JASON C. LINDSEY DO
NPI 1295708295
Family Medicine in Hattiesburg, MS
Quality Rating: 90.58 out of 100 score
NPI Status: Active since February 09, 2006
Contact Information
110 MILLSAPS DR
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-5710
Fax: (601) 296-3083
- Individual
- Male
- Years of Experience 22
- Family Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JASON LINDSEY
This page provides the complete NPI Profile along with additional information for Jason Lindsey, a primary care provider established in Hattiesburg, Mississippi with a medical specialization in Family Medicine and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1295708295 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 19964 (MS). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1295708295
- Provider Name
- JASON C. LINDSEY DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 110 MILLSAPS DR HATTIESBURG, MS 39402
- Location Phone
- (601) 261-5710
- Location Fax
- (601) 296-3083
- Mailing Address
- 56 CANEBRAKE BLVD HATTIESBURG, MS 39402
- Medical School Name
- OTHER
- Graduation Year
- 2004
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-09-2006
- Last Update Date
- 08-01-2024
- Code Navigator
A primary care provider (PCP) like Jason Lindsey sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19964
- License State
- MS
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 6500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 4000 Indiv Med Deductible - EPO
- Connect Silver 6500 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jason Lindsey 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.
Jason Lindsey 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
PECOS PAC ID: 6103824461
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: I20071128000387
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.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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
6 DME suppliers used 18 Medicare Claims 51 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
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.
Administration of influenza virus vaccine
Blood test, basic group of blood chemicals (calcium, total)
Blood test, lipids (cholesterol and triglycerides)
Blood test, thyroid stimulating hormone (tsh)
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
Coagulation function measurement, d-dimer; quantitative
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Creatine kinase (cardiac enzyme) level, mb fraction only
Creatine kinase (cardiac enzyme) level, total
Creatinine level to test for kidney function or muscle injury
Cyanocobalamin (vitamin b-12) level
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
Detection test by immunoassay with direct visual observation for influenza virus
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Ferritin (blood protein) level
Hemoglobin a1c level
Influenza vaccine, quadrivalent derived from cell cultures
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
Injection, ketorolac tromethamine, per 15 mg
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
Insertion of needle into vein for collection of blood sample
Liver enzyme (sgot), level
Liver enzyme (sgpt), level
Liver function blood test panel
Magnesium level
Manual urinalysis test with examination using microscope, automated
Natriuretic peptide (heart and blood vessel protein) level
New patient office or other outpatient visit, 30-44 minutes
Psa (prostate specific antigen) measurement, total
Red blood cell sedimentation rate, to detect inflammation, non-automated
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Troponin (protein) analysis, quantitative
Uric acid level, blood
Urine microalbumin (protein) analysis
Vitamin d-3 level
X-ray of chest, 2 views
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 27 times for 27 patientsA basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 429 times for 196 patientsA lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
This service was performed 203 times for 127 patientsA TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
This service was performed 119 times for 65 patientsChronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
This service was performed 98 times for 27 patientsChronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
This service was performed 178 times for 33 patientsA quantitative D-dimer test measures the amount of D-dimer, a protein fragment, in your blood. This test helps detect abnormal blood clotting. D-dimer levels can rise in conditions where clots are forming and breaking down, such as deep vein thrombosis or pulmonary embolism.
This service was performed 14 times for 14 patientsA Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
This service was performed 227 times for 138 patientsCreatine kinase (CK-MB) is a test that measures the level of CK-MB enzyme in the blood. This enzyme is found mostly in the heart. High levels can indicate heart damage, such as a heart attack. The test helps in diagnosing and monitoring heart conditions.
This service was performed 11 times for 11 patientsThe total Creatine Kinase (CK) level test is a blood test that helps assess the health of your heart. It measures an enzyme called CK that's released into the bloodstream when heart or other muscle tissue is damaged. High levels may indicate a heart attack or muscle disorder.
This service was performed 13 times for 13 patientsA creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
This service was performed 52 times for 50 patientsA Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.
This service was performed 45 times for 36 patientsAn immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
This service was performed 125 times for 112 patientsThis is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
This service was performed 210 times for 95 patientsA detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
This service was performed 34 times for 33 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 147 times for 119 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 630 times for 283 patientsA Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.
This service was performed 62 times for 37 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 171 times for 96 patientsThe quadrivalent influenza vaccine, derived from cell cultures, is a flu shot that protects against four different flu viruses. It's made in labs using cell cultures instead of eggs, making it a good option for those with egg allergies. It's a crucial tool in preventing the flu.
This service was performed 28 times for 28 patientsThis injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
This service was performed 99 times for 47 patientsKetorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
This service was performed 46 times for 13 patientsThis is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
This service was performed 20 times for 11 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 514 times for 228 patientsA Liver Enzyme (SGOT) Level test is a simple blood test used to measure the amount of certain enzymes in your blood. These enzymes are normally found in liver cells. If the liver is damaged or diseased, these enzymes can leak into your bloodstream, indicating potential liver issues.
This service was performed 151 times for 115 patientsA liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
This service was performed 151 times for 115 patientsA liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.
This service was performed 203 times for 137 patientsA magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
This service was performed 68 times for 45 patientsA manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
This service was performed 247 times for 124 patientsA natriuretic peptide level test is a blood test that helps doctors check for heart failure. It measures the amount of certain proteins that your heart and blood vessels produce when they are under stress. High levels may indicate heart disease.
This service was performed 21 times for 18 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 30 times for 30 patientsPSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
This service was performed 23 times for 22 patientsThe Red Blood Cell Sedimentation Rate test measures how quickly red blood cells settle at the bottom of a test tube. If they settle faster than normal, it may indicate inflammation in the body. This test is non-automated, meaning it's manually performed by a lab technician.
This service was performed 19 times for 16 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 14 times for 14 patientsTroponin analysis is a blood test that checks for damage to the heart. Elevated levels of troponin, a protein in heart cells, can indicate a heart attack. This test helps in early detection and management of heart-related issues.
This service was performed 11 times for 11 patientsA blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.
This service was performed 36 times for 26 patientsUrine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
This service was performed 53 times for 51 patientsA Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
This service was performed 45 times for 31 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 38 times for 32 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.12 for a new patient copayment and $23.05 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 39402 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $80.5
- Minimum New Patient Price $51.65
- Maximum New Patient Price $159.18
- Average New Patient Copayment $20.12
- Minimum New Patient Copayment $12.91
- Maximum New Patient Copayment $39.79
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $92.2
- Minimum Established Patient Price $16.15
- Maximum Established Patient Price $129.61
- Average Established Patient Copayment $23.05
- Minimum Established Patient Copayment $4.03
- Maximum Established Patient Copayment $32.4
* 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 90.58, 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 provider also has detailed performance information the following quality measures: .
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: 90.58 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: 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 68.63
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: 68.63
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
Quality Measure | Performance | Number of Patients |
---|---|---|
Advance Care Plan | 25% | 493 |
Appropriate Treatment for Upper Respiratory Infection (URI) | 11% | 38 |
Breast Cancer Screening | 23% | 376 |
Closing the Referral Loop: Receipt of Specialist Report | 29% | 438 |
Diabetes: Eye Exam | 39% | 226 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 16% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 226 |
Diabetes: Medical Attention for Nephropathy | 88% | 226 |
Documentation of Current Medications in the Medical Record | 96% | 3128 |
e-Prescribing | 99% | 2265 |
Pneumococcal Vaccination Status for Older Adults | 35% | 449 |
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 24% | 1664 |
Preventive Care and Screening: Influenza Immunization | 16% | 1295 |
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 30% | 1464 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 1% | 1341 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 1% | 1327 |
Provide Patients Electronic Access to Their Health Information | 82% | 747 |
Screening for Osteoporosis for Women Aged 65-85 Years of Age | 6% | 254 |
Use of High-Risk Medications in Older Adults | 22% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 477 |
Use of High-Risk Medications in Older Adults | 3% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 462 |
Use of High-Risk Medications in Older Adults | 23% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 477 |
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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 | 9 | 5 | 7 | 0 | 8 | 2 | 9 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 18 | 5 | 14 | 0 | 16 | 2 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 8 + 5 + 1 + 4 + 0 + 1 + 6 + 2 + 1 + 8 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1295708295 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1356345979 | DR. MICHAEL G MAY MD Individual | Family Medicine | 110 MILLSAPS DR HATTIESBURG, MS 39402 (601) 261-5710 |
1851395479 | DR. STEPHEN LAMBERT MD Individual | Family Medicine | 110 MILLSAPS DR HATTIESBURG, MS 39402 (601) 261-5710 |
1477557098 | MR. KEVIN C CLEARMAN CNFP Individual | Nurse Practitioner (Family) | 110 MILLSAPS DR HATTIESBURG, MS 39402 (601) 261-5710 |
1093719601 | DR. WAYNE A HUGHES MD Individual | Family Medicine | 110 MILLSAPS DR HATTIESBURG, MS 39402 (601) 261-5710 |
1508860123 | DR. TERRY R LOWE MD Individual | Family Medicine | 110 MILLSAPS DR HATTIESBURG, MS 39402 (601) 261-5710 |
1124023098 | DR. CHAD J DIAMOND DO Individual | Family Medicine | 110 MILLSAPS DR HATTIESBURG, MS 39402 (601) 261-5710 |
1598736605 | MELANIE M LINDSEY MD Individual | Family Medicine | 110 MILLSAPS DR HATTIESBURG, MS 39402 (601) 261-5710 |
1316058787 | DR. DEBORAH LEIGH COPELAND M.D. Individual | Family Medicine | 110 MILLSAPS DR HATTIESBURG, MS 39402 (601) 261-5710 |
1568566958 | THE FAMILY PRACTICE/AFTER HOURS CLINIC, PLLC Organization | Family Medicine | 110 MILLSAPS DR HATTIESBURG, MS 39402 (601) 261-5710 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295708295, enumerated in the NPI registry as an "individual" on February 09, 2006
The provider is located at 110 Millsaps Dr Hattiesburg, Ms 39402 and the phone number is (601) 261-5710
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 22 years of experience.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. 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.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Diabetes: Medical Attention for Nephropathy, Documentation of Current Medications in the Medical Record, e-Prescribing , Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
Medicare beneficiaries should expect a typical cost of $80.5 with an average copayment of $20.12 for new patient appointments. Established patients should expect a typical charge of $92.2 and an average copayment of 23.05. 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: Administration of influenza virus vaccine, Blood test, basic group of blood chemicals (calcium, total), Blood test, lipids (cholesterol and triglycerides), Blood test, thyroid stimulating hormone (tsh), Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month, Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month, Coagulation function measurement, d-dimer; quantitative, Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Creatine kinase (cardiac enzyme) level, mb fraction only, Creatine kinase (cardiac enzyme) level, total, Creatinine level to test for kidney function or muscle injury, Cyanocobalamin (vitamin b-12) level, Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, Detection test by immunoassay with direct visual observation for influenza virus, Detection test by immunoassay with direct visual observation for streptococcus, group a (strep), Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Ferritin (blood protein) level, Hemoglobin a1c level, Influenza vaccine, quadrivalent derived from cell cultures, Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, Injection, ketorolac tromethamine, per 15 mg, Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg, Insertion of needle into vein for collection of blood sample, Liver enzyme (sgot), level, Liver enzyme (sgpt), level, Liver function blood test panel, Magnesium level, Manual urinalysis test with examination using microscope, automated, Natriuretic peptide (heart and blood vessel protein) level, New patient office or other outpatient visit, 30-44 minutes, Psa (prostate specific antigen) measurement, total, Red blood cell sedimentation rate, to detect inflammation, non-automated, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Troponin (protein) analysis, quantitative, Uric acid level, blood, Urine microalbumin (protein) analysis, Vitamin d-3 level and X-ray of chest, 2 views.
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