ANDREW RYAN NAYLOR DPT
NPI 1811294259
Physical Therapist in Cincinnati, OH


Quality Rating: 92 out of 100 score

NPI Status: Active since February 22, 2011

Contact Information

500 E BUSINESS WAY
SUITE C
CINCINNATI, OH
ZIP 45241
Phone: (513) 354-3700
Fax: (513) 389-3665

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  • Individual
  • Male
  • Physical Therapist
  • Accepts Insurance

About ANDREW NAYLOR

This page provides the complete NPI Profile along with additional information for Andrew Naylor, a provider established in Cincinnati, Ohio with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1811294259 assigned on February 2011. The practitioner's primary taxonomy code is 225100000X with license number 13712-24 (WI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1811294259
Provider Name
ANDREW RYAN NAYLOR DPT
Gender
Male
Entity Type
Individual
Location Address
500 E BUSINESS WAY SUITE C CINCINNATI, OH 45241
Location Phone
(513) 354-3700
Location Fax
(513) 389-3665
Mailing Address
744 S WEBSTER AVE GREEN BAY, WI 54301
Mailing Phone
(920) 445-7226
Mailing Fax
(513) 389-3665
Is Sole Proprietor?
No
Enumeration Date
02-22-2011
Last Update Date
12-22-2021
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
13712-24
License State
WI
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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5400 for HSA - HMO
  • Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 35 times for 14 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 58 times for 18 patients

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 92, 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: 92 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: 85.02

    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: 94.8

    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 ANDREW RYAN NAYLOR DPT

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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.
1811294259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821498210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 4 + 9 + 8 + 2 + 1 + 0 + 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 1811294259 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
1861487928MS. MELISSA HUEY ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)500 E BUSINESS WAY SUITE C
CINCINNATI, OH 45241
(513) 389-3665
1689664476DR. JOHN WILLIAM WOLF JR. M.D.
Individual
Orthopaedic Surgery500 E BUSINESS WAY SUITE A
CINCINNATI, OH 45241
(513) 354-3700
1184838195 SHAWN M LONG P.T.
Individual
Physical Therapist500 E BUSINESS WAY SUITE C
CINCINNATI, OH 45241
(513) 389-3666
1528250859MR. THOMAS A JOHNSON P.T.
Individual
Physical Therapist500 E BUSINESS WAY SUITE C
CINCINNATI, OH 45241
(513) 389-3666
1205029246 DANIEL KEEGAN BOLGER MPT
Individual
Physical Therapist500 E BUSINESS WAY SUITE C
CINCINNATI, OH 45241
(513) 389-3666
1134448749MR. JOSEPH ANDREW LUCAS JR. ATC
Individual
Specialist/Technologist (Athletic Trainer)500 E BUSINESS WAY
CINCINNATI, OH 45241
(513) 354-3700
1750699245 KRISTIN KAY VANBOCKEL PA-C
Individual
Physician Assistant (Surgical)500 E BUSINESS WAY SUITE A
CINCINNATI, OH 45241
(513) 354-3700
1053612747 CLINTON BARTLETT WHEELER PA-C
Individual
Physician Assistant (Surgical)500 E BUSINESS WAY SUITE A
CINCINNATI, OH 45241
(513) 354-3700
1871898940 GLENNA J KNAPP ATC;PNMT;EMT
Individual
Mechanotherapist500 E BUSINESS WAY
CINCINNATI, OH 45241
(513) 543-2358
1477543254DR. ORAN DANIEL FOX M.D.
Individual
Orthopaedic Surgery500 E BUSINESS WAY SUITE A
CINCINNATI, OH 45241
(513) 354-3700
1780793315 SCOTT BRYAN BUCHANAN MPT/ATC
Individual
Physical Therapist500 E BUSINESS WAY SUITE C
CINCINNATI, OH 45241
(513) 389-3666
1821242843MRS. NATALIE ROBYN MATHEVY RNFA
Individual
Registered Nurse (Registered Nurse First Assistant)500 E BUSINESS WAY SUITE A
CINCINNATI, OH 45241
(513) 354-3700
1992938211 BRITTANY ANN STOUT PA-C
Individual
Physician Assistant (Surgical)500 E BUSINESS WAY
CINCINNATI, OH 45241
(513) 354-3700
1134452907MISS EMILY J SUMNER DPT
Individual
Physical Therapist500 E BUSINESS WAY SUITE C
CINCINNATI, OH 45241
(513) 389-3666
1730460825MRS. MARISA LAUREN HIMMLER ATC
Individual
Specialist/Technologist (Athletic Trainer)500 E BUSINESS WAY
CINCINNATI, OH 45241
(614) 679-5271
1346473162 KRISTI MARIE LINK PT, DPT, AT
Individual
Physical Therapist (Orthopedic)500 E BUSINESS WAY SUITE C
CINCINNATI, OH 45241
(513) 389-3666
1568803195MR. JARED LEFEVER ATC
Individual
Specialist/Technologist (Athletic Trainer)500 E BUSINESS WAY
CINCINNATI, OH 45241
(513) 389-3666
1023048352DR. MICHAEL T ROHMILLER M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)500 E BUSINESS WAY SUITE A
CINCINNATI, OH 45241
(513) 354-3700
1386920197 CHARLES G COFFARO PA-C
Individual
Physician Assistant500 E BUSINESS WAY SUITE A
CINCINNATI, OH 45241
(513) 354-3700
1407067192MRS. SUSAN MARTHA HEYOB OTRL
Individual
Occupational Therapist500 E BUSINESS WAY
CINCINNATI, OH 45241
(513) 574-5400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811294259, enumerated in the NPI registry as an "individual" on February 22, 2011

The provider is located at 500 E Business Way Suite C Cincinnati, Oh 45241 and the phone number is (513) 354-3700

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and CareSource. 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.

The most common procedures or services performed by this practitioner are: Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes and Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes.

This NPI record was last updated on February 22, 2011. 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.