EMILY CHANG D.O.
NPI 1003011560
Obstetrics & Gynecology in Atlantic, IA


Quality Rating: 100 out of 100 score

NPI Status: Active since June 15, 2007

Contact Information

1501 E 10TH ST
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-2850
Fax: (712) 243-7423

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 21
  • Obstetrics & Gynecology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About EMILY CHANG

Emily Chang is a women's health care provider established in Atlantic, Iowa and her medical specialization is Obstetrics & Gynecology with more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1003011560 assigned on June 2007. The practitioner's primary taxonomy code is 207V00000X with license number 4160 (IA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI1003011560
Provider NameEMILY CHANG D.O.
Location Address1501 E 10TH ST ATLANTIC, IA 50022
Location Phone(712) 243-2850
Mailing Address1501 E 10TH ST ATLANTIC, IA 50022
GenderFemale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Enumeration Date06-15-2007
Last Update Date11-27-2019
Code Navigator

Women's health care providers like Emily Chang treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Emily Chang 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 100, 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: $31.73 for a new patient copayment and $17.28 for an established patient copayment.

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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
4160
License State
IA
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

193400000X (IL)

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
1003011560MEDICAID (05)IA 

PECOS Enrollment and Medicare Participation Status

Emily Chang 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: 5597850768

    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: I20110216001155

    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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 50022 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.95
  • Minimum New Patient Price $54.88
  • Maximum New Patient Price $167.71
  • Average New Patient Copayment $31.73
  • Minimum New Patient Copayment $13.72
  • Maximum New Patient Copayment $41.92

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.12
  • Minimum Established Patient Price $17.04
  • Maximum Established Patient Price $137.36
  • Average Established Patient Copayment $17.28
  • Minimum Established Patient Copayment $4.26
  • Maximum Established Patient Copayment $34.34

* The physician office visit costs information is generated by 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 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: 100 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: 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 Score: 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 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.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Emily Chang is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CASS COUNTY MEMORIAL HOSPITAL1501 EAST TENTH STREET
ATLANTIC, IA 50022
(712) 243-3250Critical Access Hospitals

Reviews for EMILY CHANG D.O.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1003011560
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003012512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 2 + 5 + 1 + 2 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003011560 is valid because the calculated check digit 0 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
1598730954DR. JEFFREY MICHAEL GOERGEN O.D.
Individual
Optometrist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7540
1093770083 CHAD L MCCANCE MD
Individual
Surgery1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7535
1699874685 ELEANOR J GREENWALL ARNP
Individual
Nurse Practitioner1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1700943719MS. EMILY H KRENGEL R.D.,L.D.
Individual
Dietitian, Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1538280102DR. MARK DAVID MARKHAM D.D.S.
Individual
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1437363058DR. SHAWN RAY PETERSEN D.D.S
Individual
Dentist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1669659108MARK D. MARKHAM, DDS, PLC.
Organization
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1407184518MRS. RACHEL JEAN HANSEN MS,OTR/L
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1649567991 BRENT F GOODRICH CRNA
Individual
Nurse Anesthetist, Certified Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1073937389 JORDAN MCPHERON DPT
Individual
Physical Therapist1501 E 10TH ST REHABILITATION SERVICES
ATLANTIC, IA 50022
(712) 243-7564
1689081135 LANA FRAIN
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1386045839 TAMARA BIRELINE
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7590
1760581730 TRESSA A WILCOX M.D.
Individual
Family Medicine1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1326374414DR. ROGER C. DROWN DPM
Individual
Podiatrist (Foot & Ankle Surgery)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1952769911 DANIEL P VOGEL DPT
Individual
Physical Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7564
1144307810 SUZANNE M BEITZEL ARNP
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1083160030 ALYSSA ROGERS OTR
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1932416724 ANDREW JOHN NIEMANN ATC
Individual
Specialist/Technologist (Athletic Trainer)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 249-7598
1649710872 JESSICA RENEE JACKSON ARNP
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1700308467 GEORGE M STARLIN PA
Individual
Physician Assistant1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003011560, enumerated in the NPI registry as an "individual" on June 15, 2007

The provider is located at 1501 E 10th St Atlantic, Ia 50022 and the phone number is (712) 243-2850

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider has more than 21 years of experience.

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.

Medicare beneficiaries should expect a typical cost of $126.95 with an average copayment of $31.73 for new patient appointments. Established patients should expect a typical charge of $69.12 and an average copayment of 17.28. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): CASS COUNTY MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 15, 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].
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.