MARK SNIADANKO DO NPI 1003011834

Emergency Medicine in Oregon, OH

NPI 1003011834 Individual Male Years of Experience 19 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 81.3 Medicare Quality Reporting

NPI Profile for MARK SNIADANKO DO

Mark Sniadanko is a provider established in Oregon, Ohio and his medical specialization is emergency medicine with more than 19 years of experience. The NPI number of Mark Sniadanko is 1003011834 and was assigned on June 2007. The practitioner's primary taxonomy code is 207P00000X with license number 34-008693 (OH). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Mark Sniadanko 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.

Mark Sniadanko 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 he has hospital affiliations with Wyandot Memorial Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.3, 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 provider also has detailed performance information the following quality measures: leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes, measurement and improvement at the practice and panel level, participation in an ahrq-listed patient safety organization. and use of qcdr data for ongoing practice assessment and improvements.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.93 for a new patient copayment and $25.3 for an established patient copayment.

NPI

1003011834

Provider Name MARK SNIADANKO DO
Provider Location Address2600 NAVARRE AVE OREGON, OH 43616
Provider Mailing Address4750 HEMPSTEAD STATION DR KETTERING, OH 45429
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-20-2007
Last Update Date10-16-2008


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.34-008693
License StateOH
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

MARK SNIADANKO DO
2600 NAVARRE AVE
OREGON, OH
ZIP 43616
Phone: (419) 696-7500

Get Directions


Mailing Address

MARK SNIADANKO DO
4750 HEMPSTEAD STATION DR
KETTERING, OH
ZIP 45429
Phone: (800) 875-0136
Fax: (937) 619-3014



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 ID1355439779
PECOS Enrollment IDI20071119000694
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)Yes
Eligible order / refer Power Mobility DevicesYes

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 43616 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
$56.74 $173.94 $87.72
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.48 $21.93
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
$17.31 $141.66 $101.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.41 $25.3

* 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% 84.5
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% 65
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% 65.6
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 - 81.3
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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changesYesN/A
Ensure full engagement of clinical and administrative leadership in practice improvement that could include one or more of the following: Make responsibility for guidance of practice change a component of clinical and administrative leadership roles; Allocate time for clinical and administrative leadership for practice improvement efforts, including participation in regular team meetings; and/orIncorporate population health, quality and patient experience metrics in regular reviews of practice performance.
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.
Use of QCDR data for ongoing practice assessment and improvementsYesN/A
Use of QCDR data, for ongoing practice assessment and improvements in patient safety.

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. Mark Sniadanko is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
WYANDOT MEMORIAL HOSPITAL885 NORTH SANDUSKY AVENUE
UPPER SANDUSKY, OH 43351
(419) 294-4991Critical Access Hospitals361329

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 Identifier Issuer
P00435623OTHER (01)OHRRN MCR ST CHARLES
$$$$$$$$$-00OTHER (01)OHBWC
000000522688OTHER (01)OHBCBS ST CHARLES
SN4221671MEDICARE PIN (08)OH
2782743MEDICAID (05)OH

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.
1003011834
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301286
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 + 8 + 6 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003011834 is valid because the calculated check digit 4 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
1689678625DR. NORMAN G ZAVELA M.D.
Individual
Anesthesiology2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7701
1831195783DR. CHAMPA K. RATRA M.D.
Individual
Anesthesiology2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7701
1770580888DR. SUKHWINDER S GILL M.D.
Individual
Anesthesiology2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7701
1619978608 FRANK ABBATI MD
Individual
Internal Medicine (Cardiovascular Disease)2600 NAVARRE AVE
OREGON, OH 43616
(419) 691-9204
1609877695CARDIOLOGY NETWORK OF GREATER TOLEDO, INC
Organization
Internal Medicine (Cardiovascular Disease)2600 NAVARRE AVE
OREGON, OH 43616
(419) 691-9204
1083695589 PAUL A. BYRNE MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7725
1679550263 ALLEN QINGJUN LI M.D.
Individual
Anesthesiology2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7701
1750361770 LACHMAN VISHINDAS CHABLANI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2600 NAVARRE AVE ST CHARLES MERCY HOSPITAL
OREGON, OH 43616
(419) 696-7216
1780649533 JOSEPH F COLLACO MD
Individual
Emergency Medicine2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7411
1285683110NORTHWEST OHIO PAIN MANAGEMENT ASSOCIATES, LTD.
Organization
Anesthesiology (Pain Medicine)2600 NAVARRE AVE PAIN CLINIC
OREGON, OH 43616
(419) 696-7646
1033161500 JANIS R KRABILL NP
Individual
Nurse Practitioner2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7500
1447207543 MANUEL V MADRAZO MD
Individual
Emergency Medicine2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7411
1235179268 LYNN T MASON MD
Individual
Emergency Medicine2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7411
1831130335ERIE EMERGENCY PHYSICIANS, INC.
Organization
Emergency Medicine2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7411
1144261819 LU PENG M.D.
Individual
Anesthesiology2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7701
1477649804 AMANDA J KLUKOWSKI DO
Individual
Emergency Medicine2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7411
1962574160EASTRIVER ANESTHESIA SERVICES, INC.
Organization
Anesthesiology2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7701
1710053467DR. JAMES DOMINIC BRUE MD
Individual
Preventive Medicine (Occupational Medicine)2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7493
1750654885 KAREN ROSE MURRAY RPH
Individual
Pharmacist2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7575
1457601445MRS. JENNYFER J MARSICO RPH
Individual
Pharmacist2600 NAVARRE AVE
OREGON, OH 43616
(419) 696-7575

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
Mark Sniadanko Do 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.