CHRISTINE D LALLOS MD NPI 1013092733
Anesthesiology - Critical Care Medicine in Gainesville, GA

About CHRISTINE D LALLOS MD

Christine Lallos is a provider established in Gainesville, Georgia and her medical specialization is Anesthesiology with a focus in critical care medicine with more than 30 years of experience. The NPI number of Christine Lallos is 1013092733 and was assigned on October 2006. The practitioner's primary taxonomy code is 207LC0200X with license number 047339 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1013092733
Provider Name CHRISTINE D LALLOS MD
Location Address743 SPRING ST NE GAINESVILLE, GA 30501
Location Phone(770) 219-9000
Mailing AddressPO BOX 742616 ATLANTA, GA 30374
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1993
Is Sole Proprietor?No
Enumeration Date10-25-2006
Last Update Date01-12-2021

Christine Lallos 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.

Christine Lallos 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 Northeast Georgia Medical Center, Inc and Northside 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.



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 Code207LC0200X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
SpecializationCritical Care Medicine
License No.047339
License StateGA
Taxonomy DescriptionAn anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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

CHRISTINE D LALLOS MD
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-9000
Fax: (770) 219-6021

Get Directions


Mailing Address

CHRISTINE D LALLOS MD
PO BOX 742616
ATLANTA, GA
ZIP 30374
Phone: (770) 219-8420


Secondary Locations

1968 Peachtree Road NW
Atlanta, GA 30309
(404) 351-17451968 Peachtree Road NW
Atlanta, GA 30309
(404) 351-1745


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 ID648213850
PECOS Enrollment IDI20050608000957
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

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% 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.
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 - 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.

Quality Reporting

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
Care Plan 80% 25
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

Clinician Utilization

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.

  • 50Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 44Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)

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. Christine Lallos is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTHEAST GEORGIA MEDICAL CENTER, INC743 SPRING STREET
GAINESVILLE, GA 30501
(770) 535-3553Acute Care Hospitals110029
NORTHSIDE HOSPITAL1000 JOHNSON FERRY ROAD, NE
ATLANTA, GA 30342
(404) 851-8000Acute Care Hospitals110161

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
1207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology047339GANo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

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
000878622AMEDICAID (05)GA

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.
1013092733
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202309476
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 4 + 7 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1013092733 is valid because the calculated check digit 3 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
1881673796DR. GONZALO VILLALOBOS MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1538139670 LISA RENEE JUE M.D.
Individual
Hospitalist743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 533-6645
1528038122 JENNIFER H. WILLIAMS M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 533-6645
1316910359DR. PRESTON BALL MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1942273990DR. DONALD FREEMAN MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1013980069DR. PHILIPPE GADEGBEKU MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1184697146DR. ROBERT GISNESS MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1265405229DR. FRANKLIN DOUGLAS HARKRIDER MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1992778591DR. SHERRY BROCK MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1558338483DR. HEIDI T NICHOLSON MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1386610202 TODD JORDAN MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1043286966DR. GEORGE HOULDITCH MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1093781924DR. GARY KEMPLER MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1518933449DR. PAUL MERLIS MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1962479782DR. DAVID I LUBIN MD
Individual
Emergency Medicine743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 536-2146
1326098856DR. MICHAEL IRA APPEL M.D.
Individual
Anesthesiology743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 532-7179
1356392856DR. NANCY CHEN M.D.
Individual
Anesthesiology743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 532-7179
1801848551 SANDRA D PARSONS AAC
Individual
Anesthesiologist Assistant743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 534-1312
1366495343 JASON PAUL LAURY AAC
Individual
Anesthesiologist Assistant743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 532-7179
1598718405 MATTHEW J RAGSDALE AAC
Individual
Anesthesiologist Assistant743 SPRING ST NE
GAINESVILLE, GA 30501
(770) 532-7179

Frequently Asked Questions

What is Christine Lallos MD NPI number?

The NPI number assigned to Christine Lallos MD is 1013092733, registered as an "individual" on October 25, 2006

Where is Christine Lallos MD located?

The provider is located at 743 Spring St Ne Gainesville, Ga 30501 and the phone number is (770) 219-9000

Which is Christine Lallos MD specialty?

The provider's speciality is Anesthesiology with a focus in Critical Care Medicine

How many years of experience does Christine Lallos MD have?

The provider has more than 30 years of experience.

What insurance does Christine Lallos 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 Christine Lallos 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.

What are some of the services provided by Christine Lallos MD?

The most common procedures or services performed by this practitioner are: Anesthesia for procedure on gastrointestinal tract using an endoscope and Anesthesia for procedure on lower intestine using an endoscope.

Is Christine Lallos MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: NORTHEAST GEORGIA MEDICAL CENTER, INC and NORTHSIDE HOSPITAL. 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 Christine Lallos MD was last updated on October 25, 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]