DR. DANIEL J KULAS MD NPI 1013083385
Family Medicine in Janesville, WI

About DR. DANIEL J KULAS MD

Daniel Kulas is a primary care provider established in Janesville, Wisconsin and his medical specialization is Family Medicine with more than 19 years of experience. He graduated from Medical College Of Wisconsin in 2004. The NPI number of Daniel Kulas is 1013083385 and was assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 48495 (WI). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013083385
Provider NameDR. DANIEL J KULAS MD
Location Address849 KELLOGG AVE JANESVILLE, WI 53546
Location Phone(608) 755-7960
Mailing Address849 KELLOGG AVE JANESVILLE, WI 53546
GenderMale
NPI Entity TypeIndividual
Medical School NameMEDICAL COLLEGE OF WISCONSIN
Graduation Year2004
Is Sole Proprietor?No
Enumeration Date11-28-2006
Last Update Date07-08-2007

A primary care provider (PCP) like Dr. Daniel J Kulas Md 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 Daniel Kulas 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.

Daniel Kulas 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 Mercy Health System Corp and Mercy Walworth Hospital & 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 92.4, 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: $21.4 for a new patient copayment and $24.86 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 Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.48495
License StateWI
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted Insurance

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

  • Medicaid
  • Medicare

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

Business Address

DR. DANIEL J KULAS MD
849 KELLOGG AVE
JANESVILLE, WI
ZIP 53546
Phone: (608) 755-7960

Get Directions


Mailing Address

DR. DANIEL J KULAS MD
849 KELLOGG AVE
JANESVILLE, WI
ZIP 53546
Phone: (608) 755-7960


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 ID7810915642
PECOS Enrollment IDI20051109001011
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 53546 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
$55.63 $169.16 $85.6
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.9 $42.29 $21.4
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
$17.46 $138.8 $99.45
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.36 $34.7 $24.86

* 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
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% 64.4
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% 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.
MIPS Final Score - 92.4
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.

  • 29Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 17X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 17Destruction of skin growth (HCPCS:17000)
  • 16Insertion of needle into vein for collection of blood sample (HCPCS:36415)

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. Daniel Kulas is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MERCY HEALTH SYSTEM CORP1000 MINERAL POINT AVE
JANESVILLE, WI 53548
(608) 756-6080Acute Care Hospitals520066
MERCY WALWORTH HOSPITAL & MEDICAL CENTERN2950 STATE ROAD 67
LAKE GENEVA, WI 53147
(262) 245-0535Critical Access Hospitals521357

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
34703600MEDICAID (05)WI
BK9441368OTHER (01)DEA
I44865MEDICARE UPIN (02)

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.
1013083385
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023086316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 6 + 3 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1013083385 is valid because the calculated check digit 5 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
1821021429DR. ARTHUR MARK ALTBUCH M.D.
Individual
Family Medicine (Geriatric Medicine)849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1558437954DR. GLENN A LOOMIS MD
Individual
Family Medicine849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1174814859 MELISSA R AMERTIL MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1942220140 JANE E ANDERSON MD
Individual
Family Medicine849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1043396609DR. SHANE M DURKES MD
Individual
Family Medicine849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1750565644 JOSEPH DARREN WHEELER MD
Individual
Family Medicine849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1851709554 KEVIN SPONSELLER MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1043341282MERCY HEALTH SYSTEM CORPORATION
Organization
Durable Medical Equipment & Medical Supplies849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1477505063 KEITH EUGENE COOPER DO
Individual
Family Medicine849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1467904789 EMILY N. ECKERSTROM MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1215469697 SHAKIRAT A. BELLO MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1316342827 COURTNEY FORTE MD
Individual
Family Medicine849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1952807398 NORA DAHBUR MD
Individual
Family Medicine849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1194213272 MUHAMMAD A. SALEEM MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1841777802 NAVJOT K. SEKHON MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1760969554 KAYLA N. MILLER MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1992217178 YASER R. MUSTAFA MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1144752528 JANET BARKHOU MD
Individual
Family Medicine849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1205483781 KARL S DEMARCO MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960
1750938247 JOEL E TELLEZ QUIROGA MD
Individual
Student in an Organized Health Care Education/Training Program849 KELLOGG AVE
JANESVILLE, WI 53546
(608) 755-7960

Frequently Asked Questions

What is Dr. Daniel Kulas MD NPI number?

The NPI number assigned to Dr. Daniel Kulas MD is 1013083385, registered as an "individual" on November 28, 2006

Where is Dr. Daniel Kulas MD located?

The provider is located at 849 Kellogg Ave Janesville, Wi 53546 and the phone number is (608) 755-7960

Which is Dr. Daniel Kulas MD specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Daniel Kulas MD have?

The provider has more than 19 years of experience. He graduated from Medical College Of Wisconsin in 2004.

What insurance does Dr. Daniel Kulas MD accept?

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

Is Dr. Daniel Kulas 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 Dr. Daniel Kulas MD?

Medicare beneficiaries should expect a typical cost of $85.6 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $99.45 and an average copayment of 24.86. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Daniel Kulas MD?

The most common procedures or services performed by this practitioner are: Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report, X-ray of chest, 2 views, front and side, Destruction of skin growth and Insertion of needle into vein for collection of blood sample.

Is Dr. Daniel Kulas MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: MERCY HEALTH SYSTEM CORP and MERCY WALWORTH HOSPITAL & 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 Dr. Daniel Kulas MD was last updated on November 28, 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]