DR. KATHLEEN A BERNHARD M.D. NPI 1073590550

Pediatrics in Washington, MO

NPI 1073590550 Individual Female Pediatrics PECOS Enrolled MIPS Quality Score 96.9

About KATHLEEN BERNHARD

Kathleen Bernhard is a pediatrician established in Washington, Missouri and her medical specialization is pediatrics. The NPI number of Kathleen Bernhard is 1073590550 and was assigned on December 2005. The practitioner's primary taxonomy code is 208000000X with license number R1P69 (MO). The provider is registered as an individual and her NPI record was last updated 11 years ago.

A pediatrician like Dr. Kathleen A Bernhard M.d. 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.

Kathleen Bernhard 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.

Kathleen Bernhard 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 under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.9, 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.

NPI

1073590550

Provider NameDR. KATHLEEN A BERNHARD M.D.
Provider Location Address851 E 5TH ST WASHINGTON, MO 63090
Provider Mailing Address851 E 5TH ST WASHINGTON, MO 63090
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date12-27-2005
Last Update Date05-04-2011


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.R1P69
License StateMO
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

DR. KATHLEEN A BERNHARD M.D.
851 E 5TH ST
WASHINGTON, MO
ZIP 63090
Phone: (636) 239-8338
Fax: (636) 239-8553

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Mailing Address

DR. KATHLEEN A BERNHARD M.D.
851 E 5TH ST
WASHINGTON, MO
ZIP 63090
Phone: (636) 239-8338
Fax: (636) 239-8553



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

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% 79.9
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 - 96.9
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
927130753MEDICARE PIN (08)MO
203169404MEDICAID (05)MO
F36448MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790781268 MICHELLE L BEUMER
Individual
Pediatrics851 E 5TH ST STE 312
WASHINGTON, MO 63090
(636) 390-9100
1740286210 MARTIN D RUDLOFF MD
Individual
Pediatrics851 E 5TH ST STE 124
WASHINGTON, MO 63090
(636) 390-8880
1154327286 JERRY H ALLEN MD
Individual
Pediatrics851 E 5TH ST STE 300
WASHINGTON, MO 63090
(636) 390-8555
1407820913DR. WILLIAM H FRITZ MD
Individual
Internal Medicine851 E 5TH ST SUITE 304
WASHINGTON, MO 63090
(636) 390-2350
1699710400MERCY PODIATRY LLC
Organization
Podiatrist851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 239-0018
1003843228DR. GARY MICHAEL ROSAS M.D.
Individual
Family Medicine851 E 5TH ST SUITE 208
WASHINGTON, MO 63090
(816) 808-7690
1114931359DR. JON PATRICK LEBSACK D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)851 E 5TH ST STE. 320
WASHINGTON, MO 63090
(636) 239-7150
1487764882 BOBBY VITAYA ENKVETCHAKUL M.D.
Individual
Clinic/Center (Occupational Medicine)851 E 5TH ST SUITE 152
WASHINGTON, MO 63090
(636) 239-0735
1568561678 MUHAMMAD AZIM MIRZA M.D.
Individual
Internal Medicine (Hematology & Oncology)851 E 5TH ST SUITE 108
WASHINGTON, MO 63090
(636) 432-0055
1053498451MRS. LISA ANNE DICKINSON FNP
Individual
Nurse Practitioner (Family)851 E 5TH ST
WASHINGTON, MO 63090
(636) 239-1101
1770623860FRANKLIN COUNTY SURGICAL ASSOCIATES INC
Organization
Surgery851 E 5TH ST SUITE 212
WASHINGTON, MO 63090
(636) 239-4144
1366568891DR. CHRISTY R BLECKMAN M.D.
Individual
Obstetrics & Gynecology851 E 5TH ST SUITE 328
WASHINGTON, MO 63090
(636) 239-1101
1306045174 SHARON A. R. GRIMES RN, MSN, CPNP
Individual
Nurse Practitioner (Pediatrics)851 E 5TH ST #200
WASHINGTON, MO 63090
(636) 239-8585
1922298058RICHARDSON SURGICAL LLC
Organization
Specialist851 E 5TH ST SUITE 120
WASHINGTON, MO 63090
(636) 390-8015
1326228438MISSOURI FOOT AND ANKLE INSTITUTE
Organization
Podiatrist (Foot & Ankle Surgery)851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 239-0018
1184804197MISSOURI PODIATRIC SURGICARE LLC
Organization
Clinic/Center (Ambulatory Surgical)851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 239-0018
1821278839FOOT STORE LLC
Organization
Prosthetic/Orthotic Supplier851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 239-0018
1891969952 JANE A HANCOCK ANP
Individual
Nurse Practitioner (Adult Health)851 E 5TH ST SUITE 304
WASHINGTON, MO 63090
(636) 390-2350
1831364371FOOT STORE LLC
Organization
Durable Medical Equipment & Medical Supplies851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 390-4399
1447425988MISSOURI PODIATRIC SURGICARE LLC
Organization
Clinic/Center851 E 5TH ST SUITE 228
WASHINGTON, MO 63090
(636) 239-0018

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.