DR. MADELON K. KRISSOFF MD
NPI 1134340003
Internal Medicine - Geriatric Medicine in Grand Rapids, MI
NPI Status: Active since May 01, 2007
Contact Information
233 E. FULTON
SUITE #102
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 744-2588
Fax: (616) 744-6839
- Individual
- Female
- Internal Medicine
- Geriatric Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About MADELON KRISSOFF
This page provides the complete NPI Profile along with additional information for Madelon Krissoff, an internist established in Grand Rapids, Michigan with a medical specialization in Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1134340003 assigned on May 2007. The practitioner's primary taxonomy code is 207RG0300X with license number 4301406025 (MI). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1134340003
- Provider Name
- DR. MADELON K. KRISSOFF MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 233 E. FULTON SUITE #102 GRAND RAPIDS, MI 49503
- Location Phone
- (616) 744-2588
- Location Fax
- (616) 744-6839
- Mailing Address
- 515 LAKESIDE DRIVE SE SUITE 103 EAST GRAND RAPIDS, MI 49506
- Mailing Phone
- (616) 774-2588
- Mailing Fax
- (616) 744-6839
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-01-2007
- Last Update Date
- 08-15-2014
- Code Navigator
An internist like Madelon Krissoff 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.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Geriatric Medicine
- Taxonomy Code
- 207RG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301406025
- License State
- MI
- Taxonomy Description
- An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0413102 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | |
| 4116499 | MEDICAID (05) | MI | |
| E77501 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Madelon Krissoff 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 49503 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $166.68
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $41.67
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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 |
|---|---|---|
| Care Plan | 74% | 43 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
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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. | |||||||||
| 1 | 1 | 3 | 4 | 3 | 4 | 0 | 0 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 6 | 4 | 0 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 6 + 4 + 0 + 0 + 0 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1134340003 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134340003, enumerated as an "individual" on May 01, 2007.
The provider is located at 233 E. FULTON SUITE #102 GRAND RAPIDS, MI 49503 and the phone number is (616) 744-2588.
Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
