THERESA L MILLER MD
NPI 1275506446
Internal Medicine in Fishersville, VA
NPI Status: Active since February 08, 2006
Contact Information
22 N MEDICAL PARK DR
FISHERSVILLE, VA
ZIP 22939
Phone: (540) 213-2630
Fax: (540) 213-2631
- Individual
- Female
- Internal Medicine
- Medicare Quality Reporting
About THERESA MILLER
This page provides the complete NPI Profile along with additional information for Theresa Miller, an internist established in Fishersville, Virginia with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1275506446 assigned on February 2006. The practitioner's primary taxonomy code is 207R00000X with license number 0101051765 (VA). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1275506446
- Provider Name
- THERESA L MILLER MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939
- Location Phone
- (540) 213-2630
- Location Fax
- (540) 213-2631
- Mailing Address
- PO BOX 388 FISHERSVILLE, VA 22939
- Mailing Phone
- (540) 932-4629
- Mailing Fax
- (540) 213-2631
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-08-2006
- Last Update Date
- 01-03-2013
- Code Navigator
An internist like Theresa Miller is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101051765
- License State
- VA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
*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 |
|---|---|---|---|
| 005853575 | MEDICAID (05) | VA | |
| 110121294 | MEDICARE PIN (08) | VA | |
| 41819 | OTHER (01) | VA | OPTIMA |
| 142720 | OTHER (01) | VA | SOUTHERN HEALTH |
| 110007960 | MEDICARE ID-TYPE UNSPECIFIED (04) | VA | |
| 2182360 | OTHER (01) | VA | FIRST HEALTH |
| 285567 | OTHER (01) | VA | ANTHEM |
| G09145 | MEDICARE UPIN (02) | VA | |
| 5853575 | OTHER (01) | VA | VA PREMIER |
| C00264 | MEDICARE PIN (08) | VA | |
| GC1100 | MEDICARE PIN (08) | VA | |
| 700011406 | OTHER (01) | VA | CIGNA |
| C06749 | MEDICARE PIN (08) | VA |
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 |
|---|---|---|
| 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 | 71% | 862 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Eye Exam | 66% | 247 |
| 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 | ||
| e-Prescribing | 97% | 6965 |
| 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 | 55% | 362 |
| 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. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| 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 | 94% | 383 |
| 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 | 95% | 1710 |
| 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 | 86% | 1530 |
| 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 Patient Access | 78% | 1710 |
| 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 | 28% | 1710 |
| 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. | ||
Reviews for THERESA L MILLER MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 7 | 5 | 5 | 0 | 6 | 4 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 0 | 12 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 0 + 1 + 2 + 4 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1275506446 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275506370 | ALAN COHEN MD Individual | Internal Medicine | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 213-2630 |
| 1316040868 | REBECCA L ISBELL MD Individual | Pediatrics | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 932-5373 |
| 1922190438 | BEVERLY J. MIRMELSTEIN N.P. Individual | Nurse Practitioner | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 932-5373 |
| 1619069127 | JAY A. MCDONALD M.D. Individual | Pediatrics | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 932-5373 |
| 1851365431 | DR. BARBARA PASZKOWIAK M.D. Individual | Internal Medicine | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 213-2630 |
| 1518271295 | EMILY CAROLE STEVENS FNP-BC Individual | Nurse Practitioner | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 213-2630 |
| 1124263298 | SUSAN NEELY BECKER FNP Individual | Nurse Practitioner (Family) | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 213-2630 |
| 1295050664 | JENILEE V. LAWRENCE M.D. Individual | Internal Medicine | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 213-2630 |
| 1780841833 | JOHN ANDREW STARR M.D. Individual | Internal Medicine | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 213-2630 |
| 1760552749 | ALEXANDER E SALOMON MD Individual | Internal Medicine | 22 N MEDICAL PARK DR FISHERSVILLE, VA 22939 (540) 213-2630 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275506446, enumerated in the NPI registry as an "individual" on February 08, 2006
The provider is located at 22 N Medical Park Dr Fishersville, Va 22939 and the phone number is (540) 213-2630
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare, Medicaid, Anthem Blue Cross and 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 February 08, 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].
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.