DR. JULIE ANN KOFFRON MD NPI 1013087162
Surgery in Chattanooga, TN

About DR. JULIE ANN KOFFRON MD

Julie Koffron is a provider established in Chattanooga, Tennessee and her medical specialization is Surgery with more than 28 years of experience. She graduated from University Of Michigan Medical School in 1995. The NPI number of Julie Koffron is 1013087162 and was assigned on November 2006. The practitioner's primary taxonomy code is 208600000X with license number 61841 (TN). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1013087162
Provider NameDR. JULIE ANN KOFFRON MD
Location Address2108 E 3RD ST STE 200 CHATTANOOGA, TN 37404
Location Phone(423) 267-0466
Mailing Address979 E 3RD ST STE 300 CHATTANOOGA, TN 37403
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year1995
Is Sole Proprietor?No
Enumeration Date11-08-2006
Last Update Date08-31-2020

A surgeon like Dr. Julie Ann Koffron Md treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.Julie Koffron 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.

Julie Koffron 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 .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.3, 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: $21.08 for a new patient copayment and $17.19 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 Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.61841
License StateTN
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Accepted Insurance

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

  • Medicaid
  • Medicare

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

Business Address

DR. JULIE ANN KOFFRON MD
2108 E 3RD ST STE 200
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 267-0466
Fax: (423) 778-5177

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Mailing Address

DR. JULIE ANN KOFFRON MD
979 E 3RD ST STE 300
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 267-0466
Fax: (423) 778-5177


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 ID5193744969
PECOS Enrollment IDI20200909000420
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 37404 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
$54.58 $167.19 $84.32
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.64 $41.79 $21.08
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
$16.86 $136.82 $68.78
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.21 $34.2 $17.19

* 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% 88.5
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.
Promoting Interoperability (PI) 25% 67
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 - 84.3
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.

Secondary Taxonomies


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
1208600000XAllopathic & Osteopathic PhysiciansSurgeryJS066015MINo

Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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
4791469MEDICAID (05)MI

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.
1013087162
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230814112
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 + 4 + 1 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013087162 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881671998DR. CRAIG ANDREW MURRAY M.D.
Individual
Surgery2108 E 3RD ST STE 200
CHATTANOOGA, TN 37404
(423) 267-0466
1124056726 ALAN JOSEPH KOFFRON MD
Individual
Transplant Surgery2108 E 3RD ST STE 200
CHATTANOOGA, TN 37404
(423) 267-0466
1912188236 NEELIMA KATRAGUNTA MD
Individual
Surgery (Vascular Surgery)2108 E 3RD ST STE 200
CHATTANOOGA, TN 37404
(423) 267-0466
1063788248 EHSAN BENRASHID M.D.
Individual
Surgery (Vascular Surgery)2108 E 3RD ST STE 200
CHATTANOOGA, TN 37404
(423) 267-0466
1881361236 JULIE LIVARCHUK FNP
Individual
Nurse Practitioner (Family)2108 E 3RD ST STE 200
CHATTANOOGA, TN 37404
(423) 267-0466
1609096692 MARY ANN ECK PA-C
Individual
Physician Assistant2108 E 3RD ST STE 200
CHATTANOOGA, TN 37404
(423) 267-0466
1104212711 WILLIAM BUCKLEY LYMAN M.D.
Individual
Colon & Rectal Surgery2108 E 3RD ST STE 200
CHATTANOOGA, TN 37404
(423) 267-0466
1144660903DR. KYLE MITCHELL STATON M.D.
Individual
Surgery (Vascular Surgery)2108 E 3RD ST STE 200
CHATTANOOGA, TN 37404
(423) 267-0466
1073770814DR. MICHAEL EVERETT BARFIELD M.D.
Individual
Surgery (Vascular Surgery)2108 E 3RD ST STE 200
CHATTANOOGA, TN 37404
(423) 267-0466

Frequently Asked Questions

What is Dr. Julie Koffron MD NPI number?

The NPI number assigned to Dr. Julie Koffron MD is 1013087162, registered as an "individual" on November 08, 2006

Where is Dr. Julie Koffron MD located?

The provider is located at 2108 E 3rd St Ste 200 Chattanooga, Tn 37404 and the phone number is (423) 267-0466

Which is Dr. Julie Koffron MD specialty?

The provider's speciality is Surgery

How many years of experience does Dr. Julie Koffron MD have?

The provider has more than 28 years of experience. She graduated from University Of Michigan Medical School in 1995.

What insurance does Dr. Julie Koffron 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. Julie Koffron MD registered in PECOS?

Yes, as of January 10, 2023 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.

What are Dr. Julie Koffron MD Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

How much is a visit to Dr. Julie Koffron MD?

Medicare beneficiaries should expect a typical cost of $84.32 with an average copayment of $21.08 for new patient appointments. Established patients should expect a typical charge of $68.78 and an average copayment of 17.19. 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 Dr. Julie Koffron MD was last updated on November 08, 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]