KRASSIMIR ATANASSOV MD NPI 1003054214

Surgery (Surgical Critical Care) in Middletown, NY

NPI 1003054214 Individual Male Years of Experience 29 Surgery Surgical Critical Care PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 94.9

About KRASSIMIR ATANASSOV

Krassimir Atanassov is a provider established in Middletown, New York and his medical specialization is surgery (surgical critical care) with more than 29 years of experience. The NPI number of Krassimir Atanassov is 1003054214 and was assigned on January 2009. The practitioner's primary taxonomy code is 2086S0102X with license number 263018 (NY). The provider is registered as an individual and his NPI record was last updated 4 years ago.

Krassimir Atanassov is enrolled in PECOS and is eligible to order or refer healthcare 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

Krassimir Atanassov 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 Staten Island University 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 94.9, 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.

NPI

1003054214

Provider Name KRASSIMIR ATANASSOV MD
Provider Location Address707 E MAIN ST MIDDLETOWN, NY 10940
Provider Mailing Address707 E MAIN ST MIDDLETOWN, NY 10940
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1993
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-26-2009
Last Update Date03-17-2018


Primary Taxonomy

Taxonomy Code2086S0102X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
SpecializationSurgical Critical Care
License No.263018
License StateNY
Taxonomy DescriptionA surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Business Address

KRASSIMIR ATANASSOV MD
707 E MAIN ST
MIDDLETOWN, NY
ZIP 10940
Phone: (845) 333-7575
Fax: (845) 333-1343

Get Directions


Mailing Address

KRASSIMIR ATANASSOV MD
707 E MAIN ST
MIDDLETOWN, NY
ZIP 10940
Phone: (845) 333-7575
Fax: (845) 333-1343



Secondary Locations

68 Harris Bushville Rd
Harris, NY 12742
(845) 794-0996

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 ID1951538552
PECOS Enrollment IDI20131205000411
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

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
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% 85
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% 69.1
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 - 94.9
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.

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. Krassimir Atanassov is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
STATEN ISLAND UNIVERSITY HOSPITAL475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
(418) 226-9761Acute Care Hospitals330160

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
12086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareME128544FLNo

Taxonomy Description: a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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
03596898MEDICAID (05)NY

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861433641HUDSON VALLEY EMERGENCY PHYSICIANS
Organization
Emergency Medicine707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-1000
1295750503DR. JACOB JOSEPH BARIE MD
Individual
Radiology (Diagnostic Radiology)707 E MAIN ST ORANGE REGIONAL MEDICAL CENTER-RADIOLOGY DEPT
MIDDLETOWN, NY 10940
(845) 333-1258
1235155904DR. ELIZABETH A RAMIREZDEARELLANO MD
Individual
Radiology (Diagnostic Radiology)707 E MAIN ST RADIOLOGIC ASSOCIATES, PC
MIDDLETOWN, NY 10940
(845) 333-1258
1366541518 PAMELA H. NGUYEN D.O.
Individual
Radiology (Diagnostic Radiology)707 E MAIN ST RADIOLOGIC ASSOCIATES, PC
MIDDLETOWN, NY 10940
(845) 333-1258
1821366592 STACEY THERECIA FORBES NP
Individual
Nurse Practitioner707 E MAIN ST
MIDDLETOWN, NY 10940
(800) 893-9698
1528324688DR. CHRISTIAN SPANO
Individual
Emergency Medicine707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-1000
1326329798DR. MICHELLE NICOLE FOWLER DO
Individual
Emergency Medicine707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-1300
1659553394 SABENA RAMSETTY
Individual
Internal Medicine (Infectious Disease)707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-3434
1043580285DR. CHRISTOPHER MICHAEL CATAPANO D.O.
Individual
Emergency Medicine707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-1000
1053355255 SAMUEL LOUIE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)707 E MAIN ST ORANGE REGIONAL MEDICAL CENTER
MIDDLETOWN, NY 10940
(845) 333-0089
1932359783DR. BALAMURALI VARADARAJALU M.D., PH.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)707 E MAIN ST ORANGE REGIONAL MEDICAL CENTER
MIDDLETOWN, NY 10940
(845) 333-0089
1417392952ORANGE REGIONAL MEDICAL CENTER
Organization
General Acute Care Hospital707 E MAIN ST BEHAVIORAL HEALTH UNIT, 2 EAST
MIDDLETOWN, NY 10940
(845) 333-1632
1083050249ORMC
Organization
Psychiatric Hospital707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-1623
1720210024MRS. KERRI ANN MURPHY LMSW
Individual
Social Worker (Clinical)707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 692-8085
1992146450MRS. JESSICA EILEEN MARTIN LMSW
Individual
Social Worker707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-2260
1972945244 JAI PHILLIS
Individual
Social Worker707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 629-2477
1326155235DR. DIANA PARASCHIV MD
Individual
Internal Medicine707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-3434
1225464167MRS. COLLEEN TERESA MINNOCK N.P.
Individual
Nurse Practitioner (Family)707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-1353
1821425489 BENJAMIN BRADLEY PA-C
Individual
Physician Assistant707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-1300
1841397817 PAMELA AMERIGE VOGT ANP
Individual
Nurse Practitioner (Adult Health)707 E MAIN ST
MIDDLETOWN, NY 10940
(845) 333-3434

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
The code describing 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.