DR. JOHN EDWARD SPAULDING JR. M.D. NPI 1912918897
Emergency Medicine in Emeryville, CA
About DR. JOHN EDWARD SPAULDING JR. M.D.
John Spaulding is a provider established in Emeryville, California and his medical specialization is Emergency Medicine. The NPI number of this provider is 1912918897 and was assigned on August 2006. The practitioner's primary taxonomy code is 207P00000X with license number 42448 (GA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
| NPI | 1912918897 |
| Provider Name | DR. JOHN EDWARD SPAULDING JR. M.D. |
| Location Address | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 |
| Location Phone | (510) 350-2600 |
| Mailing Address | 2701 N DECATUR RD DECATUR, GA 30033 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 08-10-2006 |
| Last Update Date | 07-08-2007 |
John Spaulding 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 78.7, 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.
Primary Taxonomy
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.
| Taxonomy Code | 207P00000X |
| Classification | Emergency Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 42448 |
| License State | GA |
| Taxonomy Description | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Business Address
2100 POWELL ST
SUITE 900
EMERYVILLE, CA
ZIP 94608
Phone: (510) 350-2600
Mailing Address
2701 N DECATUR RD
DECATUR, GA
ZIP 30033
Phone: (404) 501-1849
Location Map
PECOS Enrollment and Medicare Participation Status
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.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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% | 75 | |
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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. |
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| Promoting Interoperability (PI) | 25% | 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. |
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| 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. |
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| Cost | 20% | 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. |
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| MIPS Final Score | - | 78.7 | |
| 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. | |||
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 | 9 | 1 | 2 | 9 | 1 | 8 | 8 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 18 | 1 | 16 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 1 + 8 + 1 + 1 + 6 + 8 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1912918897 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1477513596 | MICHAEL M TALTY P.A. Individual | Physician Assistant | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2664 |
| 1235193160 | JAMES M MONTOYA MD Individual | Emergency Medicine | 2100 POWELL ST SUITE 920 EMERYVILLE, CA 94608 (510) 350-2673 |
| 1295791960 | MARY C MCNICHOLAS PA Individual | Physician Assistant | 2100 POWELL ST SUITE 920 EMERYVILLE, CA 94608 (510) 350-2655 |
| 1124043138 | NILOUFAR GABBAY PA Individual | Physician Assistant | 2100 POWELL ST SUITE 920 EMERYVILLE, CA 94608 (510) 350-2777 |
| 1932117165 | DR. ANAMIKA K. DOMA D.O. Individual | Emergency Medicine | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2638 |
| 1164435996 | GUISOU MAHMOUD Individual | Emergency Medicine | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2600 |
| 1124135512 | LOUIS P TRAN M.D. Individual | Emergency Medicine | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2600 |
| 1467539486 | RICHARD WILLIAM SMALLWOOD Individual | Physician Assistant | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2600 |
| 1669542932 | TRACY PITCHER Individual | Emergency Medicine | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2600 |
| 1841360781 | JAMES FLAGER Individual | Physician Assistant | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2600 |
| 1013081496 | OSMAN WAGILLA Individual | Physician Assistant | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2600 |
| 1346307071 | MRS. LINDA L. KILHOFFER PA Individual | Physician Assistant | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2728 |
| 1003011842 | GALEN INPATIENT PHYSICIANS Organization | Internal Medicine | 2100 POWELL ST STE 900 EMERYVILLE, CA 94608 (510) 350-2600 |
| 1316146129 | JARON DUANE ROSS M.D. Individual | Emergency Medicine | 2100 POWELL ST SUITE 940 EMERYVILLE, CA 94608 (888) 883-7362 |
| 1730361403 | CHRISTIAN HERRERA MD Individual | Emergency Medicine (Emergency Medical Services) | 2100 POWELL ST SUITE 920 EMERYVILLE, CA 94608 (312) 213-9213 |
| 1952579039 | KRISTEN DONALDSON P.A. Individual | Physician Assistant | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2600 |
| 1912179334 | DAOUD HAMIDI PA-C Individual | Physician Assistant | 2100 POWELL ST EMERYVILLE, CA 94608 (510) 879-9066 |
| 1184891517 | JUDITH ANN SEARGEANT-HOLMES P.A. Individual | Physician Assistant | 2100 POWELL ST SUITE 920 EMERYVILLE, CA 94608 (510) 350-2600 |
| 1356657696 | CALIFORNIA EMERGENCY PHYSICIANS/MED AMERICA Organization | Nurse Practitioner | 2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608 (510) 350-2673 |
| 1750685905 | MATTHEW S CLEVELAND PA-C Individual | Physician Assistant (Medical) | 2100 POWELL ST EMERYVILLE, CA 94608 (888) 267-3880 |
Frequently Asked Questions
What is Dr. John Spaulding JR. M.D. NPI number?
The NPI number assigned to this healthcare provider is 1912918897, registered as an "individual" on August 10, 2006
Where is Dr. John Spaulding JR. M.D. located?
The provider is located at 2100 Powell St Suite 900 Emeryville, Ca 94608 and the phone number is (510) 350-2600
Which is Dr. John Spaulding JR. M.D. specialty?
The provider's speciality is Emergency Medicine
Is Dr. John Spaulding JR. M.D. registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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 are Dr. John Spaulding JR. M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Dr. John Spaulding JR. M.D.?
Medicare beneficiaries should expect a typical cost of $106.04 with an average copayment of $26.51 for new patient appointments. Established patients should expect a typical charge of $122.57 and an average copayment of 30.64. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Dr. John Spaulding JR. M.D. was last updated on August 10, 2006. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]