DR. GLENN ERIC WALDMAN M.D.
NPI 1881665586
Specialist in Thousand Oaks, CA
Quality Rating: 98.44 out of 100 score
NPI Status: Active since January 30, 2006
Contact Information
415 ROLLING OAKS DR
SUITE 190
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 494-4797
Fax: (805) 494-4810
- Individual
- Male
- Years of Experience 29
- Specialist
- PECOS Enrolled
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About GLENN WALDMAN
Glenn Waldman is a provider established in Thousand Oaks, California and his medical specialization is Specialist with more than 29 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 1995. The healthcare provider is registered in the NPI registry with number 1881665586 assigned on January 2006. The practitioner's primary taxonomy code is 174400000X with license number A62183 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1881665586
- Provider Name
- DR. GLENN ERIC WALDMAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 415 ROLLING OAKS DR SUITE 190 THOUSAND OAKS, CA 91361
- Location Phone
- (805) 494-4797
- Location Fax
- (805) 494-4810
- Mailing Address
- 415 ROLLING OAKS DR SUITE 190 THOUSAND OAKS, CA 91361
- Mailing Phone
- (805) 494-4797
- Mailing Fax
- (805) 494-4810
- Medical School Name
- UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
- Graduation Year
- 1995
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-30-2006
- Last Update Date
- 08-14-2012
- Code Navigator
Glenn Waldman 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.
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.44, 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 following quality measures were reported for this provider: chronic care and preventative care management for empaneled patients, e-prescribing, provide patient access and security risk analysis.
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- A62183
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:
- Medicaid
- Medicare
*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 |
---|---|---|---|
H35467 | MEDICARE UPIN (02) | CA | |
00A62183A | MEDICAID (05) | CA | |
A62183A | MEDICARE ID-TYPE UNSPECIFIED (04) | CA |
PECOS Enrollment and Medicare Participation Status
Glenn Waldman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3870589195
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: I20040422000640
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.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Overall MIPS Quality 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.
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Final Score: 98.44 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.
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Quality Score: 97.17
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.
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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 following quality measures meet Medicare's statistical reporting standards for the year 2018. 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 Patients | Yes | N/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. | ||
e-Prescribing | 52% | 279 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Provide Patient Access | 80% | 271 |
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
Security Risk Analysis | Yes | N/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. |
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 78
Removal of impact ear wax, one ear (HCPCS:69210)
- 32
Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
- 31
Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
- 22
Diagnostic examination of ear and nose (HCPCS:92504)
Reviews for DR. GLENN ERIC WALDMAN M.D.
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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 | 8 | 8 | 1 | 6 | 6 | 5 | 5 | 8 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 16 | 1 | 12 | 6 | 10 | 5 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 6 + 1 + 1 + 2 + 6 + 1 + 0 + 5 + 1 + 6 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1881665586 is valid because the calculated check digit 6 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 |
---|---|---|---|
1134232457 | DR. LOUISE GARCIA M.D. Individual | Obstetrics & Gynecology | 415 ROLLING OAKS DR SUITE 200 THOUSAND OAKS, CA 91361 (805) 777-7009 |
1053417865 | MICHAEL T MOSHER M.D. Individual | Allergy & Immunology (Allergy) | 415 ROLLING OAKS DR SUITE 280 THOUSAND OAKS, CA 91361 (805) 496-8522 |
1922191733 | KRISTIN J. SANTANGELO, MD, A PROFESSIONAL CORPORATION Organization | Urology | 415 ROLLING OAKS DR SUITE 260 THOUSAND OAKS, CA 91361 (805) 371-3770 |
1497820930 | CLYDE KNOBLAUCH JR. DDS Individual | Dentist (General Practice) | 415 ROLLING OAKS DR #215 THOUSAND OAKS, CA 91361 (805) 496-2456 |
1932225992 | PATRICIA IRENE GLICK CRNP Individual | Nurse Practitioner (Obstetrics & Gynecology) | 415 ROLLING OAKS DR SUITE 260 THOUSAND OAKS, CA 91361 (805) 371-4700 |
1790996502 | MOJGAN HASHEMI-MOUSAVI DDS DENTAL INC. Organization | Dentist (General Practice) | 415 ROLLING OAKS DR SUITE 120 THOUSAND OAKS, CA 91361 (805) 449-9952 |
1033312079 | DR. FARIDEH KOHANGHADOSH D.D.S. Individual | Dentist | 415 ROLLING OAKS DR SUITE 120 THOUSAND OAKS, CA 91361 (805) 449-9952 |
1154597623 | LISA DE FAZIO R.D. Individual | Dietitian, Registered | 415 ROLLING OAKS DR SUITE 210 THOUSAND OAKS, CA 91361 (805) 299-0301 |
1477780229 | AVIISHA MEDICAL CORPORATION Organization | Internal Medicine | 415 ROLLING OAKS DR SUITE 210 THOUSAND OAKS, CA 91361 (323) 857-1682 |
1639122757 | ROLLING OAKS RADIOLOGY MEDICAL CORP CORPORATION Organization | Radiology (Diagnostic Radiology) | 415 ROLLING OAKS DR THOUSAND OAKS, CA 91361 (805) 778-1513 |
1760431902 | ROY GOTTLIEB D.O. Individual | Radiology (Diagnostic Radiology) | 415 ROLLING OAKS DR THOUSAND OAKS, CA 91361 (805) 778-1513 |
1265481295 | MR. ROBERT ALAN PRINCENTHAL MD Individual | Radiology (Diagnostic Radiology) | 415 ROLLING OAKS DR THOUSAND OAKS, CA 91361 (805) 778-1513 |
1629015474 | DR. KRISTIN JEAN SANTANGELO M.D. Individual | Urology | 415 ROLLING OAKS DR SUITE 260 THOUSAND OAKS, CA 91361 (805) 371-3770 |
1134345622 | DR. DONALD EDMOND DECKER M.D. Individual | Radiology (Diagnostic Radiology) | 415 ROLLING OAKS DR THOUSAND OAKS, CA 91361 (805) 778-1513 |
1003216276 | ROLLING OAKS SURGERY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 415 ROLLING OAKS DR SUITE 115 THOUSAND OAKS, CA 91361 (805) 373-7073 |
1114396298 | PUSH MIDWIFERY Organization | Clinic/Center (Birthing) | 415 ROLLING OAKS DR SUITE 190 THOUSAND OAKS, CA 91361 (805) 494-1333 |
1336205731 | KYLE KENNYSTON HIMSL MD Individual | Urology | 415 ROLLING OAKS DR SUITE 260 THOUSAND OAKS, CA 91361 (805) 371-4707 |
1316997810 | JOSEPHINE LEE M.D. Individual | Radiology (Diagnostic Radiology) | 415 ROLLING OAKS DR THOUSAND OAKS, CA 91361 (805) 778-1513 |
1588198790 | KIAVASH NIKKHOU MD INC Organization | Urology | 415 ROLLING OAKS DR SUITE 260 THOUSAND OAKS, CA 91361 (805) 371-4707 |
1013047455 | JEFFREY FEINFIELD, M.D. INC Organization | Specialist | 415 ROLLING OAKS DR SUITE 190 THOUSAND OAKS, CA 91361 (805) 494-4797 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881665586, enumerated in the NPI registry as an "individual" on January 30, 2006
The provider is located at 415 Rolling Oaks Dr Suite 190 Thousand Oaks, Ca 91361 and the phone number is (805) 494-4797
The provider's speciality is Specialist with taxonomy code 174400000X
The provider has more than 29 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 1995.
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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: Removal of impact ear wax, one ear, Diagnostic examination of voice box using flexible endoscope, Diagnostic examination of nasal passages using an endoscope and Diagnostic examination of ear and nose.
This NPI record was last updated on January 30, 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].
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