MRS. MARCIA E STEINBERG CRNA NPI 1013084136
Nurse Anesthetist, Certified Registered in Conyers, GA

About MRS. MARCIA E STEINBERG CRNA

Marcia Steinberg is a provider established in Conyers, Georgia and her medical specialization is Nurse Anesthetist, Certified Registered with more than 45 years of experience. She graduated from Emory University School Of Medicine in 1978. The NPI number of Marcia Steinberg is 1013084136 and was assigned on November 2006. The practitioner's primary taxonomy code is 367500000X with license number RN056043 (GA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1013084136
Provider NameMRS. MARCIA E STEINBERG CRNA
Location Address1388 WELLBROOK CIR NE CONYERS, GA 30012
Location Phone(770) 929-9033
Mailing Address1388 WELLBROOK CIR NE CONYERS, GA 30012
GenderFemale
NPI Entity TypeIndividual
Medical School NameEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1978
Is Sole Proprietor?No
Enumeration Date11-30-2006
Last Update Date05-01-2012

Marcia Steinberg 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.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.1, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $22.62 for a new patient copayment and $26.12 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 Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.RN056043
License StateGA
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

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

MRS. MARCIA E STEINBERG CRNA
1388 WELLBROOK CIR NE
CONYERS, GA
ZIP 30012
Phone: (770) 929-9033
Fax: (770) 929-9092

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Mailing Address

MRS. MARCIA E STEINBERG CRNA
1388 WELLBROOK CIR NE
CONYERS, GA
ZIP 30012
Phone: (770) 929-9033
Fax: (770) 929-9092


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.

PECOS PAC ID1254417827
PECOS Enrollment IDI20080324000056
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.

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 30012 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
$58.88 $178.51 $90.51
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.72 $44.62 $22.62
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
$18.36 $145.86 $104.48
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.59 $36.46 $26.12

* 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% 94.6
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% 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 - 98.1
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.

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
202I439955MEDICARE PIN (08)

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.
1013084136
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 8 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013084136 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235185141 ROBIN J. FOWLER MD
Individual
Pain Medicine (Interventional Pain Medicine)1388 WELLBROOK CIR NE SUITE A
CONYERS, GA 30012
(770) 929-9033
1023481918INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
Organization
Pain Medicine (Interventional Pain Medicine)1388 WELLBROOK CIR NE
CONYERS, GA 30012
(770) 929-9033
1750420147INTERVENTIONAL SPINE AND PAIN MANAGEMENT AMBULATORY SURGICAL CENTER
Organization
Clinic/Center (Ambulatory Surgical)1388 WELLBROOK CIR NE SUITE A
CONYERS, GA 30012
(770) 929-9033
1518128289GREATER ANESTHESIA SERVICES LLC
Organization
Specialist1388 WELLBROOK CIR NE SUITE A
CONYERS, GA 30012
(770) 929-9033
1518012004INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
Organization
Specialist1388 WELLBROOK CIR NE
CONYERS, GA 30012
(404) 920-4950

Frequently Asked Questions

What is Mrs. Marcia Steinberg CRNA NPI number?

The NPI number assigned to Mrs. Marcia Steinberg CRNA is 1013084136, registered as an "individual" on November 30, 2006

Where is Mrs. Marcia Steinberg CRNA located?

The provider is located at 1388 Wellbrook Cir Ne Conyers, Ga 30012 and the phone number is (770) 929-9033

Which is Mrs. Marcia Steinberg CRNA specialty?

The provider's speciality is Nurse Anesthetist, Certified Registered

How many years of experience does Mrs. Marcia Steinberg CRNA have?

The provider has more than 45 years of experience. She graduated from Emory University School Of Medicine in 1978.

What insurance does Mrs. Marcia Steinberg CRNA 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.

How much is a visit to Mrs. Marcia Steinberg CRNA?

Medicare beneficiaries should expect a typical cost of $90.51 with an average copayment of $22.62 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.

How do I update my NPI information?

The NPI record of Mrs. Marcia Steinberg CRNA was last updated on November 30, 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]