JULIE O'KEEFE MD NPI 1013078880
Internal Medicine - Endocrinology, Diabetes & Metabolism in Prince Frederick, MD

About JULIE O'KEEFE MD

Julie O'keefe is an internist established in Prince Frederick, Maryland and her medical specialization is Internal Medicine with a focus in endocrinology, diabetes & metabolism with more than 35 years of experience. She graduated from Albany Medical College Of Union University in 1988. The NPI number of Julie O'keefe is 1013078880 and was assigned on December 2006. The practitioner's primary taxonomy code is 207RE0101X with license number D52192 (MD). The provider is registered as an individual and her NPI record was last updated July 2022.

NPI
1013078880
Provider Name JULIE O'KEEFE MD
Location Address985 PRINCE FREDERICK BLVD STE 201 PRINCE FREDERICK, MD 20678
Location Phone(410) 535-2005
Mailing Address985 PRINCE FREDERICK BLVD STE 201 PRINCE FREDERICK, MD 20678
GenderFemale
NPI Entity TypeIndividual
Medical School NameALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year1988
Is Sole Proprietor?No
Enumeration Date12-13-2006
Last Update Date07-21-2022

An internist like Julie O'keefe Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Julie O'keefe 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.

Julie O'keefe 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 Calverthealth Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 79.2, 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.82 for a new patient copayment and $26.89 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 Code207RE0101X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationEndocrinology, Diabetes & Metabolism
License No.D52192
License StateMD
Taxonomy DescriptionAn internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Aetna
  • Medicaid
  • Medicare
  • Railroad Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

JULIE O'KEEFE MD
985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD
ZIP 20678
Phone: (410) 535-2005
Fax: (410) 535-4850

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Mailing Address

JULIE O'KEEFE MD
985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD
ZIP 20678
Phone: (410) 535-2005
Fax: (410) 535-4850


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 ID840320503
PECOS Enrollment IDI20100608000105
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

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 20678 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$60.77 $183.88 $139.29
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.19 $45.97 $34.82
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.98 $150.13 $107.57
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.74 $37.53 $26.89

* 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% 84.7
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% 52
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% 75.5
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 - 79.2
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.

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 710Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 442Hemoglobin A1C level (HCPCS:83036)
  • 121Administration of influenza virus vaccine (HCPCS:G0008)
  • 52Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 41Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 39Fine needle aspiration using imaging guidance (HCPCS:10022)
  • 36Ultrasound of head and neck (HCPCS:76536)
  • 25Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 21Administration of pneumococcal vaccine (HCPCS:G0009)
  • 20Pneumococcal vaccine for injection into muscle (HCPCS:90670)

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. Julie O'keefe is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CALVERTHEALTH MEDICAL CENTER100 HOSPITAL ROAD
PRINCE FREDERICK, MD 20678
(410) 535-8240Acute Care Hospitals210039

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 Identifier Issuer
850892OTHER (01)MDOPTIMUM CH MDIPA PCP
2154481OTHER (01)MDAETNA HMO SPECIALIST
7720001OTHER (01)MDAETNA NON HMO SPECIALIST
C0410022OTHER (01)DCCAREFIRST OF DC
325477100MEDICAID (05)MD
2148224OTHER (01)MDAETNA HMO PCP
54587601OTHER (01)MDCAREFIRST MD SPECIALIST
110146724OTHER (01)MDRAILROAD MEDICARE
4461101OTHER (01)MDAETNA NON HMO PCP
450892OTHER (01)MDOPTIMUM CH MDIPA SPECIAL
54587602OTHER (01)MDCAREFIRST MD PCP

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.
1013078880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230716816
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 + 8 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013078880 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 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558310698DR. DOLORES YVETTE RHODES-HEIGHT MD
Individual
Internal Medicine (Gastroenterology)985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1952453359DR. NAYANTARA MENDONCA MD
Individual
Internal Medicine985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1922157593DR. PETER L WISNIEWSKI MD
Individual
Internal Medicine985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1114375607 PAUL ASHER KLINE MD
Individual
Family Medicine985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1679244776 JENNIFER L EDWARDS LCPC
Individual
Counselor (Professional)985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1083763726DR. JONATHAN KIM FEARS MD
Individual
Internal Medicine (Allergy & Immunology)985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1174682298CALVERT INTERNAL MEDICINE GROUP PA
Organization
Internal Medicine985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1326201682 LALITA CHULAMOKHA MD.
Individual
Internal Medicine (Infectious Disease)985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1346315157 ERIC BERG M.D.
Individual
Internal Medicine985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1467501114DR. PAUL V POMILLA MD
Individual
Internal Medicine985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1770837510 JESSICA LYNN JONES PAC
Individual
Physician Assistant985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1821147489DR. CHARLES A JUDGE M.D.
Individual
Internal Medicine985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1861553711DR. JONATHAN DAVID LOWENTHAL MD
Individual
Internal Medicine985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005
1982097473 ELIZABETH ANNE BISSETT CRNP
Individual
Nurse Practitioner (Gerontology)985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD 20678
(410) 535-2005

Frequently Asked Questions

What is Julie O'keefe MD NPI number?

The NPI number assigned to Julie O'keefe MD is 1013078880, registered as an "individual" on December 13, 2006

Where is Julie O'keefe MD located?

The provider is located at 985 Prince Frederick Blvd Ste 201 Prince Frederick, Md 20678 and the phone number is (410) 535-2005

Which is Julie O'keefe MD specialty?

The provider's speciality is Internal Medicine with a focus in Endocrinology, Diabetes & Metabolism

How many years of experience does Julie O'keefe MD have?

The provider has more than 35 years of experience. She graduated from Albany Medical College Of Union University in 1988.

What insurance does Julie O'keefe MD accept?

The provider might be accepting Aetna, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Julie O'keefe MD 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 Julie O'keefe MD?

Medicare beneficiaries should expect a typical cost of $139.29 with an average copayment of $34.82 for new patient appointments. Established patients should expect a typical charge of $107.57 and an average copayment of 26.89. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Julie O'keefe MD?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Hemoglobin A1C level, Administration of influenza virus vaccine, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Ultrasonic guidance imaging supervision and interpretation for insertion of needle, Fine needle aspiration using imaging guidance, Ultrasound of head and neck, Complete blood cell count (red cells, white blood cell, platelets), automated test, Administration of pneumococcal vaccine and Pneumococcal vaccine for injection into muscle.

Is Julie O'keefe MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: CALVERTHEALTH MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Julie O'keefe MD was last updated on December 13, 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]