CHRISTIAN CHRISTIAN A. CHISHOLM MD NPI 1013086636
Obstetrics & Gynecology in Charlottesville, VA
About CHRISTIAN CHRISTIAN A. CHISHOLM MD
Christian Chisholm is a women's health care provider established in Charlottesville, Virginia and his medical specialization is Obstetrics & Gynecology with more than 33 years of experience. He graduated from University Of Maryland School Of Medicine in 1991. The healthcare provider is registered in the NPI registry with number 1013086636 assigned on November 2006. The practitioner's primary taxonomy code is 207V00000X with license number 0101053362 (VA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
| NPI | 1013086636 |
| Provider Name | CHRISTIAN CHRISTIAN A. CHISHOLM MD |
| Location Address | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 |
| Location Phone | (434) 924-2500 |
| Mailing Address | PO BOX 9007 CHARLOTTESVILLE, VA 22906 |
| Gender | Male |
| Entity Type | Individual |
| Medical School Name | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Is Sole Proprietor? | No |
| Enumeration Date | 11-07-2006 |
| Last Update Date | 10-02-2020 |
| Code Navigator |
Women's health care providers like Christian Chisholm treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Christian Chisholm is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.17, 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 provider also has detailed performance information the following quality measures: cervical cancer screening, clinical data registry reporting, documentation of current medications in the medical record, engagement of patients through implementation of improvements in patient portal, health information exchange(hie) bi-directional exchange, implementation of medication management practice improvements, practice improvements for bilateral exchange of patient information, preventive care and screening: influenza immunization, preventive care and screening: screening for high blood pressure and follow-up documented, provide patients electronic access to their health information, public health registry reporting, security risk analysis and use of decision support and standardized treatment protocols.
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.75 for a new patient copayment and $18.37 for an established patient copayment.
Business Address
1204 W MAIN ST
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 924-2500
Fax: (434) 244-9487
Mailing Address
PO BOX 9007
CHARLOTTESVILLE, VA
ZIP 22906
Secondary Locations
2955 Ivy Rd Ste 304
Charlottesville, VA 22903
(434) 243-4570633 Sunset Ln Ste A
Culpeper, VA 22701
(540) 321-30023300 Rivermont Ave
Lynchburg, VA 24503
(434) 924-25001215 Lee St
Charlottesville, VA 22908
(434) 924-25001221 Lee St
Charlottesville, VA 22908
(434) 924-1955
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of 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 Code | 207V00000X |
| Classification | Obstetrics & Gynecology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 0101053362 |
| License State | VA |
| Taxonomy Description | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Location Map
PECOS Enrollment and Medicare Participation Status
Christian Chisholm 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Registered in PECOS? Yes
PECOS PAC ID: 2062420185
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20060331000373
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 22903 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $135
- Minimum New Patient Price $58.76
- Maximum New Patient Price $178.23
- Average New Patient Copayment $33.75
- Minimum New Patient Copayment $14.69
- Maximum New Patient Copayment $44.55
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.51
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $145.63
- Average Established Patient Copayment $18.37
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $36.4
* The physician office visit costs information is generated by 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 CMS 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.
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Final Score: 99.17 out of 100
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.
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Quality Score: 98.5
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.
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Promoting Interoperability Score: 100
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 Score: 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 activities measure category compromises 15% providers final MPIS scores.
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 Score: 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. -
Cost Score: 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 Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Cervical Cancer Screening | 68% | 37 |
| Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:* Women age 21-64 who had cervical cytology performed every 3 years* Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years. | ||
| Clinical Data Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. | ||
| Documentation of Current Medications in the Medical Record | 92% | 61 |
| Percentage of visits for patients aged 18 years and older for which the MIPS eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration. | ||
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| Health Information Exchange(HIE) Bi-Directional Exchange | Yes | N/A |
| The MIPS eligible clinician or group must attest that they engage in bi-directional exchange with an HIE to support transitions of care. HIE broadly refers to arrangements that facilitate the exchange of health information, and may include arrangements commonly denoted as exchange frameworks, networks, or using other terms. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following:Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups;Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews. | ||
| Practice Improvements for Bilateral Exchange of Patient Information | Yes | N/A |
| Ensure that there is bilateral exchange of necessary patient information to guide patient care, such as Open Notes, that could include one or more of the following:- Participate in a Health Information Exchange if available; and/or- Use structured referral notes. | ||
| Preventive Care and Screening: Influenza Immunization | 4% | 24 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization. | ||
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 26% | 57 |
| Percentage of patients aged 18 years and older seen during the submitting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 39% | 33 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 36% | 33 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. | ||
| Provide Patients Electronic Access to Their Health Information | 96% | 50 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Public Health Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Christian Chisholm is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| UNIVERSITY OF VIRGINIA MEDICAL CENTER | 1215 LEE STREET CHARLOTTESVILLE, VA 22908 | (800) 251-3627 | Acute Care Hospitals |
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. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 8 | 6 | 6 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 8 | 12 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 8 + 1 + 2 + 6 + 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 = 6 | 6 | ||||||||
The NPI number 1013086636 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Provider Reviews
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Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427448976 | ERIN C. BERENZ PH.D. Individual | Psychologist (Clinical) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-8184 |
| 1508312612 | KELLY O'CONNELL PNP Individual | Nurse Practitioner (Pediatrics) | 1204 W MAIN ST 5TH FLOOR CHARLOTTESVILLE, VA 22903 (800) 362-2203 |
| 1114414919 | SHELLEY TOWNER MS, LCGC Individual | Genetic Counselor, MS | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 982-4146 |
| 1376959270 | SHELBY T. CROSS FNP-BC Individual | Nurse Practitioner (Family) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1205885571 | BETH E DAVIS MD MPH Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1730275314 | STEVEN L. ZEICHNER M.D. Individual | Pediatrics (Pediatric Infectious Diseases) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1932278579 | RONALD B. TURNER Individual | Pediatrics (Pediatric Infectious Diseases) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1518036136 | SUSAN ANDERSON Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1679642201 | GAYNELL P MATHERNE MD Individual | Pediatrics (Pediatric Cardiology) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1750450383 | NANCY L. MCDANIEL M.D. Individual | Pediatrics (Pediatric Cardiology) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1578632105 | NANCY M MCLAREN Individual | Pediatrics | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1285703819 | KENNETH W. NORWOOD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1881763407 | JOHN P. BARCIA MD Individual | Pediatrics (Pediatric Nephrology) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1184766313 | MARGARET M. SENNETT N.P. Individual | Nurse Practitioner (Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1033233390 | RICHARD D. STEVENSON M.D. Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1710001953 | SUSAN B. CLUETT N.P. Individual | Nurse Practitioner | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1750405890 | CHRISTINE T. MURRAY N.P. Individual | Nurse Practitioner (Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1073735023 | BETHANY MORAN COYNE N.P. Individual | Nurse Practitioner (Pediatrics) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1215149083 | BRIAN C BELYEA MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
| 1902064330 | AMY C. BROWN M.D. Individual | Pediatrics | 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 (434) 924-0123 |
Frequently Asked Questions
What is Christian Chisholm MD NPI number?
The NPI number assigned to this healthcare provider is 1013086636, enumerated in the NPI registry as an "individual" on November 07, 2006
Where is the provider located?
The provider is located at 1204 W Main St Charlottesville, Va 22903 and the phone number is (434) 924-2500
What is the provider specialty code?
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
How many years of experience does Christian Chisholm MD have?
The provider has more than 33 years of experience. He graduated from University Of Maryland School Of Medicine in 1991.
Is Christian Chisholm MD registered in PECOS?
Yes, as of December 01, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.
What are Christian Chisholm MD Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Documentation of Current Medications in the Medical Record , Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Christian Chisholm MD?
Medicare beneficiaries should expect a typical cost of $135 with an average copayment of $33.75 for new patient appointments. Established patients should expect a typical charge of $73.51 and an average copayment of 18.37. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Christian Chisholm MD affiliated to any hospitals?
The practitioner is affiliated to the following hospital(s): UNIVERSITY OF VIRGINIA 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?
This NPI record was last updated on November 07, 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].
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