DR. SHARON SUE KELLY DO
NPI 1184692444
Pathology - Anatomic Pathology & Clinical Pathology in Denver, CO


Quality Rating: 80.17 out of 100 score

NPI Status: Active since March 10, 2006

Contact Information

6116 E WARREN AVE
DENVER, CO
ZIP 80222
Phone: (303) 512-0888
Fax: (303) 512-2288

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  • Individual
  • Female
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance

About SHARON KELLY

This page provides the complete NPI Profile along with additional information for Sharon Kelly, a provider established in Denver, Colorado with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1184692444 assigned on March 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 31623 (CO). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1184692444
Provider Name
DR. SHARON SUE KELLY DO
Gender
Female
Entity Type
Individual
Location Address
6116 E WARREN AVE DENVER, CO 80222
Location Phone
(303) 512-0888
Location Fax
(303) 512-2288
Mailing Address
PO BOX 30309 CHARLESTON, SC 29417
Mailing Phone
(843) 284-3400
Mailing Fax
(303) 512-2288
Is Sole Proprietor?
No
Enumeration Date
03-10-2006
Last Update Date
01-30-2008
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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.
31623
License State
CO
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.

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)
1207ZB0001XAllopathic & Osteopathic Physicians

Pathology
Blood Banking & Transfusion Medicine

31623 (CO)

Insurance Plans Accepted

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

  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO
  • Bronze Simple Chronic Care CKM | MercyOne - EPO
  • Bronze Simple Diabetes | MercyOne - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | MercyOne - EPO
  • Gold Elite - EPO
  • Gold Elite | MercyOne - EPO
  • Secure - EPO
  • Secure | MercyOne - EPO
  • Silver Classic - EPO
  • Silver Classic | MercyOne - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | MercyOne - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO

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
F39309MEDICARE UPIN (02) 
843385MEDICAID (05)AZ 
C523528MEDICARE PIN (08)CO 
01316231MEDICAID (05)CO 
Z6603MEDICAID (05)UT 
36586269MEDICAID (05)NM 
P00299140MEDICARE PIN (08)CO 

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.

Blood bank physician services for cross match and/or evaluation and written report

Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.

This service was performed 44 times for 38 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 80.17, 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: 80.17 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: 75

    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: N/A

    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 DR. SHARON SUE KELLY DO

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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 1184692444, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
4
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 8 → 16 → 7 6 → 12 → 3 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 1 + 2 + 9 + 4 + 4 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1184692444.

Other Providers at the Same Location


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

Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
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Pathology (Anatomic Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
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Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
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Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222
Pathology (Anatomic Pathology & Clinical Pathology)
6116 E WARREN AVE
DENVER, CO 80222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184692444, enumerated as an "individual" on March 10, 2006.

The provider is located at 6116 E WARREN AVE DENVER, CO 80222 and the phone number is (303) 512-0888.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

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