JAIVANTI LOHANO MD NPI 1003000902
Family Medicine in Louisville, KY
About JAIVANTI LOHANO MD
Jaivanti Lohano is a primary care provider established in Louisville, Kentucky and her medical specialization is Family Medicine with more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1003000902 assigned on September 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 41402 (KY). The provider is registered as an individual and her NPI record was last updated 3 years ago.
| NPI | 1003000902 |
| Provider Name | JAIVANTI LOHANO MD |
| Location Address | 2215 PORTLAND AVE LOUISVILLE, KY 40212 |
| Location Phone | (502) 774-8631 |
| Mailing Address | 2215 PORTLAND AVE LOUISVILLE, KY 40212 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1996 |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-04-2007 |
| Last Update Date | 12-08-2020 |
A primary care provider (PCP) like Jaivanti Lohano 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 Jaivanti Lohano 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.
Jaivanti Lohano is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Clark Memorial Hospital and Baptist Health Floyd.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.82, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.51 for an established patient copayment.
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.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 41402 |
| 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212
Phone: (502) 774-8631
Fax: (502) 778-3499
Mailing Address
2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212
Phone: (502) 774-8631
Fax: (502) 778-3499
Location Map
PECOS Enrollment and Medicare Participation 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 Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1153415187 |
| PECOS Enrollment ID | I20070920000606 |
| 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 order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 40212 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $54.72 | $168.41 | $84.75 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.68 | $42.1 | $21.18 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.65 | $137.34 | $98.06 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.16 | $34.33 | $24.51 |
* The physician office visit costs information is obtained by Medicare's 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's 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.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 97.65 | |
|
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 (PI) | 25% | 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. |
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| Improvement Activities | 15% | 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 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. |
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| Cost | 20% | 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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| MIPS Final Score | - | 98.82 | |
| 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. | |||
Clinician Utilization
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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 127Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 41Administration of influenza virus vaccine (HCPCS:G0008)
- 21Automated urinalysis test (HCPCS:81003)
- 18Administration of pneumococcal vaccine (HCPCS:G0009)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jaivanti Lohano is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| CLARK MEMORIAL HOSPITAL | 1220 MISSOURI AVE JEFFERSONVILLE, IN 47130 | (812) 283-2147 | Acute Care Hospitals | 150009 | |
| BAPTIST HEALTH FLOYD | 1850 STATE ST NEW ALBANY, IN 47150 | (812) 944-7701 | Acute Care Hospitals | 150044 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 01063381A | IN | No | |
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. | |||||||
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 |
|---|---|---|
| 7100065920 | MEDICAID (05) | KY |
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 | 0 | 0 | 3 | 0 | 0 | 0 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 0 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 0 + 9 + 0 + 24 = 38 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 38 = 2 | 2 | ||||||||
The NPI number 1003000902 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1013913037 | KAREN DUCKWALL MD Individual | Obstetrics & Gynecology | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1861498719 | ELAINE M WOERNER MD Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1407852395 | LORINE POWELL HOUSWORTH MD Individual | Internal Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1811993884 | MARVIN J HANKA MD Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1730185638 | NERITTA C LANCETA MD Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1356347058 | DEBRA SIMMONS ARNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1083610745 | RITA HARRISON ARNP Individual | Nurse Practitioner | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1225034051 | LESLIE Y SMITH M.D. Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1770589467 | KAREN POTTINGER ARNP Individual | Nurse Practitioner | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1942206693 | MARGARET FACKLER APRN Individual | Nurse Practitioner (Women's Health) | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1336145028 | DIANE MURPHY MSW Individual | Social Worker (Clinical) | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1063418614 | MICHAEL OWEN SCHMITT DMD Individual | Dentist | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1134113822 | RICHARD D. LARSON M.D. Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1376527010 | JANE H CHAMBERLAIN APRN Individual | Nurse Practitioner (Obstetrics & Gynecology) | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1568433837 | MEENAPRATAP CHILUKURI MD Individual | Internal Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1437127396 | DR. SARAH O'DANIEL FORTUNA M.D. Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1770535486 | DR. BEVERLY J VANCE MD Individual | Family Medicine | 2215 PORTLAND AVE ATTN BILLING DEPT. LOUISVILLE, KY 40212 (502) 774-8631 |
| 1629159322 | MORRIS LLOYD RPH, MA Individual | Pharmacist | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1700935764 | PETER LEE THURMAN SR. M.D. Individual | Internal Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1558406678 | MR. MICHAEL WAYNE MCWILLIAMS RPH, MS, MBA Individual | Pharmacist | 2215 PORTLAND AVE PHARMACY LOUISVILLE, KY 40212 (502) 772-0889 |
Frequently Asked Questions
What is Jaivanti Lohano MD NPI number?
The NPI number assigned to this healthcare provider is 1003000902, enumerated in the NPI registry as an "individual" on September 04, 2007
Where is the provider located?
The provider is located at 2215 Portland Ave Louisville, Ky 40212 and the phone number is (502) 774-8631
What is the provider specialty code?
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
How many years of experience does Jaivanti Lohano MD have?
The provider has more than 28 years of experience.
What insurance does Jaivanti Lohano MD accept?
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.
Is Jaivanti Lohano MD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are Jaivanti Lohano MD Quality Ratings?
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.
How much is a visit to Jaivanti Lohano MD?
Medicare beneficiaries should expect a typical cost of $84.75 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $98.06 and an average copayment of 24.51. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Jaivanti Lohano MD?
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Administration of influenza virus vaccine, Automated urinalysis test and Administration of pneumococcal vaccine.
Is Jaivanti Lohano MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: CLARK MEMORIAL HOSPITAL and BAPTIST HEALTH FLOYD. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on September 04, 2007. 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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