MR. ANDREW C SMITH MD
NPI 1568451367
Family Medicine in Guttenberg, IA
Quality Rating: 85.58 out of 100 score
NPI Status: Active since October 14, 2005
Contact Information
200 MAIN ST
GUTTENBERG, IA
ZIP 52052
Phone: (563) 252-2141
Fax: (563) 252-9013
- Individual
- Male
- Family Medicine
- Accepts Insurance
About ANDREW SMITH
This page provides the complete NPI Profile along with additional information for Andrew Smith, a primary care provider established in Guttenberg, Iowa with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1568451367 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 22622 (IA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1568451367
- Provider Name
- MR. ANDREW C SMITH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 MAIN ST GUTTENBERG, IA 52052
- Location Phone
- (563) 252-2141
- Location Fax
- (563) 252-9013
- Mailing Address
- PO BOX 550 GUTTENBERG, IA 52052
- Mailing Phone
- (563) 252-2141
- Mailing Fax
- (563) 252-9013
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-14-2005
- Last Update Date
- 03-07-2023
- Code Navigator
A primary care provider (PCP) like Andrew Smith 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.
- 22622
- License State
- IA
- 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:
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - 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 |
---|---|---|---|
0027995 | MEDICAID (05) | IA |
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.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 16 times for 15 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 85.58, 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: 85.58 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: 83.28
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: 74.52
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 MR. ANDREW C SMITH MD
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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 | 6 | 8 | 4 | 5 | 1 | 3 | 6 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 12 | 8 | 8 | 5 | 2 | 3 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 2 + 8 + 8 + 5 + 2 + 3 + 1 + 2 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1568451367 is valid because the calculated check digit 7 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 |
---|---|---|---|
1750561718 | MRS. JO ANN JANSSEN PHYSICAL THERAPIST Individual | Physical Therapist | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-3164 |
1841666856 | ANNA SVENNUNGSEN ARNP Individual | Nurse Practitioner (Primary Care) | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-2141 |
1053869891 | SHELLY JO KLEIN DNP Individual | Nurse Practitioner (Family) | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-1121 |
1295170710 | VICTORIA ROSE VARO PHARM.D Individual | Pharmacist | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-1121 |
1437510575 | HARTIG DRUG CO CORP Organization | Pharmacy (Community/Retail Pharmacy) | 200 MAIN ST SUITE 1 GUTTENBERG, IA 52052 (563) 946-7515 |
1134780141 | DR. TAYLOR NICOLE GRINSTEAD DNP Individual | Nurse Practitioner (Family) | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-2141 |
1619485638 | MS. SYDNEY ELIZABETH PIRILLO LAT, ATC, PTA Individual | Specialist/Technologist (Athletic Trainer) | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-5527 |
1295724037 | MR. JEFFREY J HOFFMANN DO Individual | Family Medicine | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-2141 |
1679562474 | MR. ROBERT J MERRICK MD Individual | Family Medicine | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-2141 |
1942204300 | DANIEL A MANSFIELD M.D. Individual | Surgery | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-1121 |
1205604915 | JOEL GOURLEY Individual | Physical Therapist | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-5527 |
1235596800 | GUTTENBERG MUNICIPAL HOSPITAL Organization | Non-Pharmacy Dispensing Site | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-1121 |
1386679793 | GUTTENBERG MUNICIPAL HOSPITAL Organization | Surgery | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-1121 |
1538337274 | GUTTENBERG MUNICIPAL HOSPITAL Organization | Emergency Medicine | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-1121 |
1932139359 | GUTTENBERG MUNICIPAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-1121 |
1972855286 | GUTTENBERG MUNICIPAL HOSPITAL Organization | Clinic/Center (Rural Health) | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-1121 |
1477867026 | AMBER M JAEGER ARNP Individual | Nurse Practitioner (Family) | 200 MAIN ST GUTTENBERG, IA 52052 (563) 252-1121 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568451367, enumerated in the NPI registry as an "individual" on October 14, 2005
The provider is located at 200 Main St Guttenberg, Ia 52052 and the phone number is (563) 252-2141
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Oscar Health Plan, Inc., Medicare and Medicaid. 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.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes.
This NPI record was last updated on October 14, 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].
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.