|Provider Name||ANNE MARIE LINDSAY-ALLEN MD|
|Location Address||5154 COOK ST NE COVINGTON, GA 30014|
|Location Phone||(770) 788-1778|
|Mailing Address||5154 COOK ST NE COVINGTON, GA 30014|
|NPI Entity Type||Individual|
|Medical School Name||OTHER|
|Is Sole Proprietor?||No|
|Last Update Date||02-02-2021|
An internist like Anne Marie Lindsay-allen 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.Anne Lindsay-allen 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.
Anne Lindsay-allen 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 Piedmont Newton Hospital and Piedmont Rockdale 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 96.1, 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: care plan, chronic obstructive pulmonary disease (copd): spirometry evaluation, colorectal cancer screening, diabetes: eye exam, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: screening for depression and follow-up plan and screening for osteoporosis for women aged 65-85 years of age.
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.8 for a new patient copayment and $26.12 for an established patient copayment.
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.
|Type||Allopathic & Osteopathic Physicians|
|Taxonomy Description||A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.|
ANNE MARIE LINDSAY-ALLEN MD
5154 COOK ST NE
Phone: (770) 788-1778
Fax: (770) 788-1285
ANNE MARIE LINDSAY-ALLEN MD
5154 COOK ST NE
Phone: (770) 788-1778
Fax: (770) 788-1285
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||6103712385|
|PECOS Enrollment ID||I20131002000521|
|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 30014 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|
|Minimum New Patient Copayment||Maximum New Patient Copayment||Typical New Patient Copayment|
|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|
|Minimum Established Patient Copayment||Maximum Established Patient Copayment||Typical Established Patient Copayment|
* 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|
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%||78.6|
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.
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.
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||-||96.1|
|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.|
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|
|Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan|
|Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation||27%||22|
|Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented|
|Colorectal Cancer Screening||64%||156|
|Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer|
|Diabetes: Eye Exam||8%||61|
|Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period|
|Pneumococcal Vaccination Status for Older Adults||83%||199|
|Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine|
|Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan||98%||244|
|Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2|
|Preventive Care and Screening: Screening for Depression and Follow-Up Plan||99%||230|
|Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen|
|Screening for Osteoporosis for Women Aged 65-85 Years of Age||55%||118|
|Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis|
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.
- 453Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 210Urinalysis, manual test (HCPCS:81002)
- 80Administration of influenza virus vaccine (HCPCS:G0008)
- 47Stool analysis for blood to screen for colon tumors (HCPCS:82270)
- 36Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
- 26Administration of pneumococcal vaccine (HCPCS:G0009)
- 25Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- 24Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
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. Anne Lindsay-allen is affiliated with the following medical facilities:
|Hospital Name||Address||Phone||Hospital Type||CMS Certification Number (CCN)||Overall Rating|
|PIEDMONT NEWTON HOSPITAL||5126 HOSPITAL DRIVE NE|
COVINGTON, GA 30014
|(770) 786-7053||Acute Care Hospitals||110018|
|PIEDMONT ROCKDALE HOSPITAL||1412 MILSTEAD AVENUE, NE|
CONYERS, GA 30012
|(770) 918-3000||Acute Care Hospitals||110091|
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||207Q00000X||Allopathic & Osteopathic Physicians||Family Medicine||070244||GA||No|
Taxonomy Description: family 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.
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|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 + 7 + 0 + 24 = 52|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|60 - 52 = 8||8|
The NPI number 1013083708 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
Frequently Asked Questions
What is Anne Lindsay-allen MD NPI number?
The NPI number assigned to Anne Lindsay-allen MD is 1013083708, registered as an "individual" on November 27, 2006
Where is Anne Lindsay-allen MD located?
The provider is located at 5154 Cook St Ne Covington, Ga 30014 and the phone number is (770) 788-1778
Which is Anne Lindsay-allen MD specialty?
The provider's speciality is Internal Medicine
How many years of experience does Anne Lindsay-allen MD have?
The provider has more than 22 years of experience.
Is Anne Lindsay-allen 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 Anne Lindsay-allen MD?
Medicare beneficiaries should expect a typical cost of $135.21 with an average copayment of $33.8 for new patient appointments. Established patients should expect a typical charge of $104.48 and an average copayment of 26.12. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Anne Lindsay-allen MD?
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Urinalysis, manual test, Administration of influenza virus vaccine, Stool analysis for blood to screen for colon tumors, Routine EKG using at least 12 leads including interpretation and report, Administration of pneumococcal vaccine, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention and Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.
Is Anne Lindsay-allen MD affiliated to any hospitals?
How do I update my NPI information?
The NPI record of Anne Lindsay-allen MD was last updated on November 27, 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]