DR. JOHN BRYAN WAITS M.D. NPI 1962422337

Family Medicine in Centreville, AL

NPI 1962422337 Individual Male Years of Experience 22 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JOHN WAITS

John Waits is a primary care provider established in Centreville, Alabama and his medical specialization is family medicine with more than 22 years of experience. He graduated from University Of Alabama School Of Medicine in 2000. The NPI number of John Waits is 1962422337 and was assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 25230 (AL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

A primary care provider (PCP) like Dr. John Bryan Waits M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

John Waits is enrolled in PECOS and is eligible to order or refer healthcare 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

John Waits is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Bibb Medical Center and Dch Regional Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: breast cancer screening, chronic care and preventative care management for empaneled patients, colorectal cancer screening, diabetes: eye exam, e-prescribing, health information exchange exclusion, immunization registry reporting, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, provide patient access, secure messaging, security risk analysis, specialized registry reporting, specialized registry reporting for multiple registry engagement, use of decision support and standardized treatment protocols and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1962422337

Provider NameDR. JOHN BRYAN WAITS M.D.
Provider Location Address405 BELCHER ST CENTREVILLE, AL 35042
Provider Mailing Address405 BELCHER ST CENTREVILLE, AL 35042
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-20-2006
Last Update Date02-28-2018


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.25230
License StateAL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. JOHN BRYAN WAITS M.D.
405 BELCHER ST
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-2992
Fax: (205) 316-7675

Get Directions


Mailing Address

DR. JOHN BRYAN WAITS M.D.
405 BELCHER ST
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-2992
Fax: (205) 316-7675



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID3375513500
PECOS Enrollment IDI20040727000696
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 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

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.

  • 74Physician 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)
  • 12Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)

Quality Reporting

The following quality measures meets 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 Rate Number of Patients
Breast Cancer Screening 76% 336
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Colorectal Cancer Screening 72% 619
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam 52% 277
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
e-Prescribing 95% 903
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 98% 176
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 98% 2613
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 100% 2613
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 9% 2613
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
View, Download, or Transmit (VDT) 25% 2613
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. John Waits is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BIBB MEDICAL CENTER208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881Acute Care Hospitals10058
DCH REGIONAL MEDICAL CENTER809 UNIVERSITY BOULEVARD EAST
TUSCALOOSA, AL 35401
(205) 759-7111Acute Care Hospitals10092

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
009957265MEDICAID (05)AL
0515-20913OTHER (01)AL

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1679954648MRS. NICHOLE SHARP PRITCHETT RN, MSN, NP-C
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1568838746MRS. KACIE E WOOD NP-C
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1871965236MRS. SUZANNE VENTRESS TOMPKINS PA-C
Individual
Physician Assistant (Medical)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1114378486MR. JOSHUA ELLEDGE CRNP
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1316289515CAHABA MEDICAL CARE FOUNDATION
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1902346802 SUMAYAH ABED
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1083143598 STEPHANIE SAVAGE CRNP
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1164932141 KAYLEE LAURA PERKINS PA
Individual
Physician Assistant405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1891293296 KATHRYN CLAIRE AHALT FNP-C
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1780821959 LACY MICHELLE SMITH MD
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1982048146DR. ADAM ROBERT ROSS M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1932513843 DAKOTA PRICE MD
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1114361227 AUSTIN KLINT M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1578887584 JEREMY CRIDER M.D.
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1629312566DR. LENA JEANELLE GAMBLE MD, PHD
Individual
Community Health Worker405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1033592563 JAMIE BISHOP
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 316-7690
1508350620 ANDRIA EVE KNIGHTEN
Individual
Nurse Practitioner (Family)405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1831683747 WHITNEY HUDMAN MD
Individual
Student in an Organized Health Care Education/Training Program405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1639663453 JULIA TODD DO
Individual
Student in an Organized Health Care Education/Training Program405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992
1568759645 JONATHAN PETERS MD
Individual
Family Medicine405 BELCHER ST
CENTREVILLE, AL 35042
(205) 926-2992

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.