JAMES W SMRECEK MD
NPI 1063407385
Family Medicine in Oshkosh, WI
NPI Status: Active since September 13, 2005
Contact Information
1855 S KOELLER ST
OSHKOSH, WI
ZIP 54902
Phone: (920) 223-7300
- Individual
- Male
- Family Medicine
- Medicare Quality Reporting
About JAMES SMRECEK
This page provides the complete NPI Profile along with additional information for James Smrecek, a primary care provider established in Oshkosh, Wisconsin with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1063407385 assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 24813 (WI). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1063407385
- Provider Name
- JAMES W SMRECEK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1855 S KOELLER ST OSHKOSH, WI 54902
- Location Phone
- (920) 223-7300
- Mailing Address
- 1855 S KOELLER ST OSHKOSH, WI 54902
- Mailing Phone
- (920) 223-7300
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-13-2005
- Last Update Date
- 01-24-2011
- Code Navigator
A primary care provider (PCP) like James Smrecek 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 .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 24813
- License State
- WI
- Taxonomy Description
- Family 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.
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 |
|---|---|---|---|
| 30663300 | MEDICAID (05) | WI | |
| 0068 71018 | MEDICARE PIN (08) | WI | |
| B56725 | MEDICARE UPIN (02) |
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 |
|---|---|---|
| Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) | 99% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 153 |
| Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms | ||
| Breast Cancer Screening | 63% | 342 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Care Plan | 70% | 418 |
| 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. | ||
| Colorectal Cancer Screening | 66% | 608 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Eye Exam | 42% | 126 |
| 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 | 97% | 1964 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| 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. | ||
| Patient-Specific Education | 65% | 2480 |
| 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 | 49% | 1818 |
| 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: Influenza Immunization | 19% | 1331 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Provide Patient Access | 66% | 2480 |
| 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 | 17% | 2480 |
| 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. | ||
| 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 | 6 | 3 | 4 | 0 | 7 | 3 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 8 | 0 | 14 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 8 + 0 + 1 + 4 + 3 + 1 + 6 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1063407385 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1184618191 | ROLAND N WOODRUFF MD Individual | Internal Medicine | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7100 |
| 1508850306 | CHRISTOPHER J LAUFER MD Individual | Pediatrics | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7200 |
| 1679567473 | MARK W KEHRBERG MD Individual | Pediatrics | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7200 |
| 1669466421 | STEVEN ELTON CAVNESS PHD Individual | Psychologist | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7350 |
| 1508851825 | THOMAS E WEX MD Individual | Family Medicine | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7300 |
| 1255326575 | SUSAN M SZABO MD Individual | Pediatrics | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7200 |
| 1225023542 | DYLAN J FOSS OD Individual | Optometrist | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7330 |
| 1720075708 | DOROTHEA M EPPLE MSW Individual | Social Worker (Clinical) | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 426-7080 |
| 1679561344 | JULIE A ZULEGER LAT Individual | Specialist/Technologist (Athletic Trainer) | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7364 |
| 1447222583 | STEVEN J HUTTON DPM Individual | Podiatrist | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7380 |
| 1407821010 | MR. JOSEPH J FOX MS, LAT Individual | Specialist/Technologist (Athletic Trainer) | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 203-2441 |
| 1104916220 | MORTON DRUG CO INC Organization | Pharmacy (Community/Retail Pharmacy) | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7390 |
| 1225156805 | CHRISTOPHER WESTRA MD Individual | Internal Medicine | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7243 |
| 1578748802 | SANTI BUDIASIH M.D. Individual | Pediatrics | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7200 |
| 1083886733 | DR. BENJAMIN JOSEPH HEINZEN M.D. Individual | Internal Medicine | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7100 |
| 1588828503 | MRS. SANDRA K. SCHAFFER APNP, FNP Individual | Nurse Practitioner (Family) | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7136 |
| 1750511952 | TINA KOHLS WANKEY LCSW Individual | Social Worker (Clinical) | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7350 |
| 1609194687 | PAMELA A SCHEDLER Individual | Nurse Practitioner | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7075 |
| 1932427929 | TRICIA A PROMER Individual | Nurse Practitioner | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 223-7075 |
| 1902197577 | JAMES TONN LAT, CSCS Individual | Specialist/Technologist (Athletic Trainer) | 1855 S KOELLER ST OSHKOSH, WI 54902 (920) 858-2383 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063407385, enumerated in the NPI registry as an "individual" on September 13, 2005
The provider is located at 1855 S Koeller St Oshkosh, Wi 54902 and the phone number is (920) 223-7300
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
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 September 13, 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].
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