DR. SCOTT R DUFFIN MD
NPI 1255367991
Orthopaedic Surgery in Augusta, GA
NPI Status: Active since June 24, 2006
Contact Information
3650 J DEWEY GRAY CIR
AUGUSTA, GA
ZIP 30909
Phone: (706) 863-9797
Fax: (706) 868-9209
- Individual
- Male
- Orthopaedic Surgery
- Medicare Quality Reporting
About SCOTT DUFFIN
This page provides the complete NPI Profile along with additional information for Scott Duffin, a provider established in Augusta, Georgia with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1255367991 assigned on June 2006. The practitioner's primary taxonomy code is 207X00000X with license number 031412 (GA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1255367991
- Provider Name
- DR. SCOTT R DUFFIN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909
- Location Phone
- (706) 863-9797
- Location Fax
- (706) 868-9209
- Mailing Address
- 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909
- Mailing Phone
- (706) 863-9797
- Mailing Fax
- (706) 868-9209
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-24-2006
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 031412
- License State
- GA
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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.
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 |
|---|---|---|---|
| 00978689A | MEDICAID (05) | GA | |
| H76905 | MEDICARE UPIN (02) | GA | |
| 20BBGQZ | MEDICARE ID-TYPE UNSPECIFIED (04) | GA | |
| 001300 | OTHER (01) | GA | BCBS |
| 9823779 | OTHER (01) | GA | CIGNA |
| 7160382 | OTHER (01) | GA | AETNA |
| G31412 | MEDICAID (05) | SC |
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 |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Documentation of Current Medications in the Medical Record | 18% | 909 |
| 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 | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| Engagement of Patients, Family, and Caregivers in Developing a Plan of Care | Yes | N/A |
| Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology. | ||
| e-Prescribing | 65% | 369 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Medication Reconciliation | 72% | 323 |
| 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 | 30% | 1264 |
| 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 | 39% | 665 |
| 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 | ||
| Provide Education Opportunities for New Clinicians | Yes | N/A |
| MIPS eligible clinicians acting as a preceptor for clinicians-in-training (such as medical residents/fellows, medical students, physician assistants, nurse practitioners, or clinical nurse specialists) and accepting such clinicians for clinical rotations in community practices in small, underserved, or rural areas. | ||
| Provide Patient Access | 100% | 1264 |
| 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 | 5% | 1264 |
| 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 High-Risk Medications in the Elderly | 1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 344 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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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 | 5 | 5 | 3 | 6 | 7 | 9 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 6 | 14 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 6 + 1 + 4 + 9 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1255367991 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174523419 | DR. MYRON D F COLLINS MD Individual | Orthopaedic Surgery | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1831149087 | DR. ARLON H JAHNKE MD Individual | Orthopaedic Surgery (Sports Medicine) | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1295785475 | DR. CORBETT MARK THIGPEN MD Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1730128927 | DAVID GALLAGHER MD Individual | Orthopaedic Surgery | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1225074925 | DR. JOHN H FRANKLIN MD Individual | Orthopaedic Surgery | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1508986589 | DR. JUSTIN V BUNDY MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1366776866 | MR. MICHAEL FREDERIC PRUITT PA-C Individual | Physician Assistant (Surgical) | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1003141243 | MRS. STACY LEIGH RUSH PT Individual | Physical Therapist | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1972838118 | MR. DEREK MARTIN LAMB PT Individual | Physical Therapist | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1730420183 | MS. ASHLEY MICHELLE SHELTON PA-C Individual | Physician Assistant (Surgical) | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1396812319 | DR. RICHARD WILLIAM POPE MD Individual | Orthopaedic Surgery (Hand Surgery) | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1225458755 | AOS SURGERY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1447329701 | CHRISTOPHER SWOOPE PT Individual | Physical Therapist | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1285648600 | ANTHONY J PALAZZO PA-C Individual | Physician Assistant | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1114238474 | NICHOLAS MICHAEL CAPITO M.D. Individual | Orthopaedic Surgery | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1174858310 | MR. JASON DONALD LEE PT Individual | Physical Therapist | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1699380493 | JAISON D MAJZER Individual | Physical Therapist | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1457389504 | AUGUSTA ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS PC Organization | Orthopaedic Surgery | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1134172521 | MR. FRANK ANDREW EBERHEART PA-C Individual | Physician Assistant (Surgical) | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
| 1194500843 | JAZZLIN DANIELLE SHARPE PA-C Individual | Physician Assistant | 3650 J DEWEY GRAY CIR AUGUSTA, GA 30909 (706) 863-9797 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255367991, enumerated in the NPI registry as an "individual" on June 24, 2006
The provider is located at 3650 J Dewey Gray Cir Augusta, Ga 30909 and the phone number is (706) 863-9797
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 24, 2006. 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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