ELIZA ROBERTSON MD
NPI 1184771982
Psychiatry & Neurology - Neurology in Lexington, KY
Quality Rating: 84.26 out of 100 score
NPI Status: Active since January 04, 2007
Contact Information
1221 S BROADWAY
LEXINGTON, KY
ZIP 40504
Phone: (859) 258-4800
Fax: (859) 258-4740
- Individual
- Female
- Psychiatry & Neurology
- Neurology
- Medicare Quality Reporting
About ELIZA ROBERTSON
This page provides the complete NPI Profile along with additional information for Eliza Robertson, a provider established in Lexington, Kentucky with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1184771982 assigned on January 2007. The practitioner's primary taxonomy code is 2084N0400X with license number 43679 (KY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1184771982
- Provider Name
- ELIZA ROBERTSON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1221 S BROADWAY LEXINGTON, KY 40504
- Location Phone
- (859) 258-4800
- Location Fax
- (859) 258-4740
- Mailing Address
- 1221 S BROADWAY LEXINGTON, KY 40504
- Mailing Phone
- (859) 258-4800
- Mailing Fax
- (859) 258-4740
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-04-2007
- Last Update Date
- 02-22-2021
- 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
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 43679
- License State
- KY
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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 |
|---|---|---|---|
| 7100124070 | MEDICAID (05) | KY |
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 84.26, 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: 84.26 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: 71.11
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: 100
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: 76.44
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: 76.44
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 |
|---|---|---|
| Breast Cancer Screening | 40% | 260 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| 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 | 56% | 403 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Eye Exam | 41% | 66 |
| 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 | ||
| Diabetes: Foot Exam | 42% | 66 |
| The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year | ||
| Diabetes: Medical Attention for Nephropathy | 71% | 66 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 100% | 1248 |
| 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 | 91% | 2804 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 57% | 173 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| 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% | 258 |
| 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 | 89% | 1348 |
| 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. | ||
| Pneumococcal Vaccination Status for Older Adults | 61% | 401 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 73% | 849 |
| 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: Screening for Depression and Follow-Up Plan | 37% | 661 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 81% | 304 |
| 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 | 80% | 1348 |
| 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 | 94% | 1348 |
| 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 | 1 | 8 | 4 | 7 | 7 | 1 | 9 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 14 | 7 | 2 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 4 + 7 + 2 + 9 + 1 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1184771982 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1558365528 | MARK A SWISHER MD Individual | Internal Medicine | 1221 S BROADWAY SB-5 LEXINGTON, KY 40504 (859) 258-4530 |
| 1295737955 | DR. MICHAEL T CECIL M.D. Individual | Otolaryngology | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4371 |
| 1083604573 | DANIEL BRUCE KECK JR. M.D. Individual | Anesthesiology (Pain Medicine) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-6101 |
| 1508841578 | AARON DAVID SCIASCIA MS, ATC, NS Individual | Specialist/Technologist (Athletic Trainer) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-8506 |
| 1902832553 | TIMOTHY JAMES AVERION-MAHLOCH M.D. Individual | Radiology (Diagnostic Radiology) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4181 |
| 1891721320 | MERIWETHER CARY BLAYDES M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4661 |
| 1003845694 | SHAILENDRA CHOPRA M.D. Individual | Radiology (Body Imaging) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4181 |
| 1164452108 | WENDY GOODRICH CROPPER M.D. Individual | Internal Medicine | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4548 |
| 1609807189 | THOMAS JOSEPH GOODENOW M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4401 |
| 1093731846 | DAVID KEITH JOHNSTON M.D. Individual | Internal Medicine (Gastroenterology) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4950 |
| 1184640948 | STEVE KOCHU M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4401 |
| 1437170818 | JOHN C. SARTINI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4691 |
| 1487676227 | GEORGE B. SMITH M.D. Individual | Radiology (Vascular & Interventional Radiology) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4181 |
| 1811910458 | JOHN W. WEST M.D. Individual | Radiology (Diagnostic Radiology) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4181 |
| 1538182142 | WILLIAM WATKINS WALTON JR. M.D Individual | Surgery | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4271 |
| 1073537122 | WILLIAM L. WITTMAN M.D. Individual | Internal Medicine | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4530 |
| 1689697716 | JOHN L. WILHELMUS M.D. Individual | Pathology (Cytopathology) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4000 |
| 1942224076 | ERIC C. WILSON M.D. Individual | Pathology (Cytopathology) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4000 |
| 1891801445 | DR. ROSEOH MARIE HACKETT DO Individual | Radiology (Diagnostic Radiology) | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4181 |
| 1740385236 | MARY E. OLIVA P.A.-C, Individual | Physician Assistant | 1221 S BROADWAY LEXINGTON, KY 40504 (859) 258-4401 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184771982, enumerated in the NPI registry as an "individual" on January 04, 2007
The provider is located at 1221 S Broadway Lexington, Ky 40504 and the phone number is (859) 258-4800
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
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: uses technology to exchange and make use of healthcare information.
This NPI record was last updated on January 04, 2007. 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.