JOHN E KRESGE CRNA NPI 1144226093

Nurse Anesthetist, Certified Registered in Somerset, NJ

NPI 1144226093 Individual Male Years of Experience 26 Nurse Anesthetist, Certified Registered Accepts Medicare Approved Payment Medicare Quality Reporting

NPI Profile for JOHN E KRESGE CRNA

John Kresge is a provider established in Somerset, New Jersey and his medical specialization is nurse anesthetist, certified registered with more than 26 years of experience. The NPI number of John Kresge is 1144226093 and was assigned on June 2005. The practitioner's primary taxonomy code is 367500000X with license number 048901 (PA). The provider is registered as an individual and his NPI record was last updated 3 years ago. John Kresge 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.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: post-anesthetic transfer of care measure: procedure room to a post anesthesia care unit (pacu). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

The typical physician office visit costs for Medicare beneficiaries in this area are: $25.35 for a new patient copayment and $29.21 for an established patient copayment.

NPI

1144226093

Provider Name JOHN E KRESGE CRNA
Provider Location Address285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873
Provider Mailing Address434 DANIEL ST ALLENTOWN, PA 18104
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1997
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-24-2005
Last Update Date07-08-2019


Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.048901
License StatePA
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Business Address

JOHN E KRESGE CRNA
285 DAVIDSON AVE STE 204
SOMERSET, NJ
ZIP 08873
Phone: (732) 271-1400
Fax: (732) 271-3544

Get Directions


Mailing Address

JOHN E KRESGE CRNA
434 DANIEL ST
ALLENTOWN, PA
ZIP 18104
Phone: (610) 530-1891
Fax: (610) 530-0844



Secondary Locations

3639 E View Dr
Orefield, PA 18069
(610) 428-1544

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.

PECOS PAC ID648174086
PECOS Enrollment IDI20031126000231, I20190805002090
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.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 08873 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$66.45 $198.48 $101.4
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $25.35
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.27 $162.58 $116.86
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $29.21

* The physician office visit costs information is obtained by Medicare's 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 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
Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) 100% 693
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized

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.

  • 42Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
  • 37Anesthesia for lens surgery (HCPCS:00142)
  • 27Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 14Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)

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. John Kresge is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SURGICAL INSTITUTE OF READING2752 CENTURY BOULEVARD
WYOMISSING, PA 19610
(717) 999-9999Acute Care Hospitals390316
LEHIGH VALLEY HOSPITAL1200 SOUTH CEDAR CREST BOULEVARD
ALLENTOWN, PA 18103
(610) 402-8000Acute Care Hospitals390133

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
1163W00000XNursing Service ProvidersRegistered NurseRN-324043-LPANo

Taxonomy Description: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

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 Identifier Issuer
0018603100007MEDICAID (05)PA
11453892OTHER (01)PACAQH
1337989OTHER (01)PAHIGHMARK
1337989OTHER (01)PAFIRST PRIORITY
2030781000OTHER (01)PAIBC
1544464OTHER (01)PAGATEWAY
7312259OTHER (01)PAAETNA
77537OTHER (01)PAGEISINGER
50026714OTHER (01)PACAPITAL ADVANTAGE

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.
1144226093
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21844212018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 2 + 1 + 2 + 0 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1144226093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689928749 MARGARET A LIDDY C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1992064778 ALAN WILFRED ROMERO CACES MD
Individual
Anesthesiology285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1649448317DR. SAMIR NATAVAR PATEL M.D.
Individual
Anesthesiology285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1205197480 SAMIR N SHAH M.D.
Individual
Anesthesiology285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1427347897 BRETT JOSEPH MOSES M.D.
Individual
Anesthesiology (Pediatric Anesthesiology)285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1003011065DR. LAURA LEI MD
Individual
Anesthesiology285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1871799015DR. STEPHANIE JEAN-NOEL M.D.
Individual
Anesthesiology285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1417156381DR. KRISTA R RUEDY M.D.
Individual
Anesthesiology285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1851538441DR. ERIC LEE M.D.
Individual
Anesthesiology (Pediatric Anesthesiology)285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1114001211DR. ANILCHANDRA I. BHAGAT M.D.
Individual
Anesthesiology285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1588084974 BHARATH KUMAR MITTAPALLI M.D.
Individual
Anesthesiology285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(732) 271-1400
1972263044SPECIALIZED ANESTHESIA SERVICES
Organization
Anesthesiology285 DAVIDSON AVE STE 204
SOMERSET, NJ 08873
(215) 850-6727

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
John E Kresge Crna 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.