SANDRA ELIZABETH RAYNER AUD, CCC-A
NPI 1962510198
Audiologist in Sacramento, CA


Quality Rating: 68.04 out of 100 score

NPI Status: Active since August 28, 2006

Contact Information

1111 EXPOSITION BLVD
BLDG 700
SACRAMENTO, CA
ZIP 95815
Phone: (916) 736-3404
Fax: (916) 233-4171

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  • Individual
  • Female
  • Audiologist
  • Medicare Quality Reporting

About SANDRA RAYNER

This page provides the complete NPI Profile along with additional information for Sandra Rayner, a provider established in Sacramento, California with a medical specialization in Audiologist. The healthcare provider is registered in the NPI registry with number 1962510198 assigned on August 2006. The practitioner's primary taxonomy code is 231H00000X with license number SR000207 (MI). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1962510198
Provider Name
SANDRA ELIZABETH RAYNER AUD, CCC-A
Gender
Female
Entity Type
Individual
Location Address
1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815
Location Phone
(916) 736-3404
Location Fax
(916) 233-4171
Mailing Address
1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815
Mailing Phone
(916) 736-3404
Mailing Fax
(916) 233-4171
Is Sole Proprietor?
No
Enumeration Date
08-28-2006
Last Update Date
02-09-2017
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Audiologists like Sandra Rayner are experts in diagnosing issues related to various parts of the ear, including the outer, middle, and inner ear. They can identify conditions like vertigo, balance issues, hearing loss, and tinnitus, offering treatments based on a patient’s specific condition and severity. These specialists use specialized equipment to assess the cause and extent of hearing impairments, employing tools like audiometers to evaluate the range of frequencies and volumes a person can hear. In addition, audiologists counsel patients and their families, providing advice on managing and adapting to hearing loss.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Audiologist

Taxonomy Code
231H00000X
Type
Speech, Language and Hearing Service Providers
License No.
SR000207
License State
MI
Taxonomy Description
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
40-4683793MEDICAID (05)MI 
SR104555OTHER (01)MIASHA NUMBER
SR000207OTHER (01)MISTATE LICENSE NUMBER
C72711011MEDICARE PIN (08)MI 
640C710400OTHER (01)MIBCBS

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.

Comprehensive hearing and speech recognition test

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

This service was performed 22 times for 22 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 68.04, 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.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 68.04 out of 100

    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.

  • Quality Score: 56.1

    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 Score: 94

    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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 37.66

    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.

  • Cost Score: 37.66

    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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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 Number of Patients
Documentation of Current Medications in the Medical Record 1% 3726
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Engagement of New Medicaid Patients and Follow-upYesN/A
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Medication Reconciliation 95% 21
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.
Participation in Population Health ResearchYesN/A
Participation in federally and/or privately funded research that identifies interventions, tools, or processes that can improve a targeted patient population.
Pneumococcal Vaccination Status for Older Adults 33% 761
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Tobacco useYesN/A
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.

Reviews for SANDRA ELIZABETH RAYNER AUD, CCC-A

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962510198, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 0 + 1 + 0 + 1 + 1 + 8 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1962510198.

Other Providers at the Same Location


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

Pediatrics (Neurodevelopmental Disabilities)
1111 EXPOSITION BLVD, BDG 700, STE 102
SACRAMENTO, CA 95815
Hearing Instrument Specialist
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815
Audiologist
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815
Audiologist
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815
Chiropractor (Rehabilitation)
1111 EXPOSITION BLVD, SUITE 500B
SACRAMENTO, CA 95815
Genetic Counselor, MS
1111 EXPOSITION BLVD, BLDG. 200
SACRAMENTO, CA 95815
Nurse Practitioner (Family)
1111 EXPOSITION BLVD, SUITE 700
SACRAMENTO, CA 95815
Internal Medicine
1111 EXPOSITION BLVD, BLDG 400A
SACRAMENTO, CA 95815
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1111 EXPOSITION BLVD, SUITE 200
SACRAMENTO, CA 95815
Audiologist
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1111 EXPOSITION BLVD, BLDG 500B
SACRAMENTO, CA 95815
Nurse Practitioner (Family)
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815
Audiologist-Hearing Aid Fitter
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815
Otolaryngology
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1111 EXPOSITION BLVD, BLDG 700, STE 102
SACRAMENTO, CA 95815
Genetic Counselor, MS
1111 EXPOSITION BLVD
SACRAMENTO, CA 95815
Ophthalmology (Cornea and External Diseases Specialist)
1111 EXPOSITION BLVD
SACRAMENTO, CA 95815
Audiologist
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815
Otolaryngology
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815
Otolaryngology
1111 EXPOSITION BLVD, BLDG 700
SACRAMENTO, CA 95815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962510198, enumerated as an "individual" on August 28, 2006.

The provider is located at 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 and the phone number is (916) 736-3404.

Audiologist with taxonomy code 231H00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.