DR. MAUREEN QUINLAN DPM
NPI 1003013632
Podiatrist - Foot Surgery in Columbia, SC


Quality Rating: 60 out of 100 score

NPI Status: Active since June 28, 2007

Contact Information

1730 SAINT JULIAN PL
COLUMBIA, SC
ZIP 29204
Phone: (803) 256-6776
Fax: (803) 256-6778

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  • Individual
  • Female
  • Years of Experience 21
  • Podiatrist
  • Foot Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MAUREEN QUINLAN

Maureen Quinlan is a provider established in Columbia, South Carolina and her medical specialization is Podiatrist with a focus in foot surgery with more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1003013632 assigned on June 2007. The practitioner's primary taxonomy code is 213ES0131X with license number 588 (SC). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI1003013632
Provider NameDR. MAUREEN QUINLAN DPM
Location Address1730 SAINT JULIAN PL COLUMBIA, SC 29204
Location Phone(803) 256-6776
Mailing Address1730 SAINT JULIAN PL COLUMBIA, SC 29204
GenderFemale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Enumeration Date06-28-2007
Last Update Date09-26-2013
Code Navigator

Maureen Quinlan 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 60, 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.

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

Podiatrist Foot Surgery

Taxonomy Code
213ES0131X
Type
Podiatric Medicine & Surgery Service Providers
License No.
588
License State
SC

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
PD5881MEDICAID (05)SC 
AA3454MEDICARE PIN (08)SC 

PECOS Enrollment and Medicare Participation Status

Maureen Quinlan 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) and a Home Health Agency (HHA).

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: 5698867463

    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: I20090303000477

    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: No

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: 60 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: N/A

    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: N/A

    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.

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.

  • 900

    Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

  • 55

    Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

  • 52

    Tangential biopsy of single skin lesion (HCPCS:11102)

  • 32

    Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

  • 29

    Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)

Reviews for DR. MAUREEN QUINLAN DPM

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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.
1003013632
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301666
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 + 6 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003013632 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669727251 BRIDGET MOORE DPM
Individual
Podiatrist1730 SAINT JULIAN PL
COLUMBIA, SC 29204
(803) 256-6776
1568602589 HEATHER D DRIESSEN DPM
Individual
Podiatrist (Foot Surgery)1730 SAINT JULIAN PL
COLUMBIA, SC 29204
(803) 256-6776
1356791735DR. MATTHEW ENGELTHALER D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)1730 SAINT JULIAN PL
COLUMBIA, SC 29204
(803) 256-6776
1730176249DR. HARRY COTLER DPM
Individual
Podiatrist (Foot & Ankle Surgery)1730 SAINT JULIAN PL
COLUMBIA, SC 29204
(803) 256-6776
1821726464THE FOOT INSTITUTE, LLC
Organization
Podiatrist (Foot & Ankle Surgery)1730 SAINT JULIAN PL
COLUMBIA, SC 29204
(803) 256-6776
1194909556PHYSICIANS FOOTCARE, LLC
Organization
Podiatrist (Foot & Ankle Surgery)1730 SAINT JULIAN PL
COLUMBIA, SC 29204
(803) 256-6776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003013632, enumerated in the NPI registry as an "individual" on June 28, 2007

The provider is located at 1730 Saint Julian Pl Columbia, Sc 29204 and the phone number is (803) 256-6776

The provider's speciality is Podiatrist with taxonomy code 213ES0131X with a focus in Foot Surgery

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) and a Home Health Agency (HHA).

The most common procedures or services performed by this practitioner are: Removal of tissue from 6 or more finger or toe nails, Removal of skin and tissue first 20 sq cm or less, Tangential biopsy of single skin lesion, Injections of tendon sheath, ligament, or muscle membrane and Removal of tissue from 1 to 5 finger or toe nails.

This NPI record was last updated on June 28, 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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