DR. NICHOLAS W GEMMA M.D.
NPI 1346284098
Internal Medicine - Hematology & Oncology in Winchester, VA
NPI Status: Active since June 15, 2006
Contact Information
400 CAMPUS BLVD STE 100
WINCHESTER, VA
ZIP 22601
Phone: (540) 662-1108
- Individual
- Male
- Internal Medicine
- Hematology & Oncology
- Medicare Quality Reporting
About NICHOLAS GEMMA
This page provides the complete NPI Profile along with additional information for Nicholas Gemma, an internist established in Winchester, Virginia with a medical specialization in Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1346284098 assigned on June 2006. The practitioner's primary taxonomy code is 207RH0003X with license number 0101041458 (VA). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1346284098
- Provider Name
- DR. NICHOLAS W GEMMA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601
- Location Phone
- (540) 662-1108
- Mailing Address
- 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601
- Mailing Phone
- (540) 662-1108
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2006
- Last Update Date
- 02-28-2018
- Code Navigator
An internist like Nicholas Gemma 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 Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101041458
- License State
- VA
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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.
*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 |
|---|---|---|---|
| 094212 | OTHER (01) | VA | BLUE CROSS BLUE SHIELD |
| 45-4759270 | OTHER (01) | VA | TAX ID |
| 0073744000 | OTHER (01) | WV | WV MEDICAID |
| 7241071 | MEDICAID (05) | 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 |
|---|---|---|
| e-Prescribing | 67% | 643 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS). | ||
| Patient-Specific Education | 75% | 418 |
| The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 0% | 418 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Request/Accept Summary of Care | 5% | 60 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an electronic summary of care document. | ||
| Secure Messaging | 5% | 418 |
| 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 certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). | ||
| 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. | ||
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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 | 4 | 6 | 2 | 8 | 4 | 0 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 8 | 8 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 8 + 8 + 0 + 1 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1346284098 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437193182 | DR. WILLIAM B MAJOR M.D. Individual | Internal Medicine (Hematology & Oncology) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1972956605 | SHENANDOAH ONCOLOGY, PC Organization | Specialist | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1194769356 | WILLIAM A HOUCK JR. M.D. Individual | Internal Medicine (Hematology & Oncology) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1093352676 | MARGARET V KINSEY LCSW Individual | Social Worker (Clinical) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 450-2712 |
| 1124381959 | SHENANDOAH ONCOLOGY, PC Organization | Internal Medicine (Hematology & Oncology) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1003882432 | DR. LEE RESTA M.D. Individual | Internal Medicine (Hematology & Oncology) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1043605975 | DR. MICHAEL GERARD MCCUSKER JR. M.D. Individual | Internal Medicine (Hematology & Oncology) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1073567269 | LAURIE H HUDSON FNP-C Individual | Nurse Practitioner (Family) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1205870490 | RODNEY HUFF FNP Individual | Nurse Practitioner (Family) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1326313701 | KIMBERLY L APPLEGATE FNP-BC Individual | Nurse Practitioner (Family) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1477948271 | CHRISTIAN BARLOW M.D. Individual | Internal Medicine (Hematology & Oncology) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1548255755 | DR. MATTHEW PAGE JONES MD Individual | Internal Medicine (Hematology & Oncology) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1568406288 | DR. WILLIAM A HOUCK III M.D. Individual | Internal Medicine (Hematology & Oncology) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1669416350 | DR. RICHARD M INGRAM M.D. Individual | Internal Medicine (Hematology & Oncology) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1891009775 | KENDRA DIANE ATHERTON CRNP Individual | Nurse Practitioner (Family) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1972102333 | MRS. JESSICA NICOLE FAUVER FNP-C Individual | Nurse Practitioner (Family) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
| 1649019795 | SARA JOBETH WOLFORD AGACNP-BC Individual | Nurse Practitioner (Acute Care) | 400 CAMPUS BLVD STE 100 WINCHESTER, VA 22601 (540) 662-1108 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346284098, enumerated in the NPI registry as an "individual" on June 15, 2006
The provider is located at 400 Campus Blvd Ste 100 Winchester, Va 22601 and the phone number is (540) 662-1108
The provider's speciality is Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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