JAMES TARPLEY MSN, CRNA
NPI 1760499024
Nurse Anesthetist, Certified Registered in San Antonio, TX


Quality Rating: 88.64 out of 100 score

NPI Status: Active since August 01, 2006

Contact Information

7703 FLOYD CURL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 257-1400
Fax: (210) 257-1428

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  • Individual
  • Male
  • Years of Experience 39
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JAMES TARPLEY

This page provides the complete NPI Profile along with additional information for James Tarpley, a provider established in San Antonio, Texas with a medical specialization in Nurse Anesthetist, Certified Registered and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1760499024 assigned on August 2006. The practitioner's primary taxonomy code is 367500000X with license number 254684 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1760499024
Provider Name
JAMES TARPLEY MSN, CRNA
Gender
Male
Entity Type
Individual
Location Address
7703 FLOYD CURL DR SAN ANTONIO, TX 78229
Location Phone
(210) 257-1400
Location Fax
(210) 257-1428
Mailing Address
7703 FLOYD CURL DR SAN ANTONIO, TX 78229
Mailing Phone
(210) 257-1400
Mailing Fax
(210) 257-1428
Medical School Name
OTHER
Graduation Year
1987
Is Sole Proprietor?
No
Enumeration Date
08-01-2006
Last Update Date
05-06-2009
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
254684
License State
TX
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

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
  • MyBlue Health Bronze? 402 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - 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
8L11019MEDICARE PIN (08)TX 
82083CMEDICARE PIN (08)TX 
109838603MEDICAID (05)TX 
430015818MEDICARE PIN (08)TX 
66804OTHER (01)TXCIDC

Medicare Participation & PECOS Enrollment Status

James Tarpley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7810063906

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080915000444

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.6 for a new patient copayment and $17.13 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 78229 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.4
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $31.6
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.55
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $17.13
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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 88.64, 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: 88.64 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: 71.8

    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: 69.07

    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: 69.07

    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.
1760499024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120891804
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 9 + 1 + 8 + 0 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1760499024 is valid because the calculated check digit 4 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
1619974912DR. LAURAJO RYAN PHARM.D.
Individual
Pharmacist (Pharmacotherapy)7703 FLOYD CURL DR MSC 6220
SAN ANTONIO, TX 78229
(210) 567-8320
1689671927DR. ROBERT LESLIE TALBERT ROBERT TALBERT
Individual
Pharmacist (Pharmacotherapy)7703 FLOYD CURL DR MSC 6220
SAN ANTONIO, TX 78229
(210) 567-8318
1396742417DR. STEPHEN R SAKLAD PHARM.D., BCPP
Individual
Pharmacist (Psychiatric)7703 FLOYD CURL DR MSC 6220
SAN ANTONIO, TX 78229
(210) 567-8355
1710987516DR. JIMMIE L BURK JR. DDS
Individual
Dentist (Oral and Maxillofacial Surgery)7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
(210) 567-3462
1447250212 ERNEST ERIC VALDEZ DDS
Individual
Dentist7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
(210) 567-3470
1073513347 JAMES MICHAEL STARTZELL DMD, MS
Individual
Dentist (Oral and Maxillofacial Surgery)7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
(210) 567-3460
1245231810 DAVID GEORGE LEIBOLD DDS MD
Individual
Dentist (Oral and Maxillofacial Surgery)7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
(210) 567-3477
1285636944DR. CONSTANCE MARIE BARONE M.D.
Individual
Plastic Surgery7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
(210) 567-6936
1871585927 RONALD COULTER KING DDS MS
Individual
Dentist (Oral and Maxillofacial Surgery)7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
(210) 567-3477
1235110966MR. SHAWN DOUGLAS HAREN CRNA
Individual
Nurse Anesthetist, Certified Registered7703 FLOYD CURL DR MC7977
SAN ANTONIO, TX 78229
(210) 257-1400
1669458485DR. ADAM V RATNER M.D.
Individual
Radiology (Diagnostic Radiology)7703 FLOYD CURL DR MC 7800
SAN ANTONIO, TX 78229
(210) 756-7648
1730167966DR. DONALD DOUGLAS MCGEARY JR. PH.D.
Individual
Psychologist (Clinical)7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
(210) 567-5555
1134108111DR. JEFFREY CALDWELL MABRY D.D.S.
Individual
Dentist (Pediatric Dentistry)7703 FLOYD CURL DR MAIL CODE 7888
SAN ANTONIO, TX 78229
(210) 567-0146
1114991627DR. EDDIE MICHAEL CORTEZ D.D.S.
Individual
Dentist (General Practice)7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
(210) 567-3245
1285602565DR. ALAIN CATALIN MITA MD
Individual
Internal Medicine (Medical Oncology)7703 FLOYD CURL DR MC 7977
SAN ANTONIO, TX 78229
(210) 257-1400
1912976689DR. LESLIE S STAUDT MD
Individual
Internal Medicine (Rheumatology)7703 FLOYD CURL DR MAIL CODE 7874
SAN ANTONIO, TX 78229
(210) 567-4658
1154383248 MARTHA PETERSON SCHATZ MD
Individual
Ophthalmology7703 FLOYD CURL DR UTHSCSA OPHTHALMOLOGY
SAN ANTONIO, TX 78229
(210) 567-8400
1699737437DR. MICHAEL D BERKUS MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)7703 FLOYD CURL DR DEPT OB/GYN
SAN ANTONIO, TX 78229
(210) 614-2209
1225091952 JORGE E LOPERA MD
Individual
Radiology (Vascular & Interventional Radiology)7703 FLOYD CURL DR MAIL CODE 7800
SAN ANTONIO, TX 78229
(210) 567-5564
1346204799DR. RICHARD MATTHEW PETERSON M.D., M.P.H.
Individual
Surgery7703 FLOYD CURL DR MC 7840
SAN ANTONIO, TX 78229
(210) 567-5730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760499024, enumerated in the NPI registry as an "individual" on August 01, 2006

The provider is located at 7703 Floyd Curl Dr San Antonio, Tx 78229 and the phone number is (210) 257-1400

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 39 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Molina. 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: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $126.4 with an average copayment of $31.6 for new patient appointments. Established patients should expect a typical charge of $68.55 and an average copayment of 17.13. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 01, 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.