PROF. ERIK P PIORO MD, PHD
NPI 1154357499
Psychiatry & Neurology - Neuromuscular Medicine in Chicago, IL


Quality Rating: 94.1 out of 100 score

NPI Status: Active since June 25, 2006

Contact Information

259 E ERIE ST STE 1900
CHICAGO, IL
ZIP 60611
Phone: (312) 695-7950
Fax: (312) 695-5747

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neuromuscular Medicine

About ERIK PIORO

This page provides the complete NPI Profile along with additional information for Erik Pioro, a provider established in Chicago, Illinois with a medical specialization in Psychiatry & Neurology, focusing in neuromuscular medicine . The healthcare provider is registered in the NPI registry with number 1154357499 assigned on June 2006. The practitioner's primary taxonomy code is 2084N0008X with license number 036158356 (IL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1154357499
Provider Name
PROF. ERIK P PIORO MD, PHD
Gender
Male
Entity Type
Individual
Location Address
259 E ERIE ST STE 1900 CHICAGO, IL 60611
Location Phone
(312) 695-7950
Location Fax
(312) 695-5747
Mailing Address
259 E ERIE ST STE 1900 CHICAGO, IL 60611
Mailing Phone
(312) 695-7950
Mailing Fax
(312) 695-5747
Is Sole Proprietor?
No
Enumeration Date
06-25-2006
Last Update Date
12-14-2021
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Location Map

Secondary Locations

  • 9500 Euclid Ave
    Cleveland, OH 44195
    (800) 223-2273

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

Psychiatry & Neurology Neuromuscular Medicine

Taxonomy Code
2084N0008X
Type
Allopathic & Osteopathic Physicians
License No.
036158356
License State
IL
Taxonomy Description
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).

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)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

35066519P (OH)

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
0128614MEDICAID (05)OH 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 39 times for 21 patients

Needle measurement of electrical activity in arm or leg muscles, complete study

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

This service was performed 167 times for 113 patients

Needle measurement of electrical activity in arm or leg muscles, limited study

This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.

This service was performed 63 times for 60 patients

Nerve conduction, 11-12 studies

Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.

This service was performed 25 times for 25 patients

Nerve conduction, 13 or more studies

Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.

This service was performed 14 times for 14 patients

Nerve conduction, 5-6 studies

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

This service was performed 14 times for 14 patients

Nerve conduction, 9-10 studies

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

This service was performed 60 times for 60 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 19 times for 19 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

This service was performed 60 times for 23 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.1, 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.

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: 94.1 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: 82.59

    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.

Reviews for PROF. ERIK P PIORO MD, PHD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154357499, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 6 + 5 + 1 + 4 + 4 + 1 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1154357499.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Physician Assistant
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Nurse Practitioner
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neuromuscular Medicine)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Vascular Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Vascular Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Physician Assistant
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Clinical Neurophysiology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Social Worker (Clinical)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neuromuscular Medicine)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154357499, enumerated as an "individual" on June 25, 2006.

The provider is located at 259 E ERIE ST STE 1900 CHICAGO, IL 60611 and the phone number is (312) 695-7950.

Psychiatry & Neurology with taxonomy code 2084N0008X and a focus in Neuromuscular Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.