RICHARD D WELCH M.D.
NPI 1942208061
Family Medicine in Bowling Green, KY


Quality Rating: 91.3 out of 100 score

NPI Status: Active since July 12, 2005

Contact Information

990 WILKINSON TRCE
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 781-4043
Fax: (270) 781-4196

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  • Individual
  • Male
  • Family Medicine

About RICHARD WELCH

This page provides the complete NPI Profile along with additional information for Richard Welch, a primary care provider established in Bowling Green, Kentucky with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1942208061 assigned on July 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 33587 (KY). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1942208061
Provider Name
RICHARD D WELCH M.D.
Gender
Male
Entity Type
Individual
Location Address
990 WILKINSON TRCE BOWLING GREEN, KY 42103
Location Phone
(270) 781-4043
Location Fax
(270) 781-4196
Mailing Address
990 WILKINSON TRCE BOWLING GREEN, KY 42103
Mailing Phone
(270) 781-4043
Mailing Fax
(270) 781-4196
Is Sole Proprietor?
No
Enumeration Date
07-12-2005
Last Update Date
01-22-2010
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A primary care provider (PCP) like Richard Welch sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
33587
License State
KY
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
64353873MEDICAID (05)KY 
G20797MEDICARE UPIN (02)KY 
1701801MEDICARE ID-TYPE UNSPECIFIED (04)KY 

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 91.3, 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: 91.3 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: 84.68

    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: 96.52

    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.

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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.
1942208061
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29824016012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 4 + 0 + 1 + 6 + 0 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1942208061 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912905985 ASHLEY J BENNETT M.D.
Individual
Family Medicine990 WILKINSON TRCE
BOWLING GREEN, KY 42103
(270) 781-4043
1164420170 JUDITH A WADDELL ARNP
Individual
Nurse Practitioner990 WILKINSON TRCE
BOWLING GREEN, KY 42103
(270) 781-4043
1407847452DR. MARC F HIRSCH MD
Individual
Family Medicine990 WILKINSON TRCE SUITE 100
BOWLING GREEN, KY 42103
(270) 781-4043
1952583551SLEEP BETTER, PLC
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)990 WILKINSON TRCE STE. 201A
BOWLING GREEN, KY 42103
(270) 793-2419
1710219019SOUTHERN KENTUCKY MEDICINE ASSOCIATES, LLC
Organization
Specialist990 WILKINSON TRCE SUITE 100
BOWLING GREEN, KY 42103
(270) 781-4043
1568889954 PETER JAMES GAGNON DPT
Individual
Physical Therapist990 WILKINSON TRCE SUITE B1
BOWLING GREEN, KY 42103
(270) 781-8040
1356785141DR. AMY CARTER GEARLDS D.O.
Individual
Family Medicine990 WILKINSON TRCE
BOWLING GREEN, KY 42103
(270) 781-4043
1467450635 JOHN D. GOVER M.D.
Individual
Internal Medicine990 WILKINSON TRCE
BOWLING GREEN, KY 42103
(270) 781-4043
1033590542DR. CHASE ANDREW BELILES MD
Individual
Family Medicine990 WILKINSON TRCE
BOWLING GREEN, KY 42103
(270) 781-4043
1639173495DR. HOPE HAVENER M.D.
Individual
Internal Medicine990 WILKINSON TRCE
BOWLING GREEN, KY 42103
(270) 782-4746
1710906078MISS NATALIE L BRYANT APRN
Individual
Nurse Practitioner990 WILKINSON TRCE
BOWLING GREEN, KY 42103
(270) 782-4746
1134527328 ASHLEY NICOLE ALLEN APRN
Individual
Nurse Practitioner (Family)990 WILKINSON TRCE
BOWLING GREEN, KY 42103
(270) 782-4746
1992120075 JAYME LAUREN DAVIS-WADDELL NP-C
Individual
Nurse Practitioner (Family)990 WILKINSON TRCE
BOWLING GREEN, KY 42103
(270) 781-4043

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942208061, enumerated in the NPI registry as an "individual" on July 12, 2005

The provider is located at 990 Wilkinson Trce Bowling Green, Ky 42103 and the phone number is (270) 781-4043

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

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 July 12, 2005. 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.