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 NameDR. JOHN EDWARD SPAULDING JR. M.D.
Location Address2100 POWELL ST SUITE 900 EMERYVILLE, CA 94608
Location Phone(510) 350-2600
Mailing Address2701 N DECATUR RD DECATUR, GA 30033
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-10-2006
Last Update Date07-08-2007

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 Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.42448
License StateGA
Taxonomy DescriptionAn 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

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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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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
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% 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 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% 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.
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.
1912918897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292218116818
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 = 77

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 Assistant2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2664
1235193160 JAMES M MONTOYA MD
Individual
Emergency Medicine2100 POWELL ST SUITE 920
EMERYVILLE, CA 94608
(510) 350-2673
1295791960 MARY C MCNICHOLAS PA
Individual
Physician Assistant2100 POWELL ST SUITE 920
EMERYVILLE, CA 94608
(510) 350-2655
1124043138 NILOUFAR GABBAY PA
Individual
Physician Assistant2100 POWELL ST SUITE 920
EMERYVILLE, CA 94608
(510) 350-2777
1932117165DR. ANAMIKA K. DOMA D.O.
Individual
Emergency Medicine2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2638
1164435996 GUISOU MAHMOUD
Individual
Emergency Medicine2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2600
1124135512 LOUIS P TRAN M.D.
Individual
Emergency Medicine2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2600
1467539486 RICHARD WILLIAM SMALLWOOD
Individual
Physician Assistant2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2600
1669542932 TRACY PITCHER
Individual
Emergency Medicine2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2600
1841360781 JAMES FLAGER
Individual
Physician Assistant2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2600
1013081496 OSMAN WAGILLA
Individual
Physician Assistant2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2600
1346307071MRS. LINDA L. KILHOFFER PA
Individual
Physician Assistant2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2728
1003011842GALEN INPATIENT PHYSICIANS
Organization
Internal Medicine2100 POWELL ST STE 900
EMERYVILLE, CA 94608
(510) 350-2600
1316146129 JARON DUANE ROSS M.D.
Individual
Emergency Medicine2100 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 Assistant2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608
(510) 350-2600
1912179334 DAOUD HAMIDI PA-C
Individual
Physician Assistant2100 POWELL ST
EMERYVILLE, CA 94608
(510) 879-9066
1184891517 JUDITH ANN SEARGEANT-HOLMES P.A.
Individual
Physician Assistant2100 POWELL ST SUITE 920
EMERYVILLE, CA 94608
(510) 350-2600
1356657696CALIFORNIA EMERGENCY PHYSICIANS/MED AMERICA
Organization
Nurse Practitioner2100 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]