VIRGINIA B BEALL M.D.
NPI 1508837212
Ophthalmology in Tyler, TX
NPI Status: Active since January 30, 2006
Contact Information
2440 E 5TH ST
TYLER, TX
ZIP 75701
Phone: (903) 595-0500
Fax: (903) 595-2153
- Individual
- Female
- Ophthalmology
- Accepts Insurance
- Medicare Quality Reporting
About VIRGINIA BEALL
This page provides the complete NPI Profile along with additional information for Virginia Beall, a provider established in Tyler, Texas with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1508837212 assigned on January 2006. The practitioner's primary taxonomy code is 207W00000X with license number H6040 (TX). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1508837212
- Provider Name
- VIRGINIA B BEALL M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2440 E 5TH ST TYLER, TX 75701
- Location Phone
- (903) 595-0500
- Location Fax
- (903) 595-2153
- Mailing Address
- 2440 E 5TH ST TYLER, TX 75701
- Mailing Phone
- (903) 595-0500
- Mailing Fax
- (903) 595-2153
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-30-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Ophthalmologists like Virginia Beall specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
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
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H6040
- License State
- TX
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 |
|---|---|---|---|
| F32199 | MEDICARE UPIN (02) | TX | |
| 85Z605 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX |
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 |
|---|---|---|
| Biopsy Follow-Up | 100% | 24 |
| Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician | ||
| Documentation of Current Medications in the Medical Record | 64% | 1470 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 97% | 463 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 92% | 25 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Patient-Specific Education | 100% | 849 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 74% | 472 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| 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 | 100% | 849 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| 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. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
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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 | 5 | 0 | 8 | 8 | 3 | 7 | 2 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 3 | 14 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 6 + 3 + 1 + 4 + 2 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1508837212 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669465704 | DR. GAROLD LEWIS TIMMONS OD Individual | Optometrist | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1497726103 | THOMAS BOCHOW M.D., M.P.H. Individual | Ophthalmology | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1831160548 | CURTIS JEFFREY PENNELL M.D. Individual | Ophthalmology | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1194796805 | RONALD J PINKENBURG M.D. Individual | Ophthalmology | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1164493730 | CAREY G PRATER O.D. Individual | Optometrist | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1922079466 | JON T SCHREIBER M.D. Individual | Ophthalmology | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1912978453 | JEFFREY P WICK M.D. Individual | Ophthalmology | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1497806251 | GREGORY D KIBLINGER M.D. Individual | Ophthalmology | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1407172828 | AUSTIN THOMAS LASH M.D. Individual | Ophthalmology | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1396523775 | COY WEEMS Individual | Hearing Instrument Specialist | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1912923590 | EAST TEXAS EYE CARE ASSOCIATES PLLC Organization | Technician/Technologist (Optician) | 2440 E 5TH ST TYLER, TX 75701 (903) 526-2020 |
| 1255968665 | DR. SAMAREH CUNNINGHAM AZAR MD Individual | Ophthalmology | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1154328870 | DR. JOSHUA S HOOPER OD Individual | Optometrist | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
| 1427029024 | EAST TEXAS EYE CARE ASSOCIATES PLLC Organization | Ophthalmology | 2440 E 5TH ST TYLER, TX 75701 (903) 595-0500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508837212, enumerated in the NPI registry as an "individual" on January 30, 2006
The provider is located at 2440 E 5th St Tyler, Tx 75701 and the phone number is (903) 595-0500
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
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.
This NPI record was last updated on January 30, 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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