JEFFREY CORSETTI M.D. NPI 1235156829
Emergency Medicine in Seneca, PA

About JEFFREY CORSETTI M.D.

Jeffrey Corsetti is a provider established in Seneca, Pennsylvania and his medical specialization is Emergency Medicine. The NPI number of this provider is 1235156829 and was assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number MD-065250-L (PA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1235156829
Provider Name JEFFREY CORSETTI M.D.
Location Address100 FAIRFIELD DR SENECA, PA 16346
Location Phone(814) 676-7600
Mailing Address1004 RIVER DR FRANKLIN, PA 16323
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date07-17-2006
Last Update Date11-19-2009

Jeffrey Corsetti 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..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.3, 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 following quality measures were reported for this provider: implementation of an asp, implementation of formal quality improvement methods, practice changes, or other practice improvement processes, measurement and improvement at the practice and panel level and participation in an ahrq-listed patient safety organization..



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 Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD-065250-L
License StatePA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

100 FAIRFIELD DR
SENECA, PA
ZIP 16346
Phone: (814) 676-7600

Get Directions


Mailing Address

1004 RIVER DR
FRANKLIN, PA
ZIP 16323
Phone: (814) 432-5827


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
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

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% 96.8
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% 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 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 - 97.3
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 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
Implementation of an ASPYesN/A
Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance
Implementation of formal quality improvement methods, practice changes, or other practice improvement processesYesN/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0017114730004MEDICAID (05)PA
0017114730006MEDICAID (05)PA
0017114730008MEDICAID (05)PA
028246L5BMEDICARE PIN (08)PA

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.
1235156829
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265251284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 5 + 1 + 2 + 8 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1235156829 is valid because the calculated check digit 9 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
1962499178 GERALD J ROSS MD
Individual
Radiology (Diagnostic Radiology)100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7957
1740263649 WALTER GLENN MORRIS D.O.
Individual
Anesthesiology100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7843
1902889819 GARY LEE SWITZER M.D.
Individual
Anesthesiology100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7843
1265415871 JUDITH ANN GALLAGHER CRNA
Individual
Nurse Anesthetist, Certified Registered100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7843
1316927478DR. CHARLES E MASON MD
Individual
Radiology (Diagnostic Radiology)100 FAIRFIELD DR
SENECA, PA 16346
(814) 677-1410
1336129311 BRIDGETT DAVIS MD
Individual
Pathology (Immunopathology)100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7115
1881674307 JANET ZEHNER MD
Individual
Radiology (Diagnostic Radiology)100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7958
1922079193 RAZVAN N GRAMATOVICI M.D.
Individual
Radiology (Radiation Oncology)100 FAIRFIELD DR DEPT OF RADIATION ONCOLOGY
SENECA, PA 16346
(814) 676-7900
1336113927 DUK IL SUNG M.D.
Individual
Radiology (Therapeutic Radiology)100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7900
1649203969 MARY ELLEN HICE CRNA
Individual
Nurse Anesthetist, Certified Registered100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7843
1588689038 METIN GUNDUZ M.D.
Individual
Emergency Medicine100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7600
1427073873 RANDY BOGGESS D.O.
Individual
Emergency Medicine100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7600
1316962681 PHILIP JAMES ROODE M.D.
Individual
Emergency Medicine100 FAIRFIELD DR
SENECA, PA 16346
(540) 458-3300
1770508384NORTHWEST EMERGENCY PHYSICIANS, LLP
Organization
Emergency Medicine100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7600
1295750685 KELLY SPIERS P.A.-C
Individual
Physician Assistant100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7600
1982626701 JOHN SHONNARD MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7115
1215942040NORTHWEST ANESTHESIA, INC
Organization
Anesthesiology100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7843
1649377425 JOHN ALBERT JUPIN M.D.
Individual
Emergency Medicine100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7600
1992875199 RYAN L ANTRILLI RD, LDN
Individual
Dietitian, Registered100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7107
1366512576 STACEY R YOUNG
Individual
Dietitian, Registered100 FAIRFIELD DR
SENECA, PA 16346
(814) 676-7107

Frequently Asked Questions

What is Jeffrey Corsetti M.D. NPI number?

The NPI number assigned to this healthcare provider is 1235156829, registered as an "individual" on July 17, 2006

Where is Jeffrey Corsetti M.D. located?

The provider is located at 100 Fairfield Dr Seneca, Pa 16346 and the phone number is (814) 676-7600

Which is Jeffrey Corsetti M.D. specialty?

The provider's speciality is Emergency Medicine

What insurance does Jeffrey Corsetti M.D. accept?

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

Is Jeffrey Corsetti 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.

What are Jeffrey Corsetti M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

How much is a visit to Jeffrey Corsetti M.D.?

Medicare beneficiaries should expect a typical cost of $87.96 with an average copayment of $21.99 for new patient appointments. Established patients should expect a typical charge of $101.62 and an average copayment of 25.4. 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 Jeffrey Corsetti M.D. was last updated on July 17, 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]