MS. LORRAINE LILLIAN SAUNDERS PA-C NPI 1013078260
Physician Assistant in Perth Amboy, NJ

About MS. LORRAINE LILLIAN SAUNDERS PA-C

Lorraine Saunders is a primary care provider established in Perth Amboy, New Jersey and her medical specialization is Physician Assistant. The NPI number of Lorraine Saunders is 1013078260 and was assigned on December 2006. The practitioner's primary taxonomy code is 363A00000X with license number 25MP00166700 (NJ). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1013078260
Provider NameMS. LORRAINE LILLIAN SAUNDERS PA-C
Location Address530 NEW BRUNSWICK AVE PERTH AMBOY, NJ 08861
Location Phone(732) 324-5104
Mailing Address70 HAVEN TER PARLIN, NJ 08859
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date12-12-2006
Last Update Date07-08-2007

A primary care provider (PCP) like Ms. Lorraine Lillian Saunders Pa-c 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 Lorraine Saunders 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..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 64.2, 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.



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 Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.25MP00166700
License StateNJ
Taxonomy DescriptionA 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

MS. LORRAINE LILLIAN SAUNDERS PA-C
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ
ZIP 08861
Phone: (732) 324-5104

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Mailing Address

MS. LORRAINE LILLIAN SAUNDERS PA-C
70 HAVEN TER
PARLIN, NJ
ZIP 08859
Phone: (732) 721-0659


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
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% 47.2
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% 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 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% 75
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 - 64.2
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.

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.
1013078260
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230716212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 6 + 2 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013078260 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
1558367383 SUZANNE M NEWMAN MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE RARITAN BAY MEDICAL CENTER
PERTH AMBOY, NJ 08861
(732) 324-5145
1740280874DR. MADHUSUDANARAO PASUPULETI M.D.
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 324-5104
1013918531DR. MAHESH H BHAGAT MD
Individual
Internal Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1699776179DR. MOHEB S ABDELMALEK MD
Individual
Internal Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1417958505DR. PETER F CHENG MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1346242310DR. SAMPSON M DAVIS MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1770585531DR. DUANE J DYSON MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1568464311DR. VIJAY K DOGRA MD
Individual
Internal Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1396737763DR. LEE LEAK JR. MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1912999301DR. GUILLERMO GUTIERREZ MD
Individual
Surgery530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 324-6031
1497749139DR. BERNARDO A POCO MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1245225788DR. KORRAPATI S REDDY MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1134114689DR. ALLEN S RETIRADO MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1942295787DR. ZHIMIN WANG MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1770569832RARITAN BAY MEDICAL CENTER
Organization
General Acute Care Hospital530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1568425601DR. CHINTANA SANG-URAI MD
Individual
Emergency Medicine530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1326002965 KALPANA NANDIWADA MD
Individual
Anesthesiology530 NEW BRUNSWICK AVE RARITAN BAY MEDICAL CTR
PERTH AMBOY, NJ 08861
(732) 442-3700
1235193954 KALPANA S DALAL MD
Individual
Anesthesiology530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1568426187 EDUARDO S OLEGARIO MD
Individual
Anesthesiology530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
(732) 442-3700
1073578746 OON S KIM MD
Individual
Anesthesiology530 NEW BRUNSWICK AVE RARITAN BAY MEDICAL CTR
PERTH AMBOY, NJ 08861
(732) 442-3700

Frequently Asked Questions

What is Ms. Lorraine Saunders PA-C NPI number?

The NPI number assigned to Ms. Lorraine Saunders PA-C is 1013078260, registered as an "individual" on December 12, 2006

Where is Ms. Lorraine Saunders PA-C located?

The provider is located at 530 New Brunswick Ave Perth Amboy, Nj 08861 and the phone number is (732) 324-5104

Which is Ms. Lorraine Saunders PA-C specialty?

The provider's speciality is Physician Assistant

Is Ms. Lorraine Saunders PA-C registered in PECOS?

Yes, as of November 14, 2022 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.

How much is a visit to Ms. Lorraine Saunders PA-C?

Medicare beneficiaries should expect a typical cost of $101.4 with an average copayment of $25.35 for new patient appointments. Established patients should expect a typical charge of $82.58 and an average copayment of 20.64. 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 Ms. Lorraine Saunders PA-C was last updated on December 12, 2006. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]