ROBERT JEFFREY BRESLIN M.D.
NPI 1164427407
Surgery - Vascular Surgery in Baltimore, MD
Quality Rating: 85.69 out of 100 score
NPI Status: Active since June 14, 2005
Contact Information
5601 LOCH RAVEN BLVD
STE 303
BALTIMORE, MD
ZIP 21239
Phone: (410) 435-4700
Fax: (410) 323-0788
- Individual
- Male
- Surgery
- Vascular Surgery
- Medicare Quality Reporting
About ROBERT BRESLIN
This page provides the complete NPI Profile along with additional information for Robert Breslin, a provider established in Baltimore, Maryland with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1164427407 assigned on June 2005. The practitioner's primary taxonomy code is 2086S0129X with license number D36984 (MD). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1164427407
- Provider Name
- ROBERT JEFFREY BRESLIN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5601 LOCH RAVEN BLVD STE 303 BALTIMORE, MD 21239
- Location Phone
- (410) 435-4700
- Location Fax
- (410) 323-0788
- Mailing Address
- 5601 LOCH RAVEN BLVD STE 303 BALTIMORE, MD 21239
- Mailing Phone
- (410) 435-4700
- Mailing Fax
- (410) 323-0788
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-14-2005
- Last Update Date
- 07-08-2007
- Code Navigator
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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D36984
- License State
- MD
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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 |
|---|---|---|---|
| H389X355 | MEDICARE ID-TYPE UNSPECIFIED (04) | MD | |
| E34613 | MEDICARE UPIN (02) | MD |
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 85.69, 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: 85.69 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: 87.8
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: 97
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: 54.84
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: 54.84
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 |
|---|---|---|
| Care Plan | 59% | 304 |
| 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 | 99% | 1454 |
| 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 | ||
| 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 | 90% | 250 |
| 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 | 79% | 611 |
| 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 | 33% | 486 |
| 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 | 93% | 283 |
| 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 | ||
| Provide Patient Access | 47% | 611 |
| 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% | 611 |
| 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 | 1 | 6 | 4 | 4 | 2 | 7 | 4 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 2 | 14 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 2 + 1 + 4 + 4 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1164427407 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1316940588 | PAUL BYRON FOWLER M.D. Individual | Specialist | 5601 LOCH RAVEN BLVD BALTIMORE, MD 21239 (410) 532-5258 |
| 1750384038 | MS. TONI T DURHAM CRNP Individual | Nurse Practitioner (Gerontology) | 5601 LOCH RAVEN BLVD BALTIMORE, MD 21239 (410) 532-4232 |
| 1629070883 | DRS. HAHN AND PADGETT Organization | Specialist | 5601 LOCH RAVEN BLVD STE 103 BALTIMORE, MD 21239 (410) 532-3991 |
| 1811991318 | DR. JEFFREY EDWARD KREMEN M.D. Individual | Surgery (Vascular Surgery) | 5601 LOCH RAVEN BLVD STE 303 BALTIMORE, MD 21239 (410) 435-4700 |
| 1073518312 | MARK HARRY FRAIMAN M.D. Individual | Surgery (Vascular Surgery) | 5601 LOCH RAVEN BLVD STE 207 BALTIMORE, MD 21239 (410) 435-4700 |
| 1366448052 | LUIS FERNANDO GIMENEZ MD Individual | Internal Medicine (Nephrology) | 5601 LOCH RAVEN BLVD STE 3 BALTIMORE, MD 21239 (443) 444-3775 |
| 1306842059 | ELIAS CAMILLE GHANDOUR M.D. Individual | Internal Medicine (Nephrology) | 5601 LOCH RAVEN BLVD STE 3 BALTIMORE, MD 21239 (443) 444-3775 |
| 1962409375 | KALEEM U HAQUE M.D. Individual | Internal Medicine (Nephrology) | 5601 LOCH RAVEN BLVD STE 3 BALTIMORE, MD 21239 (443) 444-3775 |
| 1053304329 | DR. JEREMY PAUL WEINER MD Individual | Surgery | 5601 LOCH RAVEN BLVD POB #100 BALTIMORE, MD 21239 (410) 323-9210 |
| 1992799027 | DR. MICHAEL RADOWSKY MD Individual | Dermatology | 5601 LOCH RAVEN BLVD GOOD SAMARITAN HOSPITAL SUITE 206 BALTIMORE, MD 21239 (410) 433-4445 |
| 1154317642 | DR. EDWARD MARVIN MILLER M.D. Individual | Internal Medicine | 5601 LOCH RAVEN BLVD RUSSELL MORGAN BUILDING 3RD FLOOR BALTIMORE, MD 21239 (410) 464-5618 |
| 1386626620 | PLASTIC COSMETIC SURGEONS PA Organization | Plastic Surgery | 5601 LOCH RAVEN BLVD SUITE 101, POB BALTIMORE, MD 21239 (410) 433-4300 |
| 1750364279 | DR. SUSAN GALADA D.O. Individual | Anesthesiology | 5601 LOCH RAVEN BLVD BALTIMORE, MD 21239 (410) 532-3702 |
| 1518932862 | NEPHROLOGY CENTER OF MARYLAND, PA Organization | Internal Medicine (Nephrology) | 5601 LOCH RAVEN BLVD SUITE 3 NORTH BALTIMORE, MD 21239 (443) 444-3775 |
| 1750358503 | MR. DANIEL R. BACKOF PA-C Individual | Physician Assistant | 5601 LOCH RAVEN BLVD BALTIMORE, MD 21239 (410) 532-8000 |
| 1235106329 | DR. NANCY JANE C. FRIEDLEY M.D. Individual | Internal Medicine (Geriatric Medicine) | 5601 LOCH RAVEN BLVD RUSSELL MORGAN BLDG, STE 511 BALTIMORE, MD 21239 (410) 532-4480 |
| 1871561415 | DR. HOWARD S. FREELAND M.D. Individual | Internal Medicine (Pulmonary Disease) | 5601 LOCH RAVEN BLVD RUSSELL MORGAN BLDG., 3RD FLOOR BALTIMORE, MD 21239 (410) 464-5600 |
| 1174591713 | DR. BARUCH FRIEDMAN M.D. Individual | Allergy & Immunology (Allergy) | 5601 LOCH RAVEN BLVD RUSSELL MORGAN BLDG., 3RD FLOOR BALTIMORE, MD 21239 (410) 464-5600 |
| 1457329005 | DR. MOHAMMED N. KHAN M.D. Individual | Internal Medicine | 5601 LOCH RAVEN BLVD RUSSELL MORGAN BLDG., 3RD FLOOR BALTIMORE, MD 21239 (410) 464-5600 |
| 1649248410 | DR. DAVID J. NAIMAN M.D. Individual | Internal Medicine | 5601 LOCH RAVEN BLVD RUSSELL MORGAN BUILDING, 3RD FLOOR BALTIMORE, MD 21239 (410) 464-5600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164427407, enumerated in the NPI registry as an "individual" on June 14, 2005
The provider is located at 5601 Loch Raven Blvd Ste 303 Baltimore, Md 21239 and the phone number is (410) 435-4700
The provider's speciality is Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
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.
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.
This NPI record was last updated on June 14, 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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