MARY GLORIA KANE MD NPI 1023090354
Internal Medicine - Gastroenterology in South Barrington, IL

Individual Female Internal Medicine Gastroenterology PECOS Enrolled Medicare Quality Reporting

About MARY GLORIA KANE MD

Mary Kane is an internist established in South Barrington, Illinois and her medical specialization is Internal Medicine with a focus in gastroenterology . The NPI number of Mary Kane is 1023090354 and was assigned on November 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 03663318 (IL). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1023090354
Provider Name MARY GLORIA KANE MD
Provider Location Address33 W HIGGINS RD SUITE 820 SOUTH BARRINGTON, IL 60010
Provider Mailing Address33 W HIGGINS RD SUITE 820 SOUTH BARRINGTON, IL 60010
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?N/A
Enumeration Date11-14-2005
Last Update Date07-08-2007

An internist like Mary Gloria Kane Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Mary Kane 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..

Mary Kane is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: colonoscopy interval for patients with a history of adenomatous polyps - avoidance of inappropriate use, colorectal cancer screening, documentation of current medications in the medical record, e-prescribing, health information exchange, implementation of medication management practice improvements, medication reconciliation, preventive care and screening: body mass index (bmi) screening and follow-up plan, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, secure messaging and security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.



Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.03663318
License StateIL
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

MARY GLORIA KANE MD
33 W HIGGINS RD
SUITE 820
SOUTH BARRINGTON, IL
ZIP 60010
Phone: (847) 426-4355
Fax: (847) 426-0047

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Mailing Address

MARY GLORIA KANE MD
33 W HIGGINS RD
SUITE 820
SOUTH BARRINGTON, IL
ZIP 60010
Phone: (847) 426-4355
Fax: (847) 426-0047


PECOS Enrollment and Medicare Participation

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
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

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
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use 96% 342
Percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior adenomatous polyp(s) in previous colonoscopy findings, which had an interval of 3 or more years since their last colonoscopy
Colorectal Cancer Screening 87% 119
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Documentation of Current Medications in the Medical Record 98% 220
Percentage of visits for patients aged 18 years and older for which the eligible professional or 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
e-Prescribing 36% 653
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 91% 142
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
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/or Conduct periodic, structured medication reviews.
Medication Reconciliation 38% 45
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 40% 213
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 100% 48
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 25% 48
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/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 EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

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.

  • 165Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • 118Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 76Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 55Diagnostic examination of large bowel using an endoscope (HCPCS:45378)

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
D15565MEDICARE UPIN (02)
L83786MEDICARE ID-TYPE UNSPECIFIED (04)

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.
1023090354
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043090310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 0 + 9 + 0 + 3 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1023090354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184635906DR. ALADIN M MARIANO M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)33 W HIGGINS RD SUITE 5030
SOUTH BARRINGTON, IL 60010
(847) 836-5322
1730229246DR. MARTHA C. LINN D.C.
Individual
Chiropractor33 W HIGGINS RD SUITE 5020
SOUTH BARRINGTON, IL 60010
(847) 428-2228
1437376282DR. STEVEN J SHANDLEY D.D.S.
Individual
Dentist (General Practice)33 W HIGGINS RD SUITE 800
SOUTH BARRINGTON, IL 60010
(847) 428-4646
1184841959DR. M. ELIZABETH KANE D.D.S.
Individual
Dentist (General Practice)33 W HIGGINS RD SUITE 800
SOUTH BARRINGTON, IL 60010
(847) 428-4646
1003022187DR. KIMBERLY GIBAS DC
Individual
Chiropractor33 W HIGGINS RD SUITE 620
SOUTH BARRINGTON, IL 60010
(847) 426-7008
1487834123CARELINK HOME HEALTH, LLC
Organization
Home Health33 W HIGGINS RD SUITE 5020
SOUTH BARRINGTON, IL 60010
(847) 426-0300
1255665493DR. HELEN ZARCZYNSKI DDS
Individual
Dentist (General Practice)33 W HIGGINS RD SUITE 4080
SOUTH BARRINGTON, IL 60010
(847) 836-8080
1699943944NEW BEGINNINGS CHIROPRACTIC LTD
Organization
Chiropractor33 W HIGGINS RD SUITE 620
SOUTH BARRINGTON, IL 60010
(847) 426-7008
1114144060STEVEN J SHANDLEY DDS AND M ELIZABETH KANE DDS PC
Organization
Dentist (General Practice)33 W HIGGINS RD SUITE 800
SOUTH BARRINGTON, IL 60010
(847) 428-4646
1053537605DRS. KANE, MISAWA AND NGUYEN, LLC
Organization
Specialist33 W HIGGINS RD SUITE 820
SOUTH BARRINGTON, IL 60010
(847) 426-4355
1134164247ARA-SOUTH BARRINGTON DIALYSIS LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)33 W HIGGINS RD SUITES 920-945
SOUTH BARRINGTON, IL 60010
(847) 783-4700
1508877424ASSOCIATES IN CARDIAC, THORACIC & VASCULAR SURGERY, S.C.
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)33 W HIGGINS RD SUITE 5030
SOUTH BARRINGTON, IL 60010
(847) 836-5322
1396884060RADIANT HEALTH, INC.
Organization
Chiropractor33 W HIGGINS RD SUITE 5020
SOUTH BARRINGTON, IL 60010
(847) 428-2228
1912988759 KYOKO MISAWA MD
Individual
Internal Medicine (Gastroenterology)33 W HIGGINS RD STE 820
SOUTH BARRINGTON, IL 60010
(847) 426-4355
1619917523 KHURSHEED AHMED
Individual
Hospitalist33 W HIGGINS RD #5100
SOUTH BARRINGTON, IL 60010
(847) 783-4800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mary Gloria Kane Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.