REGINALD GIRARD TANNER JR. CRNA
NPI 1285142703
Nurse Anesthetist, Certified Registered in Fort Worth, TX
Quality Rating: 85.91 out of 100 score
NPI Status: Active since January 18, 2018
Contact Information
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 927-1417
- Individual
- Male
- Years of Experience 9
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About REGINALD TANNER
This page provides the complete NPI Profile along with additional information for Reginald Tanner, a provider established in Fort Worth, Texas with a medical specialization in Nurse Anesthetist, Certified Registered and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1285142703 assigned on January 2018. The practitioner's primary taxonomy code is 367500000X with license number AP136226 (TX). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1285142703
- Provider Name
- REGINALD GIRARD TANNER JR. CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 S MAIN ST FORT WORTH, TX 76104
- Location Phone
- (817) 927-1417
- Mailing Address
- 3701 BLUE FOREST DR ARLINGTON, TX 76001
- Mailing Phone
- (216) 469-2198
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-18-2018
- Last Update Date
- 01-18-2018
- 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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP136226
- License State
- TX
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Reginald Tanner is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
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.
PECOS PAC ID: 1254688476
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20180719001170, I20210304001416
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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.
Anesthesia for other procedure on lower leg, ankle, and foot bones
Anesthesia for procedure for total knee joint replacement
Anesthesia for procedure to assess heart electrical activity
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
This service was performed 11 times for 11 patientsAnesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
This service was performed 13 times for 12 patientsAnesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
This service was performed 19 times for 19 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.4 for a new patient copayment and $17.61 for an established patient copayment.
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 76104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $129.63
- Minimum New Patient Price $56.47
- Maximum New Patient Price $171.07
- Average New Patient Copayment $32.4
- Minimum New Patient Copayment $14.11
- Maximum New Patient Copayment $42.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.45
- Minimum Established Patient Price $18.18
- Maximum Established Patient Price $139.68
- Average Established Patient Copayment $17.61
- Minimum Established Patient Copayment $4.54
- Maximum Established Patient Copayment $34.92
* 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 85.91, 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: 85.91 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: 80.67
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.
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 |
|---|---|---|
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Participation in Joint Commission Evaluation Initiative | Yes | N/A |
| Participation in Joint Commission Ongoing Professional Practice Evaluation initiative | ||
| Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 4% | 149 |
| Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized | ||
| Pre-operative OSA assessment | 100% | 353 |
| Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA) | ||
| Use of QCDR data for ongoing practice assessment and improvements | Yes | N/A |
| Use of QCDR data, for ongoing practice assessment and improvements in patient safety. | ||
| Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination | Yes | N/A |
| Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups). | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Reginald Tanner is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL | 1901 TATE SPRINGS ROAD LYNCHBURG, VA 24501 | (434) 200-4789 | Acute Care Hospitals |
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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 | 8 | 5 | 1 | 4 | 2 | 7 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 2 | 4 | 4 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 2 + 4 + 4 + 7 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1285142703 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1649270109 | LIANCUN WU Individual | Anesthesiology | 1500 S MAIN ST JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY FORT WORTH, TX 76104 (817) 927-1417 |
| 1184619082 | JPS PHYSICIAN GROUP INC Organization | General Acute Care Hospital | 1500 S MAIN ST PHYSICIAN SERVICES FORT WORTH, TX 76104 (817) 852-8440 |
| 1457340010 | DR. DANIEL FREDERICK CASEY M.D. Individual | Family Medicine | 1500 S MAIN ST FORT WORTH FORT WORTH, TX 76104 (817) 927-1395 |
| 1174512719 | DR. BARBARA LYNN SLEE M.D. Individual | Family Medicine | 1500 S MAIN ST FAMILY HEALTH CENTER FORT WORTH, TX 76104 (817) 927-1200 |
| 1003805706 | DR. JOANE BAUMER M.D. Individual | Family Medicine | 1500 S MAIN ST FAMILY MEDICINE CENTER FORT WORTH, TX 76104 (817) 335-1034 |
| 1902895386 | DR. SANDRA G MORENO M.D. Individual | Family Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 920-7160 |
| 1316936701 | DR. WILLIAM BART PATE M.D. Individual | Family Medicine | 1500 S MAIN ST DEPT. OF FAMILY MEDICINE FORT WORTH, TX 76104 (817) 927-3593 |
| 1023098662 | LOREN S LASATER MD Individual | Family Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 702-1200 |
| 1164476040 | DR. HUGH NOLE WEST MD Individual | Radiology (Diagnostic Radiology) | 1500 S MAIN ST FORT WORTH, TX 76104 (469) 757-1119 |
| 1619923364 | DR. DONALD G PHILLIPS D.O. Individual | Emergency Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 927-1500 |
| 1699721878 | MS. EDNA JILL ENGLISH N.P. Individual | Nurse Practitioner (Family) | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3421 |
| 1760438162 | KATHERINE ADELE FUCHSHUBER NP Individual | Nurse Practitioner | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 927-1200 |
| 1255374534 | PAUL THOMAS MARSH DO Individual | Radiology (Diagnostic Radiology) | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 738-6571 |
| 1831134683 | DR. LUZMINDA B CONCEPCION MD Individual | Pediatrics | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1366487472 | GLENN E HAMILTON NP Individual | Nurse Practitioner | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1033146436 | DR. SUZANNE B KELLEY MD Individual | Pediatrics | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1528095924 | DR. RIAZ U KHAN MD Individual | Internal Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1881622405 | DOUGLAS S MILLER MD Individual | Dermatology | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1710918594 | DR. SANGAMESHWAR REDDY MD Individual | Internal Medicine (Gastroenterology) | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
| 1417980285 | DR. NEIL F LOVITT MD Individual | Family Medicine | 1500 S MAIN ST FORT WORTH, TX 76104 (817) 921-3431 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285142703, enumerated in the NPI registry as an "individual" on January 18, 2018
The provider is located at 1500 S Main St Fort Worth, Tx 76104 and the phone number is (817) 927-1417
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 9 years of experience.
The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. 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.
Medicare beneficiaries should expect a typical cost of $129.63 with an average copayment of $32.4 for new patient appointments. Established patients should expect a typical charge of $70.45 and an average copayment of 17.61. 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: Anesthesia for other procedure on lower leg, ankle, and foot bones, Anesthesia for procedure for total knee joint replacement and Anesthesia for procedure to assess heart electrical activity.
The practitioner is affiliated to the following hospital(s): CENTRA HEALTH - LYNCHBURG GEN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on January 18, 2018. 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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