CHRISTIAN A. CHISHOLM MD NPI 1013086636
Obstetrics & Gynecology in Charlottesville, VA

About 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 32 years of experience. He graduated from University Of Maryland School Of Medicine in 1991. The NPI number of Christian Chisholm is 1013086636 and was 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 2 years ago.

NPI
1013086636
Provider Name CHRISTIAN A. CHISHOLM MD
Location Address1204 W MAIN ST CHARLOTTESVILLE, VA 22903
Location Phone(434) 924-2500
Mailing AddressPO BOX 9007 CHARLOTTESVILLE, VA 22906
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year1991
Is Sole Proprietor?No
Enumeration Date11-07-2006
Last Update Date10-02-2020

Women's health care providers like Christian A. Chisholm Md 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 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.

Christian Chisholm 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 University Of Virginia 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 94.9, 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: chronic care and preventative care management for empaneled patients, implementation of medication management practice improvements, measurement and improvement at the practice and panel level 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.



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 Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.0101053362
License StateVA
Taxonomy DescriptionAn 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.

Business Address

CHRISTIAN A. CHISHOLM MD
1204 W MAIN ST
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 924-2500
Fax: (434) 244-9487

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Mailing Address

CHRISTIAN A. CHISHOLM MD
PO BOX 9007
CHARLOTTESVILLE, VA
ZIP 22906
Phone:


Secondary Locations

633 Sunset Ln Ste A
Culpeper, VA 22701
(540) 321-30023300 Rivermont Ave
Lynchburg, VA 24503
(434) 924-25002955 Ivy Rd Ste 304
Charlottesville, VA 22903
(434) 243-45701221 Lee St
Charlottesville, VA 22908
(434) 924-19551215 Lee St
Charlottesville, VA 22908
(434) 924-2500


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 ID2062420185
PECOS Enrollment IDI20060331000373
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 22903 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
$58.76 $178.23 $135
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.69 $44.55 $33.75
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.32 $145.63 $73.51
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.58 $36.4 $18.37

* 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% 74
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 - 94.9
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.

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
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
In order to receive credit for this activity, a MIPS eligible clinician must manage chronic and preventive care for empaneled patients (that is, patients assigned to care teams for the purpose of population health management), which could include one or more of the following actions:-   Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions;-   Use evidence based, condition-specific pathways for care of chronic conditions (for example, hypertension, diabetes, depression, asthma, and heart failure). These might include, but are not limited to, the NCQA Diabetes Recognition Program (DRP)93 and the NCQA Heart/Stroke Recognition Program (HSRP)94;-   Use pre-visit planning, that is, preparations for conversations or actions to propose with patient before an in-office visit to optimize preventive care and team management of patients with chronic conditions;-   Use panel support tools, (that is, registry functionality) or other technology that can use clinical data to identify trends or data points in patient records to identify services due;-   Use predictive analytical models to predict risk, onset and progression of chronic diseases; and/orUse reminders and outreach (e.g., phone calls, emails, postcards, patient portals, and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Implementation of medication management practice improvementsYesN/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.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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. Christian Chisholm is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY OF VIRGINIA MEDICAL CENTER1215 LEE STREET
CHARLOTTESVILLE, VA 22908
(800) 251-3627Acute Care Hospitals490009

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.
1013086636
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081266
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 = 66

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.

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
1639626005UNIVERSITY OF VIRGINIA PHYSICIANS GROUP
Organization
Durable Medical Equipment & Medical Supplies1204 W MAIN ST 3RD FLOOR
CHARLOTTESVILLE, VA 22903
(434) 243-4670
1114414919 SHELLEY TOWNER MS, LCGC
Individual
Genetic Counselor, MS1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
(434) 982-4146
1609439207MRS. MEREDITH JORDAN
Individual
Student in an Organized Health Care Education/Training Program1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
(434) 243-5500
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
Pediatrics1204 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 Practitioner1204 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

Frequently Asked Questions

What is Christian Chisholm MD NPI number?

The NPI number assigned to Christian Chisholm MD is 1013086636, registered as an "individual" on November 07, 2006

Where is Christian Chisholm MD located?

The provider is located at 1204 W Main St Charlottesville, Va 22903 and the phone number is (434) 924-2500

Which is Christian Chisholm MD specialty?

The provider's speciality is Obstetrics & Gynecology

How many years of experience does Christian Chisholm MD have?

The provider has more than 32 years of experience. He graduated from University Of Maryland School Of Medicine in 1991.

Is Christian Chisholm 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 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 hospitals: 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?

The NPI record of Christian Chisholm MD 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]
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]