DR. BLAKE HOWARD WATTS MD
NPI 1245228840
Radiology - Diagnostic Radiology in Winchester, VA
Quality Rating: 78.75 out of 100 score
NPI Status: Active since October 10, 2005
Contact Information
1840 AMHERST ST
WINCHESTER, VA
ZIP 22601
Phone: (540) 536-8750
- Individual
- Male
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- PECOS Enrolled
About BLAKE WATTS
This page provides the complete NPI Profile along with additional information for Blake Watts, a provider established in Winchester, Virginia with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1245228840 assigned on October 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 0101039798 (VA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1245228840
- Provider Name
- DR. BLAKE HOWARD WATTS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1840 AMHERST ST WINCHESTER, VA 22601
- Location Phone
- (540) 536-8750
- Mailing Address
- PO BOX 880 LIMA, OH 45802
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-10-2005
- Last Update Date
- 03-08-2021
- Code Navigator
Location Map
Secondary Locations
- 1000 N Shenandoah Ave
Front Royal, VA 22630
(540) 636-0300 - 200 Memorial Dr
Luray, VA 22835
(540) 743-4561 - 500 Hospital Dr
Warrenton, VA 20186
(540) 316-5000 - 363 Sunrise Blvd
Romney, WV 26757
(304) 822-4561 - 120 Campus Dr Ste 121
Martinsburg, WV 25404
(681) 242-3713 - 1 Healthy Way
Berkeley Springs, WV 25411
(304) 258-6510 - 759 S Main St
Woodstock, VA 22664
(540) 459-1100 - 160 Exeter Dr Ste 103
Winchester, VA 22603
(540) 686-1600 - 160 Exeter Dr Ste 104
Winchester, VA 22603
(540) 545-4674
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101039798
- License State
- VA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 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
- 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 Deductible Silver 4500 $3 Generic Drugs - HMO
- Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
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.
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 |
---|---|---|---|
0119145000 | MEDICAID (05) | WV | |
150421500 | MEDICAID (05) | MD | |
300037139 | OTHER (01) | RAILROAD MEDICARE | |
007239131 | MEDICAID (05) | VA |
Medicare Participation & PECOS Enrollment Status
Blake Watts is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complete ultrasound scan behind abdominal cavity
Complete ultrasound scan of 1 breast
Ct scan head or brain without contrast
Ct scan of abdomen and pelvis before and after contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of blood vessels of chest with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of chest without contrast
Ct scan of upper spine without contrast
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
Diagnostic mammography of 1 breast
Diagnostic mammography of both breasts
Dxa bone density measurement of hip, pelvis, spine
Limited ultrasound scan of 1 breast
Low dose ct scan of chest for lung cancer screening
Mri scan of abdomen before and after contrast
Mri scan of abdomen without contrast
Mri scan of arm joint without contrast
Mri scan of leg joint without contrast
Mri scan of lower spinal canal without contrast
Mri scan of lower spinal canal without contrast
Nuclear medicine study from skull base to mid-thigh with ct scan
Nuclear medicine study of bone and/or joint whole body
Nuclear medicine study of lung circulation
Nuclear medicine study whole body with ct scan
Screening 3d breast mammography
Screening 3d breast mammography
Screening mammography
Screening mammography
Ultrasound study of one arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
X-ray of abdomen, 1 view
X-ray of abdomen, 2 views
X-ray of ankle, minimum of 3 views
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of entire middle and lower spine, 2-3 views
X-ray of foot, minimum of 3 views
X-ray of hand, minimum of 3 views
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of knee, 4 or more views
X-ray of lower and sacral spine, 2-3 views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of shoulder, minimum of 2 views
X-ray of upper spine, 2-3 views
X-ray of wrist, minimum of 3 views
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
This service was performed 17 times for 17 patientsA complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
This service was performed 41 times for 41 patientsA CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
This service was performed 54 times for 54 patientsA CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.
This service was performed 27 times for 27 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 71 times for 69 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 17 times for 17 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 83 times for 82 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 35 times for 35 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 40 times for 40 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 143 times for 140 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 22 times for 22 patientsA CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
This service was performed 16 times for 16 patientsDiagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
This service was performed 39 times for 39 patientsDiagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
This service was performed 15 times for 15 patientsDiagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
This service was performed 25 times for 25 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 59 times for 59 patientsA limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
This service was performed 23 times for 22 patientsA low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
This service was performed 132 times for 132 patientsAn MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
This service was performed 33 times for 33 patientsAn MRI scan of the abdomen without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed pictures of your abdominal organs. This procedure doesn't involve radiation or dye injection.
This service was performed 15 times for 15 patientsAn MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
This service was performed 12 times for 12 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 16 times for 16 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 17 times for 17 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 20 times for 20 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 41 times for 40 patientsA nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
This service was performed 32 times for 32 patientsA nuclear medicine study of lung circulation involves the use of a safe, radioactive substance to visualize lung function. It helps in diagnosing conditions like blood clots. The substance is injected and images are taken to study the blood flow in your lungs.
This service was performed 14 times for 14 patientsA Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.
This service was performed 22 times for 17 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 355 times for 355 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 18 times for 18 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 369 times for 369 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 18 times for 18 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 14 times for 14 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 11 times for 11 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 21 times for 21 patientsAn X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.
This service was performed 11 times for 11 patientsAn ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
This service was performed 11 times for 11 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 198 times for 190 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 141 times for 138 patientsAn X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
This service was performed 11 times for 11 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 18 times for 18 patientsAn X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
This service was performed 13 times for 11 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 33 times for 32 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 15 times for 14 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 27 times for 24 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 24 times for 24 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 20 times for 20 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 24 times for 23 patientsAn X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
This service was performed 15 times for 15 patientsAn X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
This service was performed 15 times for 14 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 22601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.88
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $21.72
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.08
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $17.52
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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 78.75, 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: 78.75 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: 75
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: N/A
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.
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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 | 2 | 4 | 5 | 2 | 2 | 8 | 8 | 4 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 4 | 2 | 16 | 8 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 4 + 2 + 1 + 6 + 8 + 8 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1245228840 is valid because the calculated check digit 0 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 |
---|---|---|---|
1306831342 | DR. STEPHEN CYRIL BRAWERMAN MD Individual | Radiology (Diagnostic Radiology) | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 662-4071 |
1609864206 | DR. MARGARET D TOXOPEUS MD Individual | Radiology (Diagnostic Radiology) | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8750 |
1942299714 | STUART A MONROE M.D. Individual | Pathology (Blood Banking & Transfusion Medicine) | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8790 |
1013906874 | ROBERT C. DILLINGHAM M.D. Individual | Pathology (Blood Banking & Transfusion Medicine) | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8790 |
1447249057 | CATHERINE L MATHIEU M.D. Individual | Pathology (Blood Banking & Transfusion Medicine) | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8790 |
1114917895 | DR. TERESA L CLAWSON MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1840 AMHERST ST STE 4C WINCHESTER, VA 22601 (540) 536-7897 |
1376533810 | NEONATOLOGY CENTER OF WINCHESTER Organization | Pediatrics (Neonatal-Perinatal Medicine) | 1840 AMHERST ST SUITE 4C WINCHESTER, VA 22601 (540) 536-7897 |
1851373682 | GARY J HARASINK CRNA Individual | Nurse Anesthetist, Certified Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1154306918 | SOON N WHANG M.D. Individual | Nurse Anesthetist, Certified Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1992782445 | RICHARD A CREASY MD Individual | Anesthesiology | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1093793382 | JOHN E DAVIS III MD Individual | Anesthesiology | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1487627402 | HARRY E POLING MD Individual | Anesthesiology | 1840 AMHERST ST WINCHESTER MEDICAL CENTER WINCHESTER, VA 22601 (540) 536-8000 |
1609845635 | EMILY K BURNETT CRNA Individual | Nurse Anesthetist, Certified Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1063481984 | MARLENE M KOLSTAD RD Individual | Dietitian, Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1366411167 | SARA J KUYKENDALL RD Individual | Dietitian, Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1417926312 | JANE M O'DOHERTY RD Individual | Dietitian, Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1053380956 | BARBARA A JACKSON RD Individual | Dietitian, Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1689643587 | JANA A HOVLAND RD Individual | Dietitian, Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1295704096 | RUTH E ARCURI-KOVACS RD Individual | Dietitian, Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
1912976499 | ROBIN B THOMPSON RD Individual | Dietitian, Registered | 1840 AMHERST ST WINCHESTER, VA 22601 (540) 536-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245228840, enumerated in the NPI registry as an "individual" on October 10, 2005
The provider is located at 1840 Amherst St Winchester, Va 22601 and the phone number is (540) 536-8750
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: CareSource, Medicare, Medicaid and Railroad. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $70.08 and an average copayment of 17.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Complete ultrasound scan behind abdominal cavity, Complete ultrasound scan of 1 breast, Ct scan head or brain without contrast, Ct scan of abdomen and pelvis before and after contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of chest without contrast, Ct scan of upper spine without contrast, Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066), Diagnostic mammography of 1 breast, Diagnostic mammography of both breasts, Dxa bone density measurement of hip, pelvis, spine, Limited ultrasound scan of 1 breast, Low dose ct scan of chest for lung cancer screening, Mri scan of abdomen before and after contrast, Mri scan of abdomen without contrast, Mri scan of arm joint without contrast, Mri scan of leg joint without contrast, Mri scan of lower spinal canal without contrast, Mri scan of lower spinal canal without contrast, Nuclear medicine study from skull base to mid-thigh with ct scan, Nuclear medicine study of bone and/or joint whole body, Nuclear medicine study of lung circulation, Nuclear medicine study whole body with ct scan, Screening 3d breast mammography, Screening 3d breast mammography, Screening mammography, Screening mammography, Ultrasound study of one arm or leg veins with compression and maneuvers, Ultrasound study of one arm or leg veins with compression and maneuvers, X-ray of abdomen, 1 view, X-ray of abdomen, 2 views, X-ray of ankle, minimum of 3 views, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of entire middle and lower spine, 2-3 views, X-ray of foot, minimum of 3 views, X-ray of hand, minimum of 3 views, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 4 or more views, X-ray of lower and sacral spine, 2-3 views, X-ray of lower and sacral spine, minimum of 4 views, X-ray of shoulder, minimum of 2 views, X-ray of upper spine, 2-3 views and X-ray of wrist, minimum of 3 views.
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