DR. RUP K NAGALA M.D.
NPI 1336138601
Family Medicine in Oakes, ND
Quality Rating: 80.8 out of 100 score
NPI Status: Active since October 19, 2005
Contact Information
420 S 7TH ST
OAKES, ND
ZIP 58474
Phone: (701) 742-3267
Fax: (701) 742-3201
- Individual
- Male
- Family Medicine
- Accepts Insurance
About RUP NAGALA
This page provides the complete NPI Profile along with additional information for Rup Nagala, a primary care provider established in Oakes, North Dakota with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1336138601 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 3838 (ND). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1336138601
- Provider Name
- DR. RUP K NAGALA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 420 S 7TH ST OAKES, ND 58474
- Location Phone
- (701) 742-3267
- Location Fax
- (701) 742-3201
- Mailing Address
- 420 SOUTH 7TH ST PO BOX 50 OAKES, ND 58474
- Mailing Phone
- (701) 742-3267
- Mailing Fax
- (701) 742-3201
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-19-2005
- Last Update Date
- 12-06-2011
- Code Navigator
A primary care provider (PCP) like Rup Nagala 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.
- 3838
- License State
- ND
- 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:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
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 |
---|---|---|---|
28578 | OTHER (01) | ND | BLUE SHIELD |
18154 | OTHER (01) | ND | BLUE SHIELD |
18152 | OTHER (01) | ND | BLUE SHIELD |
18151 | OTHER (01) | ND | BLUE SHIELD |
N18151 | MEDICARE OSCAR/CERTIFICATION (06) | ND | |
CF8850 | MEDICARE PIN (08) | ND | |
080027931 | MEDICARE PIN (08) | ND | |
18156 | OTHER (01) | ND | BLUE SHIELD |
13516 | MEDICAID (05) | ND | |
N25267 | MEDICARE OSCAR/CERTIFICATION (06) | ND | |
N18151 | MEDICARE PIN (08) | ND | |
080027931 | OTHER (01) | ND | RAILROAD MEDICARE |
25961 | OTHER (01) | ND | BLUE SHIELD |
18155 | OTHER (01) | ND | BLUE SHIELD |
DD1370 | OTHER (01) | ND | RAILROAD MEDICARE |
25267 | OTHER (01) | BLUE SHIELD | |
DD1370 | MEDICARE PIN (08) | ND | |
P00210261 | OTHER (01) | ND | RAILROAD MEDICARE |
D77175 | MEDICARE UPIN (02) | ||
P00210261 | MEDICARE PIN (08) | ND | |
N25267 | MEDICARE PIN (08) | ND | |
CF8850 | OTHER (01) | ND | RAILROAD MEDICARE |
12765 | MEDICAID (05) | ND |
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.
Aspiration and/or injection of fluid from large joint
Blood test, comprehensive group of blood chemicals
Blood test, lipids (cholesterol and triglycerides)
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose
Injection, methylprednisolone acetate, 40 mg
Injection, methylprednisolone acetate, 80 mg
Insertion of needle into vein for collection of blood sample
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 39 times for 23 patientsA comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 13 times for 12 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 11 times for 11 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 50 times for 36 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 31 times for 24 patientsHyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
This service was performed 33 times for 13 patientsMethylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
This service was performed 67 times for 34 patientsMethylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
This service was performed 20 times for 14 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 19 times for 17 patientsLow osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
This service was performed 130 times for 12 patientsOverall 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 80.8, 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: 80.8 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: 84.38
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: 51.64
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: 51.64
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 3 | 6 | 1 | 3 | 8 | 6 | 0 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 6 | 6 | 2 | 3 | 16 | 6 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 6 + 6 + 2 + 3 + 1 + 6 + 6 + 0 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1336138601 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 13 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1851380125 | DR. VANI NAGALA M.D. Individual | Internal Medicine | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1346559523 | HEATHER M. MATTSON DPT Individual | Physical Therapist | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1992925499 | KATHLEEN LEE SIEDSCHLAG PA-C Individual | Physician Assistant (Medical) | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1235577685 | JAMES M GABRIEL NP Individual | Nurse Practitioner (Family) | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1699086124 | LILLIAN B LONG FNP Individual | Nurse Practitioner (Family) | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1104231901 | DENISE E ERLANDSON NP Individual | Nurse Practitioner (Family) | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1417921800 | TOBY THIELGES PTMS Individual | Physical Medicine & Rehabilitation | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1245641489 | TARA RENAE MERTZ-HACK MD Individual | Family Medicine | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1831188119 | DR. KAUSALYA PENDYAL M.D. Individual | Family Medicine | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1518510718 | AMY MARIE HEIM CNP Individual | Nurse Practitioner (Family) | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1245013481 | KATIE MARIE DAHLSTROM PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1790391464 | NICOLE M DEERING OTR/L Individual | Occupational Therapist | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
1255181301 | CAYLA MARIE MAHRER Individual | Physician Assistant | 420 S 7TH ST OAKES, ND 58474 (701) 742-3267 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336138601, enumerated in the NPI registry as an "individual" on October 19, 2005
The provider is located at 420 S 7th St Oakes, Nd 58474 and the phone number is (701) 742-3267
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. 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 , uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Blood test, comprehensive group of blood chemicals, Blood test, lipids (cholesterol and triglycerides), Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose, Injection, methylprednisolone acetate, 40 mg, Injection, methylprednisolone acetate, 80 mg, Insertion of needle into vein for collection of blood sample and Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml.
This NPI record was last updated on October 19, 2005. 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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