DR. JAMES E CREMINS M.D.
NPI 1043200116
Internal Medicine - Gastroenterology in Hagerstown, MD
NPI Status: Active since October 28, 2005
Contact Information
11110 MEDICAL CAMPUS RD
SUITE 242
HAGERSTOWN, MD
ZIP 21742
Phone: (240) 382-3783
Fax: (240) 382-3799
- Individual
- Male
- Internal Medicine
- Gastroenterology
- Medicare Quality Reporting
About JAMES CREMINS
This page provides the complete NPI Profile along with additional information for James Cremins, an internist established in Hagerstown, Maryland with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1043200116 assigned on October 2005. The practitioner's primary taxonomy code is 207RG0100X with license number D50137 (MD). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1043200116
- Provider Name
- DR. JAMES E CREMINS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11110 MEDICAL CAMPUS RD SUITE 242 HAGERSTOWN, MD 21742
- Location Phone
- (240) 382-3783
- Location Fax
- (240) 382-3799
- Mailing Address
- 11110 MEDICAL CAMPUS RD SUITE 242 HAGERSTOWN, MD 21742
- Mailing Phone
- (240) 382-3783
- Mailing Fax
- (240) 382-3799
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-28-2005
- Last Update Date
- 09-15-2016
- Code Navigator
An internist like James Cremins is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D50137
- License State
- MD
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.
*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 |
|---|---|---|---|
| G26312 | MEDICARE UPIN (02) | MD |
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 |
|---|---|---|
| Care Plan | 1% | 549 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Documentation of Current Medications in the Medical Record | 100% | 1268 |
| 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 | ||
| e-Prescribing | 98% | 2090 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 100% | 561 |
| 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 | 24% | 1443 |
| 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. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 24% | 1026 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 92% | 195 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 2% | 195 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
| Provide Patient Access | 62% | 1443 |
| 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 | 1% | 1443 |
| 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. | ||
| Security Risk Analysis | Yes | N/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. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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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 | 0 | 4 | 3 | 2 | 0 | 0 | 1 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 4 | 0 | 0 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 4 + 0 + 0 + 1 + 2 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1043200116 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1801898002 | DR. JARL THOMAS WATHNE M. D. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD STE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1982606190 | DR. MICHAEL JOSEPH SAYLOR M. D. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD STE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1962404152 | DR. ANDREW ROBERT CUKIER M. D. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD STE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1376549774 | STEPHEN M. SACHS, MD PA Organization | Surgery | 11110 MEDICAL CAMPUS RD SUITE 225 HAGERSTOWN, MD 21742 (301) 714-4325 |
| 1245224401 | MARK JOSEPH YACYK D.O. Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
| 1679563746 | DR. NELSON L FERREIRA M.D. Individual | Internal Medicine (Gastroenterology) | 11110 MEDICAL CAMPUS RD SUITE 246 HAGERSTOWN, MD 21742 (301) 665-4585 |
| 1659361723 | DR. CHRISTINE P LEWIS M.D. Individual | Internal Medicine (Gastroenterology) | 11110 MEDICAL CAMPUS RD SUITE 246 HAGERSTOWN, MD 21742 (301) 665-4585 |
| 1356332480 | DR. ANTHONY CHRISTOPHER MANILLA D.O. Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD SUTIE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1467435032 | DR. TARA ANN RUMBARGER M.D. Individual | Dermatology | 11110 MEDICAL CAMPUS RD SUITE 123 HAGERSTOWN, MD 21742 (301) 739-4900 |
| 1437132008 | DR. JAMES ANTHONY SCHIRO M.D. Individual | Dermatology | 11110 MEDICAL CAMPUS RD SUITE 123 HAGERSTOWN, MD 21742 (301) 739-4900 |
| 1154300671 | PODIATRY ASSOCIATES OF HAGERSTOWN Organization | Podiatrist | 11110 MEDICAL CAMPUS RD SUITE 100 HAGERSTOWN, MD 21742 (301) 739-1575 |
| 1417917352 | DR. MICHAEL A WINSLOW M.D. Individual | Orthopaedic Surgery | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
| 1467415000 | MARGARET TROCHLIL EACKLES MS, CCC-A Individual | Audiologist | 11110 MEDICAL CAMPUS RD SUITE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1093778813 | JENNIFER LYNN CAMPBELL M.A., CCC-A Individual | Audiologist | 11110 MEDICAL CAMPUS RD SUITE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1205891033 | ANGELA C. STONEBRAKER MD Individual | Otolaryngology | 11110 MEDICAL CAMPUS RD SUITE 126 HAGERSTOWN, MD 21742 (301) 714-4375 |
| 1992760409 | JASON T MCELROY PT Individual | Physical Therapist | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
| 1922066273 | ELIZABETH NICHOLAS M.D. Individual | Anesthesiology | 11110 MEDICAL CAMPUS RD SUITE 200 HAGERSTOWN, MD 21742 (301) 714-4300 |
| 1558319137 | MICHAEL T MADSEN Individual | Pharmacist | 11110 MEDICAL CAMPUS RD SUITE 129 HAGERSTOWN, MD 21742 (301) 665-4630 |
| 1770535320 | JERRY LOYOLA CORRECES M.D. Individual | Internal Medicine | 11110 MEDICAL CAMPUS RD SUITE 150 HAGERSTOWN, MD 21742 (301) 665-4825 |
| 1205888443 | ROBINWOOD ORTHOPAEDIC SPECIALTY CENTER Organization | Orthopaedic Surgery | 11110 MEDICAL CAMPUS RD SUITE 205 HAGERSTOWN, MD 21742 (301) 665-4950 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043200116, enumerated in the NPI registry as an "individual" on October 28, 2005
The provider is located at 11110 Medical Campus Rd Suite 242 Hagerstown, Md 21742 and the phone number is (240) 382-3783
The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 28, 2005. 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.