BRADLEY ROBERT AUFFARTH MD
NPI 1972506590
Surgery in Gainesville, GA
Quality Rating: 76.58 out of 100 score
NPI Status: Active since May 27, 2005
Contact Information
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 536-2323
Fax: (770) 536-4947
- Individual
- Male
- Surgery
About BRADLEY AUFFARTH
This page provides the complete NPI Profile along with additional information for Bradley Auffarth, a provider established in Gainesville, Georgia with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1972506590 assigned on May 2005. The practitioner's primary taxonomy code is 208600000X with license number 044398 (GA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1972506590
- Provider Name
- BRADLEY ROBERT AUFFARTH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 725 JESSE JEWELL PKWY SE GAINESVILLE, GA 30501
- Location Phone
- (770) 536-2323
- Location Fax
- (770) 536-4947
- Mailing Address
- PO BOX 658 GAINESVILLE, GA 30503
- Mailing Phone
- (770) 718-1122
- Mailing Fax
- (770) 535-7445
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-27-2005
- Last Update Date
- 02-26-2019
- Code Navigator
A surgeon like Bradley Auffarth treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Secondary Locations
- 55 Cantrell Rd Ste 100
Cleveland, GA 30528
(706) 482-0215 - 23 Tipton Dr
Dahlonega, GA 30533
(770) 536-2323
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 044398
- License State
- GA
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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.
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.
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 |
|---|---|---|---|
| 000775189O | MEDICAID (05) | GA | |
| 01053251 | OTHER (01) | GA | AMERIGROUP |
| 000775189D | OTHER (01) | GA | PEACH STATE |
| 34602 | OTHER (01) | GA | WELLCARE |
| 571688 | OTHER (01) | GA | COVENTRY |
| P00416162 | OTHER (01) | GA | MEDICARE RAILROAD |
| 000775189C | OTHER (01) | GA | PEACH STATE |
| 1690000 | OTHER (01) | GA | CIGNA |
| 52636812 | OTHER (01) | GA | BCBS |
| 000775189D | MEDICAID (05) | GA | |
| 000775189C | MEDICAID (05) | GA | |
| 000775189E | MEDICAID (05) | GA | |
| 000775189F | MEDICAID (05) | GA | |
| 1771991 | OTHER (01) | GA | UHC |
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 76.58, 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.
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Final Score: 76.58 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: 85.63
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 comprises 40% of a provider's final MIPS score.
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 Score: 87
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 comprises 25% of a provider's final MIPS score.
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: 20
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 comprises 15% of a provider's final MIPS score.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category comprises 15% of a provider's final MIPS score. -
Cost Score: 72.14
The Cost performance category assesses 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 comprises 20% of a provider's final MIPS score.
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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 1972506590, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972506590, enumerated as an "individual" on May 27, 2005.
The provider is located at 725 JESSE JEWELL PKWY SE GAINESVILLE, GA 30501 and the phone number is (770) 536-2323.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Medicare, Medicaid, Amerigroup, Wellcare, Railroad. Please consult your insurance carrier or call the provider to verify.
