VALERIE SIQUEIRA DUHN MD NPI 1023296050

Internal Medicine (Nephrology) in Kalamazoo, MI

NPI 1023296050 Individual Female Years of Experience 21 Internal Medicine Nephrology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About VALERIE DUHN

Valerie Duhn is an internal medicine provider established in Kalamazoo, Michigan and her medical specialization is internal medicine (nephrology) with more than 21 years of experience. She graduated from Indiana University School Of Medicine in 2000. The NPI number of Valerie Duhn is 1023296050 and was assigned on January 2008. The practitioner's primary taxonomy code is 207RN0300X with license number 4301096045 (MI). The provider is registered as an individual and her NPI record was last updated April 2021.

An internist like Valerie Siqueira Duhn 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.

Valerie Duhn is enrolled in PECOS and is eligible to order or refer healthcare 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

Valerie Duhn 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 Bronson Battle Creek Hospital, Bronson Methodist Hospital, Borgess Medical Center, Oaklawn Hospital and Bronson Lakeview Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: clinical information reconciliation, documentation of current medications in the medical record, engagement of patients through implementation of improvements in patient portal, e-prescribing, immunization registry reporting, onc direct review attestation, patient-generated health data, patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, pneumococcal vaccination status for older adults, practice improvements for bilateral exchange of patient information, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, request/accept summary of care, secure messaging, security risk analysis, use of high-risk medications in the elderly, use of high-risk medications in the elderly and view, download and transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1023296050

Provider Name VALERIE SIQUEIRA DUHN MD
Provider Location Address521 E. MICHIGAN AVE, STE 201 KALAMAZOO, MI 49007
Provider Mailing Address521 E. MICHIGAN AVE, STE 201 KALAMAZOO, MI 49007
GenderFemale
NPI Entity TypeIndividual
Medical School NameINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-31-2008
Last Update Date04-28-2021


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.4301096045
License StateMI
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

VALERIE SIQUEIRA DUHN MD
521 E. MICHIGAN AVE, STE 201
KALAMAZOO, MI
ZIP 49007
Phone: (269) 349-6759
Fax: (369) 349-7450

Get Directions


Mailing Address

VALERIE SIQUEIRA DUHN MD
521 E. MICHIGAN AVE, STE 201
KALAMAZOO, MI
ZIP 49007
Phone: (269) 349-6759
Fax: (269) 349-7450



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID6305991969
PECOS Enrollment IDI20100916000230
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

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.

  • 382Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • 230Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • 60Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
  • 34Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • 30Urinalysis, manual test (HCPCS:81002)

Quality Reporting

The following quality measures meets 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 Rate Number of Patients
Clinical Information Reconciliation 39% 145
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses.
Documentation of Current Medications in the Medical Record 83% 3065
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 92% 929
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patient-Generated Health Data 2% 531
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
Patient-Specific Education 76% 531
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 61% 179
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 62% 320
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
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84% 140
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79% 140
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 75% 531
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.
Request/Accept Summary of Care 2% 118
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an electronic summary of care document.
Secure Messaging 2% 531
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 certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative).
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
179
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
179
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
View, Download and Transmit (VDT) 5% 531
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician. An MIPS eligible clinician may meet the measure by either-(1) view, download or transmit to a third party their health information; or (2) access their health information through the use of an API that can be used by applications chosen by the patient and configured to the API in the MIPS eligible clinician's certified EHR technology; or (3) a combination of (1) and (2).

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. Valerie Duhn is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BRONSON BATTLE CREEK HOSPITAL300 NORTH AVENUE
BATTLE CREEK, MI 49017
(269) 966-8000Acute Care Hospitals230075
BRONSON METHODIST HOSPITAL601 JOHN STREET
KALAMAZOO, MI 49007
(269) 341-6000Acute Care Hospitals230017
BORGESS MEDICAL CENTER1521 GULL ROAD
KALAMAZOO, MI 49048
(269) 226-7000Acute Care Hospitals230117
OAKLAWN HOSPITAL200 N MADISON
MARSHALL, MI 49068
(269) 781-4271Acute Care Hospitals230217
BRONSON LAKEVIEW HOSPITAL408 HAZEN STREET
PAW PAW, MI 49079
(269) 657-1400Critical Access Hospitals231332

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
1207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology01066395AINNo

Taxonomy Description: an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology059147GANo

Taxonomy Description: an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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
000000642049OTHER (01)IN
200965400MEDICAID (05)IN

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
The code describing 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.