LORI SIEGEL HAUSMAN PHD NPI 1003008335

Psychologist (Clinical) in Pittsburgh, PA

NPI 1003008335 Individual Female Years of Experience 19 Psychologist Clinical PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 95.2

NPI Profile for LORI SIEGEL HAUSMAN PHD

Lori Siegel Hausman is a provider established in Pittsburgh, Pennsylvania and her medical specialization is psychologist (clinical) with more than 19 years of experience. The NPI number of Lori Siegel Hausman is 1003008335 and was assigned on August 2007. The practitioner's primary taxonomy code is 103TC0700X with license number PS017455 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

A clinical psychologist like Lori Siegel Hausman Phd assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Lori Siegel Hausman 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 and Durable Medical Equipment (DME).

Lori Siegel Hausman 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.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.2, 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: $43.51 for a new patient copayment and $35.52 for an established patient copayment.

NPI

1003008335

Provider Name LORI SIEGEL HAUSMAN PHD
Provider Location Address4 ALLEGHENY CTR FL 8 PITTSBURGH, PA 15212
Provider Mailing Address4 ALLEGHENY CTR FL 8 PITTSBURGH, PA 15212
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-10-2007
Last Update Date10-12-2020


Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.PS017455
License StatePA
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

LORI SIEGEL HAUSMAN PHD
4 ALLEGHENY CTR FL 8
PITTSBURGH, PA
ZIP 15212
Phone: (412) 330-4000
Fax: (412) 330-4366

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Mailing Address

LORI SIEGEL HAUSMAN PHD
4 ALLEGHENY CTR FL 8
PITTSBURGH, PA
ZIP 15212
Phone: (412) 330-4000
Fax: (412) 330-4366



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
PECOS PAC ID6406087410
PECOS Enrollment IDI20140314001259
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

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 15212 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99205
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$57.02 $174.05 $174.05
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.25 $43.51 $43.51
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99215
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.59 $142.08 $142.08
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.39 $35.52 $35.52

* 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% 100
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% 74.6
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% 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.
MIPS Final Score - 95.2
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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
102888720MEDICAID (05)PA

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.
1003008335
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001636
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 6 + 3 + 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 1003008335 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
1013103241 CARLA MAYORGA ALVAREZ PHD
Individual
Psychologist (Clinical)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1942679493 CAROLYN HUGHES LCSW
Individual
Social Worker (Clinical)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1194725614 KRISTA L ELSTON LCSW
Individual
Social Worker (Clinical)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1780685222 TERI A MEYERS PHD
Individual
Psychologist (Clinical)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1992765291 GLEN E GETZ PHD
Individual
Psychologist (Clinical)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1609073501 GULAM A NOORANI MD
Individual
Psychiatry & Neurology (Psychiatry)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1063643419 HWA SOO HOANG MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1841609740 JOSEPH S BLACK PHD
Individual
Psychologist (Clinical)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1023491198MS. PENELOPE YATES LMSW
Individual
Social Worker (Clinical)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1578050183DR. RAVNEET KAUR MD
Individual
Student in an Organized Health Care Education/Training Program4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4242
1467933507 TINA LIIS STEPHENSON
Individual
Student in an Organized Health Care Education/Training Program4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4391
1861045908 RACHEAL SMETANA MA
Individual
Student in an Organized Health Care Education/Training Program4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4339
1568088987 MICHELLE SARAH COHEN
Individual
Student in an Organized Health Care Education/Training Program4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 362-8677
1568080299 HEATHER MARSHALL
Individual
Counselor (Mental Health)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4391
1497373955MRS. INEKE MARIA OLSTHOORN MS, MA
Individual
Student in an Organized Health Care Education/Training Program4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(949) 463-6107
1750403630 MICHELE M MALOY CRNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1992125033MISS CHRISTIE SUZANNE SYLVESTER M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1528504263 JAMES THOMAS RUSSELL III M.S.
Individual
Counselor (Professional)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000
1417428814DR. CARA MICHELLE CRISSON PSYD
Individual
Psychologist4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 789-6377
1760482079 MICHAEL FRANZEN PHD
Individual
Psychologist (Clinical)4 ALLEGHENY CTR FL 8
PITTSBURGH, PA 15212
(412) 330-4000

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
Lori Siegel Hausman Phd 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.