DR. HOWARD D. WILCOX M.D.
NPI 1396756565
Family Medicine in Beaumont, TX
Quality Rating: 92.97 out of 100 score
NPI Status: Active since August 11, 2006
Contact Information
5875 N MAJOR DR
BEAUMONT, TX
ZIP 77713
Phone: (409) 892-2262
Fax: (409) 892-3336
- Individual
- Male
- Family Medicine
- Accepts Insurance
About HOWARD WILCOX
This page provides the complete NPI Profile along with additional information for Howard Wilcox, a primary care provider established in Beaumont, Texas with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1396756565 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number G3909 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1396756565
- Provider Name
- DR. HOWARD D. WILCOX M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5875 N MAJOR DR BEAUMONT, TX 77713
- Location Phone
- (409) 892-2262
- Location Fax
- (409) 892-3336
- Mailing Address
- 919 HIDDEN RDG IRVING, TX 75038
- Mailing Phone
- (469) 282-2711
- Mailing Fax
- (409) 892-3336
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-11-2006
- Last Update Date
- 04-12-2021
- Code Navigator
A primary care provider (PCP) like Howard Wilcox 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.
- G3909
- License State
- TX
- 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:
- 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
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 |
|---|---|---|---|
| 154682202 | MEDICAID (05) | TX | |
| 1K1982 | OTHER (01) | TX | MEDICARE |
| P02601529 | OTHER (01) | TX | MCRR |
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 92.97, 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: 92.97 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: 85.95
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: 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.
Reviews for DR. HOWARD D. WILCOX M.D.
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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 | 9 | 6 | 7 | 5 | 6 | 5 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 14 | 5 | 12 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 4 + 5 + 1 + 2 + 5 + 1 + 2 + 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 1396756565 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 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326059577 | DR. GLEN G. GUILLET M.D. Individual | Family Medicine | 5875 N MAJOR DR SUITE 214 BEAUMONT, TX 77713 (409) 896-5901 |
| 1568598142 | LEE HAAK MD PA Organization | Family Medicine | 5875 N MAJOR DR STE 134 BEAUMONT, TX 77713 (409) 860-5855 |
| 1730394545 | GLEN G.GUILLET M.D.,P.A. Organization | Clinic/Center (Primary Care) | 5875 N MAJOR DR SUITE 214 BEAUMONT, TX 77713 (409) 896-5901 |
| 1689741340 | DR. ALEYAMMA ABRAHAM M.D. Individual | Family Medicine | 5875 N MAJOR DR BEAUMONT, TX 77713 (409) 892-2262 |
| 1487916102 | ZACHARY CERINI M.D. Individual | Family Medicine | 5875 N MAJOR DR BEAUMONT, TX 77713 (409) 892-2262 |
| 1013928290 | PREVENTIVE MEDICINE OF SOUTHEAST TEXAS, LLP Organization | Family Medicine | 5875 N MAJOR DR BEAUMONT, TX 77713 (409) 892-2262 |
| 1316296809 | JENNIFER FUQUA BRYANT APRN Individual | Nurse Practitioner | 5875 N MAJOR DR BEAUMONT, TX 77713 (409) 892-2262 |
| 1518358290 | LORI MARTEL FNP Individual | Nurse Practitioner (Family) | 5875 N MAJOR DR BEAUMONT, TX 77713 (409) 892-2262 |
| 1952685885 | ANGELA K RORI FNP-C Individual | Nurse Practitioner (Family) | 5875 N MAJOR DR BEAUMONT, TX 77713 (409) 892-2262 |
| 1386036705 | MRS. LAURIE KITCHENS REIMERS FNP Individual | Nurse Practitioner (Family) | 5875 N MAJOR DR BEAUMONT, TX 77713 (409) 892-2262 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396756565, enumerated in the NPI registry as an "individual" on August 11, 2006
The provider is located at 5875 N Major Dr Beaumont, Tx 77713 and the phone number is (409) 892-2262
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare 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 , uses technology to exchange and make use of healthcare information.
This NPI record was last updated on August 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.