NAN G. O'CONNELL M.D. NPI 1124002894

Specialist in Richmond, VA

NPI 1124002894 Individual Female Specialist MIPS Quality Score 62.1

NPI Profile for NAN G. O'CONNELL M.D.

Nan O'connell is a provider established in Richmond, Virginia and her medical specialization is specialist. The NPI number of Nan O'connell is 1124002894 and was assigned on December 2005. The practitioner's primary taxonomy code is 174400000X with license number 0101049187 (VA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

Nan O'connell 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 62.1, 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.

NPI

1124002894

Provider Name NAN G. O'CONNELL M.D.
Provider Location Address1250 E MARSHALL ST OB/GYN RICHMOND, VA 23298
Provider Mailing AddressPO BOX 91734 RICHMOND, VA 23291
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date12-05-2005
Last Update Date06-16-2008


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.0101049187
License StateVA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

NAN G. O'CONNELL M.D.
1250 E MARSHALL ST
OB/GYN
RICHMOND, VA
ZIP 23298
Phone: (804) 560-8950
Fax: (804) 560-7343

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Mailing Address

NAN G. O'CONNELL M.D.
PO BOX 91734
RICHMOND, VA
ZIP 23291
Phone: (804) 358-6100
Fax: (804) 342-7619



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% 73.9
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% 0
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% 74.3
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 - 62.1
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.

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.

  • 73Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • 11Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)

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
6215033MEDICAID (05)VA
F81312MEDICARE UPIN (02)VA
160001698MEDICARE ID-TYPE UNSPECIFIED (04)VA

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1124002894
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144004818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 0 + 4 + 8 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1124002894 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972508950 LISA L ELLIS M.D.
Individual
Internal Medicine1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 560-8950
1154329886 JAMES L EVANS MD
Individual
Psychiatry & Neurology (Psychiatry)1250 E MARSHALL ST PSYCHIATRY
RICHMOND, VA 23298
(804) 828-3129
1437159316 ANTHONY D CASSANO M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-4620
1912908922MR. STEVEN S RABINOWITZ CRNA
Individual
Nurse Anesthetist, Certified Registered1250 E MARSHALL ST ANESTHESIA CRNA
RICHMOND, VA 23298
(804) 628-6990
1780679688 ROBERT GLASSER MD
Individual
Internal Medicine (Hematology)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-6938
1154316016 STEVEN HOVIS CROSSMAN MD
Individual
Family Medicine1250 E MARSHALL ST FAMILY MEDICINE
RICHMOND, VA 23298
(804) 828-5883
1992786529DR. KEVIN BRADFORD HOOVER MD PHD
Individual
Radiology (Diagnostic Radiology)1250 E MARSHALL ST RADIOLOGY
RICHMOND, VA 23298
(804) 628-3580
1912981093 DEBRA GADDY COHEN NP
Individual
Nurse Practitioner (Pediatrics)1250 E MARSHALL ST PEDIATRICS
RICHMOND, VA 23298
(804) 828-9605
1902883176 AMIR TOOR MD
Individual
Internal Medicine (Hematology & Oncology)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 628-4463
1023096195DR. PONJOLA CONEY M.D.
Individual
Obstetrics & Gynecology1250 E MARSHALL ST OB/GYN
RICHMOND, VA 23298
(804) 828-4409
1104804129 PATRICIA MARIE SELIG N.P.
Individual
Nurse Practitioner (Family)1250 E MARSHALL ST MAIN HOSPITAL NURSING ADMINISTRATION
RICHMOND, VA 23298
(804) 828-4928
1679552533 MARTHA PURVIS NP
Individual
Nurse Practitioner (Family)1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-5306
1487628848DR. DANIELLE MARIE NOREIKA M.D.
Individual
Internal Medicine1250 E MARSHALL ST IM: PALLIATIVE CARE
RICHMOND, VA 23298
(804) 628-1295
1184699522 TIMOTHY E BUNCHMAN MD
Individual
Pediatrics (Pediatric Nephrology)1250 E MARSHALL ST PEDIATRICS
RICHMOND, VA 23298
(804) 828-3744
1063487437 ANNA K NIZINSKI NP
Individual
Nurse Practitioner1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-9726
1225004369DR. SALIM A DAHLVANI MD
Individual
Psychiatry & Neurology (Geriatric Psychiatry)1250 E MARSHALL ST PSYCHIATRY
RICHMOND, VA 23298
(804) 828-4570
1073581963 MACIEJ TYMOWSKI MD
Individual
Emergency Medicine1250 E MARSHALL ST EMERGENCY DEPARTMENT
RICHMOND, VA 23298
(804) 828-7738
1356300552MR. LANCE J HAMPTON M.D.
Individual
Urology1250 E MARSHALL ST SURGERY
RICHMOND, VA 23298
(804) 828-8146
1871555680DR. RACHEL R WALLER M.D.
Individual
Internal Medicine1250 E MARSHALL ST INTERNAL MEDICINE
RICHMOND, VA 23298
(804) 828-9357
1336104033DR. MARGARET M SANDERS M.D.
Individual
Radiology (Diagnostic Radiology)1250 E MARSHALL ST RADIOLOGY-DIAGNOSTIC RADIOLOGY
RICHMOND, VA 23298
(804) 828-6600

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
Nan G. O'connell M.d. 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.