DOUGLAS ZIPRICK MD
NPI 1568518488
Internal Medicine in Victorville, CA
Quality Rating: 77.27 out of 100 score
NPI Status: Active since January 25, 2007
Contact Information
16850 BEAR VALLEY RD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 241-8000
- Individual
- Male
- Internal Medicine
- Medicare Quality Reporting
About DOUGLAS ZIPRICK
This page provides the complete NPI Profile along with additional information for Douglas Ziprick, an internist established in Victorville, California with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1568518488 assigned on January 2007. The practitioner's primary taxonomy code is 207R00000X with license number G19521 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1568518488
- Provider Name
- DOUGLAS ZIPRICK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 16850 BEAR VALLEY RD VICTORVILLE, CA 92395
- Location Phone
- (760) 241-8000
- Mailing Address
- 16850 BEAR VALLEY RD VICTORVILLE, CA 92395
- Mailing Phone
- (760) 241-8000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-25-2007
- Last Update Date
- 10-22-2013
- Code Navigator
An internist like Douglas Ziprick 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
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G19521
- License State
- CA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
*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 |
|---|---|---|---|
| 060027203 | OTHER (01) | CA | RAILROAD |
| 00G195210 | MEDICAID (05) | CA | |
| A40679 | MEDICARE UPIN (02) | CA | |
| 00G195210 | MEDICARE PIN (08) | CA |
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 77.27, 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: 77.27 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: 64.03
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: N/A
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: 56.86
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: 56.86
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.
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 |
|---|---|---|
| Care Plan | 100% | 291 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Care transition standard operational improvements | Yes | N/A |
| Establish standard operations to manage transitions of care that could include one or more of the following: Establish formalized lines of communication with local settings in which empaneled patients receive care to ensure documented flow of information and seamless transitions in care; and/or Partner with community or hospital-based transitional care services. | ||
| Colorectal Cancer Screening | 4% | 162 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Improved Practices that Disseminate Appropriate Self-Management Materials | Yes | N/A |
| Provide self-management materials at an appropriate literacy level and in an appropriate language. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
| Use of High-Risk Medications in the Elderly | 1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 116 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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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 | 5 | 1 | 8 | 4 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 10 | 1 | 16 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 0 + 1 + 1 + 6 + 4 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1568518488 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932104908 | RENAISSANCE RADIOLOGY MEDICAL GROUP, INC. Organization | Radiology (Diagnostic Radiology) | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1568428001 | LUIS LEON P.A. Individual | Physician Assistant | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1174574404 | PETER LUE MD Individual | Hospitalist | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1699726943 | GLADYS C TANINGCO MD Individual | Internal Medicine | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1639120736 | MR. PREM REDDY M.D. Individual | Internal Medicine (Cardiovascular Disease) | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1356362966 | ROBERT M BEARMAN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1770595993 | KENT LYLE SERIGHT PT Individual | Physical Therapist | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1023121217 | CHARBEL AOUN MD Individual | Internal Medicine | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1225123979 | ROBERT M BEARMAN MD INC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1679669774 | ROBERT EUGENE ALLEN PA Individual | Physician Assistant | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1457431371 | LORRAINE IBARRA PA Individual | Physician Assistant | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1942380852 | ROBERT HALLWORTH DO Individual | Anesthesiology | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1639227200 | GEORGE M TURNER DO Individual | Anesthesiology | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1760531602 | MAHIMA REDDY PA Individual | Physician Assistant | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1285780197 | RAAFAT WASSEF MD Individual | Emergency Medicine | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1952591133 | RUTH M MCMULLEN RN, BA, CDE Individual | Registered Nurse (Diabetes Educator) | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1326295288 | AI-JEN WANG M.D. Individual | Internal Medicine | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1629391867 | DIANE CAROLYN MERCER Individual | Speech-Language Pathologist | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
| 1407191356 | HIGH DESERT PATHOLOGY MEDICAL GROUP Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 843-6262 |
| 1821019449 | KHALED AHMAD SANADIKI MD Individual | Pediatrics | 16850 BEAR VALLEY RD VICTORVILLE, CA 92395 (760) 241-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568518488, enumerated in the NPI registry as an "individual" on January 25, 2007
The provider is located at 16850 Bear Valley Rd Victorville, Ca 92395 and the phone number is (760) 241-8000
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: 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 January 25, 2007. 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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