ALFREDO RAMON ABUD MD
NPI 1639115819
Surgery - Vascular Surgery in Trenton, NJ


Quality Rating: 100 out of 100 score

NPI Status: Active since June 22, 2006

Contact Information

832 BRUNSWICK AVE
TRENTON, NJ
ZIP 08638
Phone: (609) 394-6012
Fax: (609) 537-6002

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  • Individual
  • Male
  • Surgery
  • Vascular Surgery
  • Medicare Quality Reporting

About ALFREDO ABUD

This page provides the complete NPI Profile along with additional information for Alfredo Abud, a provider established in Trenton, New Jersey with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1639115819 assigned on June 2006. The practitioner's primary taxonomy code is 2086S0129X with license number 25MA03600000 (NJ). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1639115819
Provider Name
ALFREDO RAMON ABUD MD
Gender
Male
Entity Type
Individual
Location Address
832 BRUNSWICK AVE TRENTON, NJ 08638
Location Phone
(609) 394-6012
Location Fax
(609) 537-6002
Mailing Address
PO BOX 8500-8582 PHILADELPHIA, PA 19178
Mailing Phone
(609) 815-7810
Mailing Fax
(609) 537-6002
Is Sole Proprietor?
No
Enumeration Date
06-22-2006
Last Update Date
12-04-2020
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
25MA03600000
License State
NJ
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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
0103654000OTHER (01)AMERI HEALTH
95983785CMEDICAID (05)NJ 
F17068OTHER (01)HEALTHNET
24723OTHER (01)AMERI GROUP
133821OTHER (01)CHN

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 100, 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: 100 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: 84.07

    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.

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
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Documentation of Current Medications in the Medical Record 100% 898
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
Falls: Screening for Future Fall Risk 92% 127
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/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.
Medication Reconciliation 100% 423
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 72% 494
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.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 41% 441
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78% 92
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 51% 494
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.
Secure Messaging 10% 494
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/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 ReportingYesN/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.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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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.
1639115819
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669211082
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 1 + 1 + 0 + 8 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1639115819 is valid because the calculated check digit 9 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
1003879107DR. GIA FRUSCIONE D.P.T.
Individual
Physical Therapist (Orthopedic)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 278-5482
1508926833MS. KATHLEEN C GAFFNEY RN, CPNP, MSN (APRN)
Individual
Nurse Practitioner (Pediatrics)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-8877
1295883825 VIRGINIA GASKEL DO
Individual
Family Medicine832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 815-7815
1932323466MS. CHERYL NAWOJ LCSW
Individual
Social Worker (Clinical)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-8877
1720205305 GAIL MIZSUR
Individual
Registered Nurse (Psychiatric/Mental Health)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-8877
1376761759 JANE MATHESON HULL MS., LPC
Individual
Counselor (Professional)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-8877
1073734646 STEPHANIE SPARACIO LSW
Individual
Social Worker832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-8877
1033327226 MARINA GRINBERG LPC
Individual
Counselor832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-8877
1669673984MISS BARBARA TERESA DIAZ LCSW
Individual
Social Worker (Clinical)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-8877
1699958504GREATER TRENTON BEHAVIORAL HEALTHCARE
Organization
Community/Behavioral Health832 BRUNSWICK AVE 2ND FLOOR
TRENTON, NJ 08638
(609) 396-8877
1467623223 CAROLINE WASHINGTON MSW, LCSW
Individual
Social Worker (Clinical)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-8877
1306355748CATHOLIC CHARITIES DIOCESE OF TRENTON
Organization
Counselor (Mental Health)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 394-3202
1760798599MRS. LUZENEIDA LEWIS APN-C
Individual
Nurse Practitioner (Family)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 815-7400
1053899294DR. RIMA JANI PHARMD, RPH
Individual
Pharmacist (Ambulatory Care)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 815-7400
1780668889 NIVEEN HANNA M.D.
Individual
Surgery (Trauma Surgery)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-2600
1649228065DR. DOMINICK J EBOLI M.D.
Individual
Surgery832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-2600
1730134826 KHURRAM ZUBAIR MD
Individual
Internal Medicine832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 815-7400
1447266028 ERIC I SCHWARTZ MD
Individual
Internal Medicine832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 815-7400
1255480919 DENNIS P QUINLAN JR MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-2600
1730330861DR. MICHAEL E. KELLY D.O.
Individual
Surgery832 BRUNSWICK AVE
TRENTON, NJ 08638
(609) 396-2600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639115819, enumerated in the NPI registry as an "individual" on June 22, 2006

The provider is located at 832 Brunswick Ave Trenton, Nj 08638 and the phone number is (609) 394-6012

The provider's speciality is Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

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.

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 June 22, 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].
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.