KATHLEEN VALESKA WOSCHKOLUP MD
NPI 1003013616
Psychiatry & Neurology - Neurology in Greenville, SC

NPI Status: Active since June 27, 2007

Contact Information

801 ROPER CREEK DR
GREENVILLE, SC
ZIP 29615
Phone: (864) 516-1170
Fax: (877) 249-9483

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  • Individual
  • Female
  • Years of Experience 22
  • Psychiatry & Neurology
  • Neurology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About KATHLEEN WOSCHKOLUP

Kathleen Woschkolup is a provider established in Greenville, South Carolina and her medical specialization is Psychiatry & Neurology with a focus in neurology with more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1003013616 assigned on June 2007. The practitioner's primary taxonomy code is 2084N0400X with license number 29966 (SC). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1003013616
Provider Name
KATHLEEN VALESKA WOSCHKOLUP MD
Gender
Female
Entity Type
Individual
Location Address
801 ROPER CREEK DR GREENVILLE, SC 29615
Location Phone
(864) 516-1170
Location Fax
(877) 249-9483
Mailing Address
PO BOX 743294 ATLANTA, GA 30374
Mailing Phone
(864) 516-1170
Mailing Fax
(877) 249-9483
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
06-27-2007
Last Update Date
12-01-2016
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Kathleen Woschkolup 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 and the following quality measures were reported: colorectal cancer screening, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: screening for depression and follow-up plan, screening for osteoporosis for women aged 65-85 years of age and urinary incontinence: assessment of presence or absence of urinary incontinence in women aged 65 years and older. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.11 for a new patient copayment and $24.79 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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
29966
License State
SC
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross BlueShield of South Carolina

    • Blue VirtuConnect Bronze 1 - EPO
    • Blue VirtuConnect Gold 1 - EPO
    • Blue VirtuConnect Silver 1 - EPO
    • BlueEssentials Bronze 4 - EPO
    • BlueEssentials Bronze 6 - EPO
    • BlueEssentials Catastrophic 1 - EPO
    • BlueEssentials Gold 1 - EPO
    • BlueEssentials Gold 4 - EPO
    • BlueEssentials Gold 5 - EPO
    • BlueEssentials HD Bronze 3 - EPO
    • BlueEssentials HD Bronze 5 - EPO
    • BlueEssentials HD Gold 3 - EPO
    • BlueEssentials Silver 14 - EPO
    • BlueEssentials Silver 38 - EPO
    • BlueEssentials Silver 39 - EPO
  • First Choice Next

    • First Choice Next Bronze Classic 9450 + No-Referrals - HMO
    • First Choice Next Expanded Bronze Classic 7500 + No-Referrals - HMO
    • First Choice Next Expanded Bronze Premier 3500 + No-Referrals - HMO
    • First Choice Next Gold Classic 1500 + No-Referrals - HMO
    • First Choice Next Silver Classic 5900 + No-Referrals - HMO
    • First Choice Next Silver Premier 0 + No-Referrals - HMO
  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 - HMO
    • Silver 8 - HMO
  • Medicare

  • Medicaid


*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
299661MEDICAID (05)SC 
AA73118157MEDICARE PIN (08)SC 

PECOS Enrollment and Medicare Participation Status

Kathleen Woschkolup 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: 5496926149

    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: I20110929000139

    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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Hospital beds (D1B)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    2 DME suppliers used 17 Medicare Claims 17 Services Paid

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 29615 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $128.46
  • Minimum New Patient Price $55.43
  • Maximum New Patient Price $169.76
  • Average New Patient Copayment $32.11
  • Minimum New Patient Copayment $13.85
  • Maximum New Patient Copayment $42.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.06
  • Maximum Established Patient Price $138.69
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.26
  • Maximum Established Patient Copayment $34.67

* 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.

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
Colorectal Cancer Screening 36% 228
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 39% 413
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 60% 381
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
Screening for Osteoporosis for Women Aged 65-85 Years of Age 43% 159
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 2% 175
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 12

    Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)

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. Kathleen Woschkolup is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SPARTANBURG MEDICAL CENTER101 E WOOD ST
SPARTANBURG, SC 29303
(864) 560-6554Acute Care Hospitals
ST FRANCIS-DOWNTOWNONE ST FRANCIS DR
GREENVILLE, SC 29601
(800) 805-5678Acute Care Hospitals

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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.
1003013616
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 6 + 2 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003013616 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235560749ST FRANCIS PHYSICIAN SERVICES INC
Organization
Obstetrics & Gynecology801 ROPER CREEK DR
GREENVILLE, SC 29615
(864) 255-1554
1093163511ST FRANCIS PHYSICIAN SERVICES INC
Organization
Psychiatry & Neurology (Neurology)801 ROPER CREEK DR
GREENVILLE, SC 29615
(864) 516-1170
1093036121ST FRANCIS PHYSICIAN SERVICES INC
Organization
Internal Medicine (Rheumatology)801 ROPER CREEK DR
GREENVILLE, SC 29615
(864) 297-0080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003013616, enumerated in the NPI registry as an "individual" on June 27, 2007

The provider is located at 801 Roper Creek Dr Greenville, Sc 29615 and the phone number is (864) 516-1170

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider has more than 22 years of experience.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, First. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 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.

Medicare beneficiaries should expect a typical cost of $128.46 with an average copayment of $32.11 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem.

The practitioner is affiliated to the following hospital(s): SPARTANBURG MEDICAL CENTER and ST FRANCIS-DOWNTOWN. 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 27, 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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