MONICA FEDERICO MD NPI 1013092758
Pediatrics - Pediatric Pulmonology in Aurora, CO

About MONICA FEDERICO MD

Monica Federico is a pediatrician established in Aurora, Colorado and her medical specialization is Pediatrics with a focus in pediatric pulmonology with more than 26 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 1997. The NPI number of Monica Federico is 1013092758 and was assigned on October 2006. The practitioner's primary taxonomy code is 2080P0214X with license number 38978 (CO). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1013092758
Provider Name MONICA FEDERICO MD
Location Address13123 E 16TH AVE AURORA, CO 80045
Location Phone(720) 777-1234
Mailing AddressPO BOX 110429 AURORA, CO 80042
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year1997
Is Sole Proprietor?No
Enumeration Date10-25-2006
Last Update Date07-23-2012

A pediatrician like Monica Federico Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.Monica Federico 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.

Monica Federico 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 88.6, 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.



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 Code2080P0214X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Pulmonology
License No.38978
License StateCO
Taxonomy DescriptionA pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

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

MONICA FEDERICO MD
13123 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 777-1234

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Mailing Address

MONICA FEDERICO MD
PO BOX 110429
AURORA, CO
ZIP 80042
Phone: (303) 493-7000


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 ID7810968278
PECOS Enrollment IDI20040804000085
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% 94.8
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% 75
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% 66.1
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 - 88.6
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
07831242MEDICAID (05)CO
F72846MEDICARE PIN (08)CO

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.
1013092758
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023094710
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 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1013092758 is valid because the calculated check digit 8 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
1841288065 LISA WANGER PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1972586436 JOYCE MARIE GIBBONS PA C
Individual
Physician Assistant13123 E 16TH AVE B145
AURORA, CO 80045
(720) 777-6652
1316921398 DAVID ECKHARDT PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1699753376 RAJEEV VIBHAKAR MD
Individual
Pediatrics (Pediatric Hematology-Oncology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1992771091 STANLEY LOFTNESS MD
Individual
Anesthesiology13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1134196538 SEAN O'LEARY MD
Individual
Pediatrics (Pediatric Infectious Diseases)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1073582706 FREDERICK SUCHY M.D.
Individual
Pediatrics (Pediatric Gastroenterology)13123 E 16TH AVE THE CHILDRENS HOSPITAL
AURORA, CO 80045
(720) 777-1234
1154385987 ROBIN SAWARYNSKI PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1649238593 DUNCAN WILCOX MD
Individual
Urology (Pediatric Urology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1902856511DR. KRISTA A YORK MD
Individual
Pediatrics13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1225074594 KENDRA BJORAKER PHD
Individual
Clinical Neuropsychologist13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1144258815 ERIKA SIDNEY MD
Individual
Pediatrics (Pediatric Emergency Medicine)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1003844143 ROBERT KRAMER MD
Individual
Pediatrics (Pediatric Gastroenterology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1356379952 TRISTA BOWYER MD
Individual
Pediatrics13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1104854645 RICHARD HENDERSHOT MD
Individual
Anesthesiology13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1679504039 TRAVIS HEARE MD
Individual
Orthopaedic Surgery13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1427089440 BETSEY H BUCCA LCSW
Individual
Social Worker (Clinical)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1932
1376561183 PATRICIA LAVESSER OTR
Individual
Occupational Therapist13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1184645806DR. DESMOND K RUNYAN MD
Individual
Pediatrics13123 E 16TH AVE B390
AURORA, CO 80045
(303) 864-5364
1659395127MS. MELANIE SABERIAN PNP
Individual
Nurse Practitioner (Pediatrics)13123 E 16TH AVE THE CHILDREN'S HOSPITAL
AURORA, CO 80045
(720) 777-1234

Frequently Asked Questions

What is Monica Federico MD NPI number?

The NPI number assigned to Monica Federico MD is 1013092758, registered as an "individual" on October 25, 2006

Where is Monica Federico MD located?

The provider is located at 13123 E 16th Ave Aurora, Co 80045 and the phone number is (720) 777-1234

Which is Monica Federico MD specialty?

The provider's speciality is Pediatrics with a focus in Pediatric Pulmonology

How many years of experience does Monica Federico MD have?

The provider has more than 26 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 1997.

What insurance does Monica Federico 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 Monica Federico 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 do I update my NPI information?

The NPI record of Monica Federico 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]