KATHERINE L WALSH PA-C/MPH NPI 1003015280
Physician Assistant in Jacksonville, FL
About KATHERINE L WALSH PA-C/MPH
Katherine Walsh is a primary care provider established in Jacksonville, Florida and her medical specialization is Physician Assistant with more than 16 years of experience. The NPI number of this provider is 1003015280 and was assigned on July 2007. The practitioner's primary taxonomy code is 363A00000X with license number PA9104989 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.
| NPI | 1003015280 |
| Provider Name | KATHERINE L WALSH PA-C/MPH |
| Location Address | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 |
| Location Phone | (904) 953-2000 |
| Mailing Address | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-17-2007 |
| Last Update Date | 09-01-2020 |
A primary care provider (PCP) like Katherine Walsh sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Katherine Walsh 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.
Katherine Walsh 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 she has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 88.5, 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 following quality measures were reported for this provider: chronic care and preventative care management for empaneled patients, e-prescribing, health information exchange, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, patient-specific education, provide patient access, secure messaging, security risk analysis, specialized registry reporting and use of decision support and standardized treatment protocols.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $18.26 for an established patient copayment.
Primary Taxonomy
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.
| Taxonomy Code | 363A00000X |
| Classification | Physician Assistant |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | PA9104989 |
| License State | FL |
| Taxonomy Description | A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
Business Address
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-2000
Mailing Address
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-2000
Secondary Locations
425 N Lee St Suite 202
Jacksonville, FL 32204
(904) 366-3738
Location Map
PECOS Enrollment and Medicare Participation Status
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 ID | 5698867927 |
| PECOS Enrollment ID | I20100209000564 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 32224 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 |
| $58.4 | $178.79 | $90.24 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.6 | $44.69 | $22.56 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.74 | $145.28 | $73.05 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.43 | $36.32 | $18.26 |
* 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 | |
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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. |
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| Promoting Interoperability (PI) | 25% | 61.8 | |
|
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. |
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| 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. |
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| 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. |
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| MIPS Final Score | - | 88.5 | |
| 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 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 |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| e-Prescribing | 93% | 697 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 27% | 143 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/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. | ||
| Medication Reconciliation | 99% | 148 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 36% | 909 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 82% | 909 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 16% | 909 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | PA9104989 | FL | No |
Taxonomy Description: Not Available | |||||||
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 5 | 2 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 10 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 2 + 1 + 6 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003015280 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 |
|---|---|---|---|
| 1023015062 | MS. KATHERINE ANN LEMASTER LCSW, RN Individual | Social Worker (Clinical) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 296-3700 |
| 1962403964 | MS. NANCY DALTON CRNA Individual | Nurse Anesthetist, Certified Registered | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 296-4667 |
| 1285621573 | DR. ROBERT ALLEN GILLHAM JR. M.D. Individual | Allergy & Immunology | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1831186089 | DR. GEOFFREY STEVEN GATES M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1750378907 | DR. THOMAS PATRICK FOX M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1083601231 | DR. GRETCHEN KAY LIPKE M.D. Individual | Emergency Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1790772747 | DR. PHILIP PAUL METZGER M.D. Individual | Colon & Rectal Surgery | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1316935190 | DR. SANFORD JOSPEH FINCK M.D. Individual | Internal Medicine (Critical Care Medicine) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1871582726 | DR. JAN MARIE LARSON M.D. Individual | Family Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1437148392 | DR. JERRY WAYNE SAYRE M.D. Individual | Family Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1912996877 | DR. WALTER CLYBURN TAYLOR III M.D. Individual | Family Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1689663569 | DR. JAMES SAMUEL SCOLAPIO M.D. Individual | Internal Medicine (Gastroenterology) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1598754210 | DR. RONALD ALBERT HINDER M.D. Individual | Surgery | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1043209778 | DR. WILLIAM JAMES MAPLES M.D. Individual | Internal Medicine (Hematology & Oncology) | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1578552204 | DR. SHARON YVETT EZELL GERLACH M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1619966348 | DR. FRANCOIS LETTE M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1154310886 | DR. KAY MULLINAX MITCHELL M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1851380430 | DR. JOSEPH WEST PAUL JR. M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1518956192 | DR. KENNETH GORDON NIX JR. M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
| 1548259138 | DR. KATHLEEN ALLEN ROWLETT M.D. Individual | Internal Medicine | 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 (904) 953-2000 |
Frequently Asked Questions
What is Katherine Walsh PA-C/MPH NPI number?
The NPI number assigned to this healthcare provider is 1003015280, registered as an "individual" on July 17, 2007
Where is Katherine Walsh PA-C/MPH located?
The provider is located at 4500 San Pablo Rd S Jacksonville, Fl 32224 and the phone number is (904) 953-2000
Which is Katherine Walsh PA-C/MPH specialty?
The provider's speciality is Physician Assistant
How many years of experience does Katherine Walsh PA-C/MPH have?
The provider has more than 16 years of experience.
Is Katherine Walsh PA-C/MPH registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are Katherine Walsh PA-C/MPH Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Katherine Walsh PA-C/MPH?
Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $73.05 and an average copayment of 18.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Katherine Walsh PA-C/MPH was last updated on July 17, 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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