DR. KATHLEEN CRANE-LEE M.D. NPI 1194885277
Family Medicine in Fairfax, VA

About DR. KATHLEEN CRANE-LEE M.D.

Kathleen Crane-lee is a primary care provider established in Fairfax, Virginia and her medical specialization is Family Medicine with more than 37 years of experience. The NPI number of Kathleen Crane-lee is 1194885277 and was assigned on December 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 0101054528 (VA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1194885277
Provider NameDR. KATHLEEN CRANE-LEE M.D.
Location Address3911 OLD LEE HWY #41C FAIRFAX, VA 22030
Location Phone(703) 352-7100
Mailing Address3911 OLD LEE HWY #41C FAIRFAX, VA 22030
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1986
Is Sole Proprietor?No
Enumeration Date12-11-2006
Last Update Date07-22-2019

A primary care provider (PCP) like Dr. Kathleen Crane-lee M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Kathleen Crane-lee 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.

Kathleen Crane-lee 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: breast cancer screening, closing the referral loop: receipt of specialist report, colorectal cancer screening, documentation of current medications in the medical record, engagement of patients, family, and caregivers in developing a plan of care, pneumococcal vaccination status for older adults, preventive care and screening: screening for depression and follow-up plan, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, use of certified ehr to capture patient reported outcomes and use of high-risk medications in the elderly. 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: $26.14 for a new patient copayment and $30.05 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.0101054528
License StateVA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. KATHLEEN CRANE-LEE M.D.
3911 OLD LEE HWY
#41C
FAIRFAX, VA
ZIP 22030
Phone: (703) 352-7100
Fax: (703) 591-7106

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Mailing Address

DR. KATHLEEN CRANE-LEE M.D.
3911 OLD LEE HWY
#41C
FAIRFAX, VA
ZIP 22030
Phone: (703) 352-7100
Fax: (703) 539-8579


Location Map

PECOS Enrollment and Medicare Participation Status

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.

Registered in PECOS? Yes
PECOS PAC ID840388823
PECOS Enrollment IDI20071109000186
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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 22030 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
$68.56 $204.56 $104.59
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.14 $51.14 $26.14
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
$21.87 $167.24 $120.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.46 $41.81 $30.05

* 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
Breast Cancer Screening 81% 288
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Closing the Referral Loop: Receipt of Specialist Report 25% 61
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
Colorectal Cancer Screening 79% 442
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Documentation of Current Medications in the Medical Record 100% 1465
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Engagement of Patients, Family, and Caregivers in Developing a Plan of CareYesN/A
Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology.
Pneumococcal Vaccination Status for Older Adults 88% 267
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 71% 692
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Use of certified EHR to capture patient reported outcomesYesN/A
In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review.
Use of High-Risk Medications in the Elderly 3% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
267
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

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.
1194885277
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118416810214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 6 + 8 + 1 + 0 + 2 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1194885277 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609968874DR. LIDA MARIA VARGAS D.D.S
Individual
Dentist3911 OLD LEE HWY SUITE 42 C
FAIRFAX, VA 22030
(703) 385-3800
1366502429DR. DANIELE NUNEZ M.D.
Individual
Family Medicine3911 OLD LEE HWY #41C
FAIRFAX, VA 22030
(703) 352-7100
1598825655DR. ERIC SANTO VALLONE M.D.
Individual
Internal Medicine3911 OLD LEE HWY #41C
FAIRFAX, VA 22030
(703) 352-7100
11647665721ST CLASS SLEEP DIAGNOSTICS, INC
Organization
Clinical Medical Laboratory3911 OLD LEE HWY SUITE 42-B
FAIRFAX, VA 22030
(703) 385-9222
1639542160LOUDOUN MEDICAL GROUP PC
Organization
Family Medicine3911 OLD LEE HWY SUITE 41-C
FAIRFAX, VA 22030
(703) 317-9500
1013077148DR. DAVID DRAKE LEONARD M.D.
Individual
Family Medicine3911 OLD LEE HWY SUITE #41C
FAIRFAX, VA 22030
(703) 352-7100
1366570400FAMILY PHYSICIANS OF OLD TOWN FAIRFAX PC.
Organization
Family Medicine3911 OLD LEE HWY #41C
FAIRFAX, VA 22030
(703) 352-7100
1457662660DR. MARGARET DOLAN ROCKWOOD M.D.
Individual
Family Medicine3911 OLD LEE HWY #41C
FAIRFAX, VA 22030
(703) 352-7100

Frequently Asked Questions

What is Dr. Kathleen Crane-lee M.D. NPI number?

The NPI number assigned to Dr. Kathleen Crane-lee M.D. is 1194885277, registered as an "individual" on December 11, 2006

Where is Dr. Kathleen Crane-lee M.D. located?

The provider is located at 3911 Old Lee Hwy #41c Fairfax, Va 22030 and the phone number is (703) 352-7100

Which is Dr. Kathleen Crane-lee M.D. specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Kathleen Crane-lee M.D. have?

The provider has more than 37 years of experience.

Is Dr. Kathleen Crane-lee M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.

How much is a visit to Dr. Kathleen Crane-lee M.D.?

Medicare beneficiaries should expect a typical cost of $104.59 with an average copayment of $26.14 for new patient appointments. Established patients should expect a typical charge of $120.2 and an average copayment of 30.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Dr. Kathleen Crane-lee M.D. was last updated on December 11, 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]