JEFFREY D BARIL PT
NPI 1588992788
Physical Therapist in Houghton, MI
Quality Rating: 69.97 out of 100 score
NPI Status: Active since November 27, 2009
Contact Information
1000 CEDAR ST
HOUGHTON, MI
ZIP 49931
Phone: (906) 487-1710
Fax: (906) 487-9421
- Individual
- Male
- Physical Therapist
- Accepts Insurance
About JEFFREY BARIL
This page provides the complete NPI Profile along with additional information for Jeffrey Baril, a provider established in Houghton, Michigan with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1588992788 assigned on November 2009. The practitioner's primary taxonomy code is 225100000X with license number 5501014306 (MI). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1588992788
- Provider Name
- JEFFREY D BARIL PT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1000 CEDAR ST HOUGHTON, MI 49931
- Location Phone
- (906) 487-1710
- Location Fax
- (906) 487-9421
- Mailing Address
- 205 OSCEOLA ST LAURIUM, MI 49913
- Mailing Phone
- (906) 337-6591
- Mailing Fax
- (906) 487-9421
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-27-2009
- Last Update Date
- 02-09-2015
- Code Navigator
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
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 5501014306
- License State
- MI
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- Premier HMO $3,300 - 30% HDHP - HMO
- Premier HMO $3,500 - 30% - HMO
- Premier HMO $3,500 HDHP - HMO
- Premier HMO $4,000 - 20% HDHP - HMO
- Premier HMO $5,000 - 20% HDHP - HMO
- Premier HMO $5,500 - 30% Copay - HMO
- Premier HMO $7,050 HDHP - HMO
- Premier HMO $750 - 10% - HMO
- Premier HMO $9,100 - HMO
- Premier POS $1,500 - 30% - POS
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 |
|---|---|---|---|
| MI2459005 | MEDICARE PIN (08) | MI |
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 69.97, 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: 69.97 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.
-
Quality Score: 81.29
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: 18.62
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: 18.62
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.
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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 | 8 | 8 | 9 | 9 | 2 | 7 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 18 | 9 | 4 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 8 + 9 + 4 + 7 + 1 + 6 + 24 = 82 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 82 = 8 | 8 | ||||||||
The NPI number 1588992788 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 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437242492 | MRS. PERIANN G WASIE FNP Individual | Nurse Practitioner (Family) | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1629475918 | SARAH MARIE VERBERKMOES PT Individual | Physical Therapist | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 337-1710 |
| 1518355494 | DEREK BUSTOS P.T. Individual | Physical Therapist | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1821326174 | SHARON A FISHER OT Individual | Occupational Therapist | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1518268259 | CORIN S SWARTZ PT Individual | Physical Therapist | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1235556101 | ASPIRUS KEWEENAW ENTERPRISES INC Organization | Pharmacy (Community/Retail Pharmacy) | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 231-8009 |
| 1558713891 | MRS. JESSICA L HARJU OT Individual | Occupational Therapist | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1356972020 | PEGGY GROENEVELD PHARMD Individual | Pharmacist | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 231-8009 |
| 1265943401 | LAUREN SIREN CCC-SLP Individual | Speech-Language Pathologist | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1548262702 | DR. MARILYNN S. DEWALD M.D. Individual | Family Medicine | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1588355739 | BLAKE DUPUIS PT, DPT Individual | Physical Therapist | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1215092572 | ASPIRUS KEWEENAW Organization | Clinic/Center (Rural Health) | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1821497579 | ASPIRUS KEWEENAW Organization | Ophthalmology | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 482-5230 |
| 1689404717 | BELLA LUISA NUTINI PA-C Individual | Physician Assistant (Medical) | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
| 1245057611 | MS. SANDRA L. COPPO MSW Individual | Social Worker | 1000 CEDAR ST HOUGHTON, MI 49931 (906) 487-1710 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588992788, enumerated in the NPI registry as an "individual" on November 27, 2009
The provider is located at 1000 Cedar St Houghton, Mi 49931 and the phone number is (906) 487-1710
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. 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 November 27, 2009. 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.