DR. ARIEF SURIAWINATA M.D.
NPI 1154350940
Pathology - Anatomic Pathology & Clinical Pathology in Lebanon, NH


Quality Rating: 94.89 out of 100 score

NPI Status: Active since July 02, 2006

Contact Information

1 MEDICAL CENTER DR
DHMC - PATHOLOGY
LEBANON, NH
ZIP 03756
Phone: (603) 650-7048

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  • Individual
  • Male
  • Years of Experience 30
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ARIEF SURIAWINATA

Arief Suriawinata is a provider established in Lebanon, New Hampshire and his medical specialization is Pathology with a focus in anatomic pathology & clinical pathology with more than 30 years of experience. The healthcare provider is registered in the NPI registry with number 1154350940 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 11978 (NH). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1154350940
Provider Name
DR. ARIEF SURIAWINATA M.D.
Gender
Male
Entity Type
Individual
Location Address
1 MEDICAL CENTER DR DHMC - PATHOLOGY LEBANON, NH 03756
Location Phone
(603) 650-7048
Mailing Address
1 MEDICAL CENTER DR DHMC DEPARTMENT OF PATHOLOGY LEBANON, NH 03756
Medical School Name
OTHER
Graduation Year
1995
Is Sole Proprietor?
No
Enumeration Date
07-02-2006
Last Update Date
07-10-2007
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Arief Suriawinata 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 under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.89, 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.39 for a new patient copayment and $26.61 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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
11978
License State
NH
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

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

  • Medicare

  • Medicaid


*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
30203631MEDICAID (05)NH 
H75120MEDICARE UPIN (02) 
RE7277MEDICARE ID-TYPE UNSPECIFIED (04)NH 
1009846MEDICAID (05)VT 

PECOS Enrollment and Medicare Participation Status

Arief Suriawinata 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

  • PECOS PAC ID: 2567479850

    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: I20060310000469

    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.

  • 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 03756 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $137.57
  • Minimum New Patient Price $60.13
  • Maximum New Patient Price $181.55
  • Average New Patient Copayment $34.39
  • Minimum New Patient Copayment $15.03
  • Maximum New Patient Copayment $45.38

Established Patients Visit Costs *

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

  • Average Established Patient Price $106.44
  • Minimum Established Patient Price $18.89
  • Maximum Established Patient Price $148.44
  • Average Established Patient Copayment $26.61
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $37.11

* 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.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 94.89 out of 100

    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.

  • Quality Score: 90.72

    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 Score: 100

    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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 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.

  • Cost Score: 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.

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.

  • 1899

    Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)

  • 151

    Special stained specimen slides to examine tissue (HCPCS:88341)

  • 86

    Tissue or cell analysis by immunologic technique (HCPCS:88342)

  • 83

    Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)

  • 70

    Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)

  • 64

    Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)

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. Arief Suriawinata is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MARY HITCHCOCK MEMORIAL HOSPITAL1 MEDICAL CENTER DRIVE
LEBANON, NH 3756
(603) 650-5000Acute Care Hospitals

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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.
1154350940
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110465098
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 5 + 0 + 9 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1154350940 is valid because the calculated check digit 0 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
1215930052MR. BRIAN PATRICK BIRNER CRNA
Individual
Nurse Anesthetist, Certified Registered1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-5922
1265437602DR. JEFFREY K LOW PHARMD
Individual
Pharmacist1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-7615
1255339636 STEPHEN B HOLDERMAN APRN
Individual
Nurse Practitioner (Adult Health)1 MEDICAL CENTER DR DHMC DEPARTMENT OF CARDIOLOGY
LEBANON, NH 03756
(603) 650-7837
1508866716DR. BERT L. FICHMAN MD
Individual
Anesthesiology (Pain Medicine)1 MEDICAL CENTER DR DHMC DEPARTMENT OF PAIN MEDICINE
LEBANON, NH 03756
(603) 650-6040
1326040916 ALYSSA GIRARD PA
Individual
Physician Assistant (Surgical)1 MEDICAL CENTER DR DHMC - ORTHOPAEDICS
LEBANON, NH 03756
(603) 650-5133
1992799951 OSCAR KEITH GIBBS PA-C
Individual
Physician Assistant1 MEDICAL CENTER DR DHMC DEPARTMENT OF ORTHOPAEDIC SURGERY
LEBANON, NH 03756
(603) 650-8494
1962498592 TIMOTHY J QUILL MD
Individual
Anesthesiology1 MEDICAL CENTER DR DHMC - DEPT OF CRITICAL CARE
LEBANON, NH 03756
(603) 650-4642
1346238250 LINDA A SPECHT MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)1 MEDICAL CENTER DR DHMC - CHILD DEVELOPMENT
LEBANON, NH 03756
(603) 653-9668
1275522781DR. ANN BIRNER PHARM D
Individual
Pharmacist1 MEDICAL CENTER DR DARTMOUTH-HITCHCOCK MEDICAL CENTER
LEBANON, NH 03756
(603) 650-7362
1316937865 DANIELLE BASTA APRN
Individual
Nurse Practitioner (Family)1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-8630
1225028574DR. CHERI COLETTE MATHER M.D.
Individual
Internal Medicine1 MEDICAL CENTER DR DHMC - DEPARTMENT OF MEDICINE
LEBANON, NH 03756
(603) 650-1070
1083605117DR. DAVID H STONE MD
Individual
Surgery (Vascular Surgery)1 MEDICAL CENTER DR DHMC DEPARTMENT OF SURGERY
LEBANON, NH 03756
(603) 650-4682
1720061153 ADAM R WEINSTEIN MD
Individual
Pediatrics (Pediatric Nephrology)1 MEDICAL CENTER DR DHMC--DEPT OF PEDIATRICS
LEBANON, NH 03756
(603) 653-9884
1467435479MISS LINDSAY ELIZABETH BROOKS PHARMD, BS
Individual
Pharmacist1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-4426
1366426546DR. JACK VAN HOFF MD
Individual
Pediatrics (Pediatric Hematology-Oncology)1 MEDICAL CENTER DR DHMC DEPT OF PEDIATRICS
LEBANON, NH 03756
(603) 650-5541
1073597100DR. LANCE WARHOLD M.D.
Individual
Orthopaedic Surgery1 MEDICAL CENTER DR DHMC ORTHOPAEDICS
LEBANON, NH 03756
(603) 650-8494
1346227956 JAMES L CARROLL JR. MD
Individual
Internal Medicine (Pulmonary Disease)1 MEDICAL CENTER DR
LEBANON, NH 03756
(603) 650-5533
1417934845 COREY BURCHMAN MD
Individual
Anesthesiology (Pain Medicine)1 MEDICAL CENTER DR DARTMOUTH-HITCHCOCK MEDICAL CENTER
LEBANON, NH 03756
(603) 650-5000
1316924624 NICOLE M ORZECHOWSKI D.O.
Individual
Internal Medicine (Rheumatology)1 MEDICAL CENTER DR DHMC DEPARTMENT OF RHEUMATOLOGY
LEBANON, NH 03756
(603) 650-8622
1417937038 ALIX ASHARE MD
Individual
Internal Medicine (Pulmonary Disease)1 MEDICAL CENTER DR DHMC DEPARTMENT OF MEDICINE
LEBANON, NH 03756
(603) 650-5533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154350940, enumerated in the NPI registry as an "individual" on July 02, 2006

The provider is located at 1 Medical Center Dr Dhmc - Pathology Lebanon, Nh 03756 and the phone number is (603) 650-7048

The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider has more than 30 years of experience.

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

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $137.57 with an average copayment of $34.39 for new patient appointments. Established patients should expect a typical charge of $106.44 and an average copayment of 26.61. 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: Pathology examination of tissue using a microscope, intermediate complexity, Special stained specimen slides to examine tissue, Tissue or cell analysis by immunologic technique, Pathology examination of tissue using a microscope, moderately high complexity, Pathology examination of tissue using a microscope, moderately low complexity and Special stained specimen slides to examine tissue including interpretation and report.

The practitioner is affiliated to the following hospital(s): MARY HITCHCOCK MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 02, 2006. 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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