MR. JEFFREY ROMPALA CRNA
NPI 1497161806
Nurse Anesthetist, Certified Registered in Pittsburgh, PA


Quality Rating: 75.4 out of 100 score

NPI Status: Active since July 07, 2014

Contact Information

200 LOTHROP ST
PITTSBURGH, PA
ZIP 15213
Phone: (412) 647-5909

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  • Individual
  • Male
  • Years of Experience 12
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About JEFFREY ROMPALA

This page provides the complete NPI Profile along with additional information for Jeffrey Rompala, a provider established in Pittsburgh, Pennsylvania with a medical specialization in Nurse Anesthetist, Certified Registered and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1497161806 assigned on July 2014. The practitioner's primary taxonomy code is 367500000X with license number 102546 (PA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1497161806
Provider Name
MR. JEFFREY ROMPALA CRNA
Gender
Male
Entity Type
Individual
Location Address
200 LOTHROP ST PITTSBURGH, PA 15213
Location Phone
(412) 647-5909
Mailing Address
200 LOTHROP ST PITTSBURGH, PA 15213
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
07-07-2014
Last Update Date
07-07-2014
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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.
102546
License State
PA
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.

Medicare Participation & PECOS Enrollment Status

Jeffrey Rompala 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: 7214155993

    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: I20140821000161

    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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.58 for a new patient copayment and $17.09 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 15213 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.34
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $31.58
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.36
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $17.09
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* 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 75.4, 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.

  • Final Score: 75.4 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.

  • Quality Score: 55.27

    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.

  • 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.

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. Jeffrey Rompala is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST CLAIR HOSPITAL1000 BOWER HILL ROAD
PITTSBURGH, PA 15243
(412) 942-4000Acute 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.
1497161806
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418726280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 6 + 2 + 8 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1497161806 is valid because the calculated check digit 6 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
1467452011SELECT SPECIALTY HOSPITAL - PITTSBURGH/UPMC INC
Organization
Long Term Care Hospital200 LOTHROP ST MUH E824
PITTSBURGH, PA 15213
(412) 586-9821
1609862796DR. ANNE C VUJEVICH-WARD D.O.
Individual
Anesthesiology200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-5909
1609867498DR. ANTHONY F PIZON MD
Individual
Emergency Medicine200 LOTHROP ST FORBES TOWER 9055
PITTSBURGH, PA 15213
(412) 647-7594
1689644460MR. SHAWN PATRICK WEBER CRNA
Individual
Nurse Anesthetist, Certified Registered200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-2808
1770554123DR. ADAM S AKERS MD
Individual
Internal Medicine (Critical Care Medicine)200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3136
1356312797DR. ADNAN ADIB ABLA MD
Individual
Neurological Surgery200 LOTHROP ST SUITE 5C
PITTSBURGH, PA 15213
(412) 647-3604
1992776348DR. ALI HUSSAIN AL-KHAFAJI MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3136
1124090345DR. DAVID G BEAUDREAU MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3260
1962474353DR. RAED SAID ABDULLAH MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3396
1427020502DR. UBAID AHMAD AKHTAR MD
Individual
Specialist200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH, PA 15213
(412) 647-3510
1740252832DR. ARTHUR J BOUJOUKOS MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3136
1275505265DR. FERNANDO L AREVALO MD
Individual
Radiology (Diagnostic Radiology)200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH, PA 15213
(412) 647-3553
1164494175DR. ROBERT MARSHALL AUSTIN MD
Individual
Specialist200 LOTHROP ST BST, SUITE S424
PITTSBURGH, PA 15213
(412) 648-9466
1376515221DR. VICTOR JOHN CATULLO MD
Individual
Specialist200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH, PA 15213
(412) 647-3553
1730151580DR. NEIL ALEXANDER CHRISTIE MD
Individual
Specialist200 LOTHROP ST SUITE 9055
PITTSBURGH, PA 15213
(412) 623-2025
1669444345PROF. JEFFREY A BLACKHURST CRNA
Individual
Nurse Anesthetist, Certified Registered200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-5909
1265404941PROF. KATHY R CLAYPOOLE CRNA
Individual
Nurse Anesthetist, Certified Registered200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-5909
1083686638DR. GILLES CLERMONT MD
Individual
Specialist200 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-3136
1306818950DR. LYDIA CHRISTINE CONTIS MD
Individual
Specialist200 LOTHROP ST BST, SUITE S424
PITTSBURGH, PA 15213
(412) 648-9466
1629040274DR. RONALD JAY CLEARFIELD MD
Individual
Specialist200 LOTHROP ST ROOM 3950 CHP CMT
PITTSBURGH, PA 15213
(412) 647-3553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497161806, enumerated in the NPI registry as an "individual" on July 07, 2014

The provider is located at 200 Lothrop St Pittsburgh, Pa 15213 and the phone number is (412) 647-5909

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 12 years of experience.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $126.34 with an average copayment of $31.58 for new patient appointments. Established patients should expect a typical charge of $68.36 and an average copayment of 17.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): ST CLAIR 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 July 07, 2014. 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.