KATHLEEN QUIGLEY MORGAN PA-C NPI 1003004185

Physician Assistant in Portsmouth, NH

NPI 1003004185 Individual Female Physician Assistant PECOS Enrolled MIPS Quality Score 92.6 Medicare Quality Reporting

NPI Profile for KATHLEEN QUIGLEY MORGAN PA-C

Kathleen Morgan is a primary care provider established in Portsmouth, New Hampshire and her medical specialization is physician assistant. The NPI number of Kathleen Morgan is 1003004185 and was assigned on October 2007. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated 9 years ago.

A primary care provider (PCP) like Kathleen Quigley Morgan Pa-c 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

Kathleen Morgan 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..

Kathleen Morgan is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.6, 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: implementation of an asp, implementation of formal quality improvement methods, practice changes, or other practice improvement processes, measurement and improvement at the practice and panel level and participation in an ahrq-listed patient safety organization..

NPI

1003004185

Provider Name KATHLEEN QUIGLEY MORGAN PA-C
Provider Location Address333 BORTHWICK AVE PORTSMOUTH, NH 03801
Provider Mailing Address267 SOUTH RD BRENTWOOD, NH 03833
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-14-2007
Last Update Date06-18-2013


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

KATHLEEN QUIGLEY MORGAN PA-C
333 BORTHWICK AVE
PORTSMOUTH, NH
ZIP 03801
Phone: (574) 261-2683

Get Directions


Mailing Address

KATHLEEN QUIGLEY MORGAN PA-C
267 SOUTH RD
BRENTWOOD, NH
ZIP 03833
Phone: (574) 261-2683



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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% 86.1
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 (PI) 25% N/A
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 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.
Cost 20% 98.9
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.
MIPS Final Score - 92.6
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 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
Implementation of an ASPYesN/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 processesYesN/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 LevelYesN/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.YesN/A
Participation in an AHRQ-listed patient safety organization.

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.

  • 116Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003004185
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003008116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 8 + 1 + 1 + 6 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003004185 is valid because the calculated check digit 5 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
1306847710DR. ANDREW JOSEPH KULESZA MD
Individual
Anesthesiology333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 436-5110
1417958737MISS MARY LOU CARR CRNA
Individual
Nurse Anesthetist, Certified Registered333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 436-5110
1336140714DR. RICHARD JAMES DUFFY MD
Individual
Anesthesiology333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 436-5110
1306847520MR. WILLIAM PERRY CRNA
Individual
Nurse Anesthetist, Certified Registered333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 436-5110
1467453688MR. ERNEST OTTO SCHMEISSER CRNA
Individual
Nurse Anesthetist, Certified Registered333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 436-5110
1376544411MR. DOUGLAS FERGUSON CRNA
Individual
Nurse Anesthetist, Certified Registered333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 436-5110
1982606042DR. BRIAN CARGILL DUNBAR DO
Individual
Anesthesiology333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 436-5110
1932101318DR. THOMAS SCOTT MENKE DO
Individual
Anesthesiology333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 436-5110
1376539387DR. THOMAS VAILL KING MD
Individual
Orthopaedic Surgery333 BORTHWICK AVE MEDICAL OFFICE BUILDING SUITE 301
PORTSMOUTH, NH 03801
(603) 431-5858
1881683415APPLEDORE MEDICAL GROUP II INC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)333 BORTHWICK AVE SUITE 402
PORTSMOUTH, NH 03801
(603) 559-4111
1952386245ATLANTIC PATHOLOGY, PA
Organization
Clinical Medical Laboratory333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 433-4907
1225007891 SONYA M SCHWAEGERLE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 433-4907
1750345039 WILLIAM P BERRY M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)333 BORTHWICK AVE SUITE 402
PORTSMOUTH, NH 03801
(603) 559-4111
1386697779 JOAN BAILEY MD
Individual
Internal Medicine333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 436-5110
1619921285DR. NINA GOKHMAN M.D., PH.D
Individual
Psychiatry & Neurology (Psychiatry)333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 433-5294
1912954967 GARY KISH MD
Individual
Orthopaedic Surgery333 BORTHWICK AVE WOUND CARE CENTER
PORTSMOUTH, NH 03801
(603) 433-6994
1134166234MRS. KIMBERLEE I CHUTE PA-C
Individual
Physician Assistant (Surgical)333 BORTHWICK AVE SUITE 402
PORTSMOUTH, NH 03801
(603) 559-4111
1710923511PORTSMOUTH EMERGENCY PHYSICIANS PC
Organization
Emergency Medicine (Emergency Medical Services)333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 433-4012
1316052749 PHILLIP V MAIORANO MD
Individual
Hospitalist333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 334-2039
1861579302 DAVID L LEGRO MD
Individual
Internal Medicine333 BORTHWICK AVE
PORTSMOUTH, NH 03801
(603) 433-5106

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Kathleen Quigley Morgan Pa-c is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.