DR. SHARON FOSTER GARDEPE MD NPI 1225015514
Dermatology in Huntsville, AL

Individual Female Years of Experience 44 Dermatology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 30

About DR. SHARON FOSTER GARDEPE MD

Sharon Gardepe is a provider established in Huntsville, Alabama and her medical specialization is Dermatology with more than 44 years of experience. She graduated from University Of Alabama School Of Medicine in 1979. The NPI number of Sharon Gardepe is 1225015514 and was assigned on December 2005. The practitioner's primary taxonomy code is 207N00000X with license number 4558 (AL). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1225015514
Provider NameDR. SHARON FOSTER GARDEPE MD
Provider Location Address201 SIVLEY RD SW STE 510 HUNTSVILLE, AL 35801
Provider Mailing Address201 SIVLEY RD SW STE 510 HUNTSVILLE, AL 35801
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year1979
Is Sole Proprietor?Yes
Enumeration Date12-28-2005
Last Update Date02-17-2010

A dermatologist like Dr. Sharon Foster Gardepe Md is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.Sharon Gardepe 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.

Sharon Gardepe 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. According to Medicare claims data she has hospital affiliations with Huntsville Hospital and University Hospitals Of Cleveland.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, 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: $21.48 for a new patient copayment and $17.46 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.4558
License StateAL
Taxonomy DescriptionA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Business Address

DR. SHARON FOSTER GARDEPE MD
201 SIVLEY RD SW
STE 510
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 536-0992

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Mailing Address

DR. SHARON FOSTER GARDEPE MD
201 SIVLEY RD SW
STE 510
HUNTSVILLE, AL
ZIP 35801
Phone:


PECOS Enrollment and Medicare Participation

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 ID5496947798
PECOS Enrollment IDI20101005000852
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 35801 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
$55.54 $170.61 $85.95
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.88 $42.65 $21.48
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.93 $139.08 $69.84
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.23 $34.77 $17.46

* 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.

Overall MIPS Quality Performance

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

MIPS Measure Score Weight Score
Quality 40% N/A
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 (PI) 25% 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 15% N/A
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 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 20% 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.
MIPS Final Score - 30
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.

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 3754Destruction of 2-14 skin growths (HCPCS:17003)
  • 1061Destruction of skin growth (HCPCS:17000)
  • 657Destruction of up to 14 skin growths (HCPCS:17110)
  • 102Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • 12Biopsy of single growth of skin and/or tissue (HCPCS:11100)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Sharon Gardepe is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HUNTSVILLE HOSPITAL101 SIVLEY RD
HUNTSVILLE, AL 35801
(256) 265-1000Acute Care Hospitals10039
UNIVERSITY HOSPITALS OF CLEVELAND11100 EUCLID AVENUE
CLEVELAND, OH 44106
(216) 844-1000Acute Care Hospitals360137

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.
1225015514
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245011052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 0 + 1 + 1 + 0 + 5 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1225015514 is valid because the calculated check digit 4 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
1235122177DR. EVAN SCOTT COHEN M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1639162571DR. THOMAS BENTON WASHBURN JR. M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1619960549DR. RICHARD LLOYD CLAY M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1336132281HUNTSVILLE CARDIOTHORACIC SURGEONS, PC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1891773396HUNTSVILLE CARDIAC ANESTHESIA
Organization
Anesthesiology201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1649258260DR. ERIC MURRAY M.D.
Individual
Anesthesiology201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1437117603DR. MARCO CIOPPI MD
Individual
Surgery (Vascular Surgery)201 SIVLEY RD SW STE 305
HUNTSVILLE, AL 35801
(256) 536-9000
1790734051DR. RICK MICHIEL ROBERTS M.D.
Individual
Surgery (Vascular Surgery)201 SIVLEY RD SW SUITE 305
HUNTSVILLE, AL 35801
(256) 536-9000
1104876770DR. JAMES ROBERT LANCASTER M.D.
Individual
Surgery201 SIVLEY RD SW SUITE 320
HUNTSVILLE, AL 35801
(256) 536-7840
1184675118DR. STEVEN COWART M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)201 SIVLEY RD SW SUITE 450
HUNTSVILLE, AL 35801
(256) 551-4505
1902832447VASCULAR SURGERY ASSOCIATES
Organization
Preferred Provider Organization201 SIVLEY RD SW SUITE 305
HUNTSVILLE, AL 35801
(256) 536-9000
1073538732THE CENTER FOR CANCER CARE, PC
Organization
Clinic/Center (Oncology, Radiation)201 SIVLEY RD SW GROUND FLOOR
HUNTSVILLE, AL 35801
(256) 265-6590
1942228283 JESUS HERNANDEZ M.D.
Individual
Internal Medicine (Rheumatology)201 SIVLEY RD SW SUITE 600
HUNTSVILLE, AL 35801
(256) 551-6510
1932291747ENDOCRINOLOGY AND DIABETES ASSOCIATES, LLC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)201 SIVLEY RD SW SUITE 450
HUNTSVILLE, AL 35801
(256) 551-4505
1366561078 LUANN HOLLOWAY NP
Individual
Nurse Practitioner201 SIVLEY RD SW SUITE GROUND 2 BLACKWELL MEDICAL TOWER
HUNTSVILLE, AL 35801
(256) 265-6500
1891907515DR. YI JIA M.D.
Individual
Internal Medicine201 SIVLEY RD SW SUITE 500
HUNTSVILLE, AL 35801
(256) 265-3883
1700083482 VARUN RAMESH PUDUCHERI MD
Individual
Internal Medicine201 SIVLEY RD SW SUITE GROUND 2 BLACKWELL MEDICAL TOWER
HUNTSVILLE, AL 35801
(256) 265-6500
1730360629DR. SUDHEER R KANTHARAJPUR M.D., M.H.A
Individual
Hospitalist201 SIVLEY RD SW SUITE 500
HUNTSVILLE, AL 35801
(256) 265-3880
1497085013MRS. DIANE LOUISE BAREFIELD CRNP
Individual
Nurse Practitioner (Family)201 SIVLEY RD SW SUITE 30
HUNTSVILLE, AL 35801
(256) 265-6854
1801117262ALABAMA CENTER FOR INFECTIOUS DISEASE
Organization
Internal Medicine (Infectious Disease)201 SIVLEY RD SW SUITE 540
HUNTSVILLE, AL 35801
(256) 265-1902

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Sharon Foster Gardepe Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.