DR. MEGAN SARA OXLEY M.D.
NPI 1922236710
Emergency Medicine in Detroit, MI
NPI Status: Active since June 30, 2009
- Individual
- Female
- Emergency Medicine
- Accepts Insurance
- Opted-Out Medicare
- Medicare Quality Reporting
About MEGAN OXLEY
This page provides the complete NPI Profile along with additional information for Megan Oxley, a provider established in Detroit, Michigan with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1922236710 assigned on June 2009. The practitioner's primary taxonomy code is 207P00000X with license number 4301094840 (MI). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1922236710
- Provider Name
- DR. MEGAN SARA OXLEY M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6071 W OUTER DR DETROIT, MI 48235
- Location Phone
- (313) 966-3300
- Mailing Address
- 6071 W OUTER DR DETROIT, MI 48235
- Mailing Phone
- (313) 966-3300
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-30-2009
- Last Update Date
- 10-30-2023
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Megan Oxley opted out of Medicare effective on 11-05-2020 until 11-05-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301094840
- License State
- MI
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 4301094840 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-05-2020
Opt-Out End Date: 11-05-2026
Eligible to Order and Refer? No
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 |
|---|---|---|
| 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 | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| 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. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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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 | 9 | 2 | 2 | 2 | 3 | 6 | 7 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 4 | 3 | 12 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 4 + 3 + 1 + 2 + 7 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1922236710 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1205836806 | SELECT SPECIALTY HOSPITAL - NORTHWEST DETROIT INC Organization | Long Term Care Hospital | 6071 W OUTER DR 7TH FLOOR DETROIT, MI 48235 (313) 966-4797 |
| 1346216744 | THOMAS BAKER CRNA Individual | Nurse Anesthetist, Certified Registered | 6071 W OUTER DR DETROIT, MI 48235 (952) 442-9770 |
| 1174590384 | MR. DAVID CHRISTOPHER MILLER PA-C Individual | Physician Assistant | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3250 |
| 1447219670 | DR. REGINA T NOACK M.D. Individual | Emergency Medicine | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3300 |
| 1528037785 | DR. ALLISON LEVI M.D. Individual | Emergency Medicine (Emergency Medical Services) | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3300 |
| 1487623617 | DR. MARC-ANTHONY Q VELILLA M.D. Individual | Emergency Medicine | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3300 |
| 1558320598 | DR. ANN MARIE GARRITANO M.D. Individual | Emergency Medicine | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3300 |
| 1497714265 | DR. CLAUDIA I WHITAKER M.D. Individual | Emergency Medicine | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3300 |
| 1427018225 | DR. MELISSA A BARTON M.D. Individual | Emergency Medicine | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3300 |
| 1902866734 | DR. REGINALD J EADIE M.D. Individual | Emergency Medicine (Emergency Medical Services) | 6071 W OUTER DR DETROIT, MI 48235 (313) 745-2780 |
| 1760442586 | DR. MARK W BRAUTIGAN M.D. Individual | Emergency Medicine | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3300 |
| 1871553404 | DR. HAROLD S DERSTINE M.D. Individual | Emergency Medicine | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3300 |
| 1003877424 | DR. MATTHEW J GRIFFIN M.D. Individual | Emergency Medicine | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-3300 |
| 1346201399 | BEVELY ROBERTS CRNA Individual | Nurse Anesthetist, Certified Registered | 6071 W OUTER DR DETROIT, MI 48235 (952) 442-9770 |
| 1780645630 | SINAI HOSPITAL OF GREATER DETROIT Organization | General Acute Care Hospital | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-2026 |
| 1528022118 | SINAI HOSPITAL OF GREATER DETROIT Organization | Psychiatric Unit | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-2026 |
| 1447215538 | GRACE UNIVERSITY MEDICAL GROUP Organization | Internal Medicine | 6071 W OUTER DR DEPT OF MEDICINE 4TH FLOOR DETROIT, MI 48235 (313) 966-4946 |
| 1003873076 | ZAKLINA DENDOOVEN CRNA Individual | Nurse Anesthetist, Certified Registered | 6071 W OUTER DR DETROIT, MI 48235 (952) 442-9770 |
| 1801853767 | SINAI HOSPITAL OF GREATER DETROIT Organization | Rehabilitation Unit | 6071 W OUTER DR DETROIT, MI 48235 (313) 966-2026 |
| 1528025343 | DEBORAH RYKALSKY CRNA Individual | Nurse Anesthetist, Certified Registered | 6071 W OUTER DR DETROIT, MI 48235 (952) 442-9770 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922236710, enumerated in the NPI registry as an "individual" on June 30, 2009
The provider is located at 6071 W Outer Dr Detroit, Mi 48235 and the phone number is (313) 966-3300
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on November 05, 2020 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 05, 2026.
This NPI record was last updated on June 30, 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].
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