JOHN E KRESGE CRNA
NPI 1144226093
Nurse Anesthetist, Certified Registered in Somerset, NJ

NPI Status: Active since June 24, 2005

Contact Information

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

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  • Individual
  • Male
  • Years of Experience 27
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About JOHN KRESGE

John Kresge is a provider established in Somerset, New Jersey and his medical specialization is Nurse Anesthetist, Certified Registered with more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1144226093 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 5 years ago.

NPI
1144226093
Provider Name
JOHN E KRESGE CRNA
Gender
Male
Entity Type
Individual
Location Address
285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873
Location Phone
(732) 271-1400
Location Fax
(732) 271-3544
Mailing Address
434 DANIEL ST ALLENTOWN, PA 18104
Mailing Phone
(610) 530-1891
Mailing Fax
(732) 271-3544
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
06-24-2005
Last Update Date
07-08-2019
Code Navigator

John Kresge is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS 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.

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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
048901
License State
PA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN-324043-L (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid

  • Highmark Blue Shield

  • Aetna


*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
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

PECOS Enrollment and Medicare Participation Status

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.

  • PECOS PAC ID: 648174086

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20031126000231, I20190805002090

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 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 08873 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $101.4
  • Minimum New Patient Price $66.45
  • Maximum New Patient Price $198.48
  • Average New Patient Copayment $25.35
  • Minimum New Patient Copayment $16.61
  • Maximum New Patient Copayment $49.62

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $116.86
  • Minimum Established Patient Price $21.27
  • Maximum Established Patient Price $162.58
  • Average Established Patient Copayment $29.21
  • Minimum Established Patient Copayment $5.31
  • Maximum Established Patient Copayment $40.64

* 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 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 Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 69

    Anesthesia for lens surgery (HCPCS:00142)

  • 45

    Anesthesia for procedure on large bowel using an endoscope (HCPCS:00811)

  • 18

    Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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 Overall Rating
LEHIGH VALLEY HOSPITAL1200 SOUTH CEDAR CREST BOULEVARD
ALLENTOWN, PA 18103
(610) 402-8000Acute Care Hospitals
SURGICAL INSTITUTE OF READING2752 CENTURY BOULEVARD
WYOMISSING, PA 19610
(717) 999-9999Acute Care Hospitals

Reviews for JOHN E KRESGE CRNA

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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.
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
(732) 271-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144226093, enumerated in the NPI registry as an "individual" on June 24, 2005

The provider is located at 285 Davidson Ave Ste 204 Somerset, Nj 08873 and the phone number is (732) 271-1400

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 27 years of experience.

The provider might be accepting Accepts: Medicare, Medicaid, Highmark Blue Shield and Aetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $101.4 with an average copayment of $25.35 for new patient appointments. Established patients should expect a typical charge of $116.86 and an average copayment of 29.21. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Anesthesia for lens surgery, Anesthesia for procedure on large bowel using an endoscope and Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope.

The practitioner is affiliated to the following hospital(s): LEHIGH VALLEY HOSPITAL and SURGICAL INSTITUTE OF READING. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 24, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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