY-DIAGNOSTIC RADIOLOGY
RICHMOND, VA 23298
(804) 828-6600

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.