DR. RAYMOND ANNABLE PSY.D.
NPI 1093048241
Psychologist in Wilmington, NC
Quality Rating: 93.23 out of 100 score
NPI Status: Active since September 04, 2009
Contact Information
311 JUDGES RD STE 4E
WILMINGTON, NC
ZIP 28405
Phone: (910) 791-6767
Fax: (910) 791-6890
- Individual
- Male
- Psychologist
- Accepts Insurance
- Opted-Out Medicare
About RAYMOND ANNABLE
This page provides the complete NPI Profile along with additional information for Raymond Annable, a provider established in Wilmington, North Carolina with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1093048241 assigned on September 2009. The practitioner's primary taxonomy code is 103T00000X with license number 4382 (NC). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1093048241
- Provider Name
- DR. RAYMOND ANNABLE PSY.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 311 JUDGES RD STE 4E WILMINGTON, NC 28405
- Location Phone
- (910) 791-6767
- Location Fax
- (910) 791-6890
- Mailing Address
- 311 JUDGES RD STE 4E WILMINGTON, NC 28405
- Mailing Phone
- (910) 791-6767
- Mailing Fax
- (910) 791-6890
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-04-2009
- Last Update Date
- 01-03-2013
- Code Navigator
A psychologist like Raymond Annable studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Raymond Annable opted out of Medicare effective on 04-01-2024 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4382
- License State
- NC
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 2078 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2024
Opt-Out End Date: 04-01-2026
Eligible to Order and Refer? No
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 93.23, 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: 93.23 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.
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Quality Score: 84.59
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.
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Promoting Interoperability Score: 98.27
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: N/A
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: N/A
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.
Reviews for DR. RAYMOND ANNABLE PSY.D.
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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 | 9 | 3 | 0 | 4 | 8 | 2 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 0 | 4 | 16 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 0 + 4 + 1 + 6 + 2 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1093048241 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487760609 | EMELIA PAPPOE AMOAKO NP Individual | Nurse Practitioner | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1184729543 | MR. STEVEN J KINNALLY PA-C Individual | Physician Assistant (Medical) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1306034921 | DR. KRISTIN JO WILTROUT PHD Individual | Psychologist (Clinical) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1316191927 | CATHERINE WARD MORGAN RN Individual | Registered Nurse | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1033358213 | ACT MEDICAL Organization | Clinic/Center (Primary Care) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1184948523 | MRS. SANDRA MARIE SARGENT Individual | Social Worker (Clinical) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1548336894 | MS. JOAN ELLEN GALLIMORE LCSW Individual | Social Worker (Clinical) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1932605383 | DR. MARA FRANCES ROSE MD Individual | Family Medicine (Addiction Medicine) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1386065027 | BUNMI OGUNGBEJE APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1760891980 | CAPESIDE PSYCHIATRY, PLLC Organization | Psychiatry & Neurology (Psychiatry) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1124708599 | MARY MICHELE EVANS APRN PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1528720497 | CHARLES MONTJOY LMCHC Individual | Counselor (Mental Health) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
| 1609693381 | ALISON REICHERT LCSWA Individual | Social Worker (Clinical) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (609) 240-4946 |
| 1881459980 | HENOK MULUGETA DENBOBA PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 311 JUDGES RD STE 4E WILMINGTON, NC 28405 (910) 791-6767 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093048241, enumerated in the NPI registry as an "individual" on September 04, 2009
The provider is located at 311 Judges Rd Ste 4e Wilmington, Nc 28405 and the phone number is (910) 791-6767
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: Aetna CVS Health, AmeriHealth Caritas Next and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
No, the provider signed an affidavit on April 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 01, 2026.
This NPI record was last updated on September 04, 2009. 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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