DR. PARASHOS A LAGOUROS M.D.
NPI 1245227883
Ophthalmology in Peoria, IL


Quality Rating: 78.7 out of 100 score

NPI Status: Active since September 29, 2005

Contact Information

8921 N. WOOD SAGE RD.
PEORIA, IL
ZIP 61615
Phone: (309) 243-2433
Fax: (309) 243-7918

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  • Individual
  • Male
  • Ophthalmology
  • Accepts Insurance

About PARASHOS LAGOUROS

This page provides the complete NPI Profile along with additional information for Parashos Lagouros, a provider established in Peoria, Illinois with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1245227883 assigned on September 2005. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1245227883
Provider Name
DR. PARASHOS A LAGOUROS M.D.
Gender
Male
Entity Type
Individual
Location Address
8921 N. WOOD SAGE RD. PEORIA, IL 61615
Location Phone
(309) 243-2433
Location Fax
(309) 243-7918
Mailing Address
8921 N. WOOD SAGE RD. PEORIA, IL 61615
Mailing Phone
(309) 243-2433
Mailing Fax
(309) 243-7918
Is Sole Proprietor?
No
Enumeration Date
09-29-2005
Last Update Date
07-09-2007
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Ophthalmologists like Parashos Lagouros specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

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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

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Insurance Plans Accepted

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

  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO

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
D16050MEDICARE UPIN (02) 
K13468MEDICARE ID-TYPE UNSPECIFIED (04) 
0425500001MEDICARE NSC (07) 

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 78.7, 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: 78.7 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: 83.89

    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: 58.53

    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: 58.53

    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.

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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.
1245227883
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22854214816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 2 + 1 + 4 + 8 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1245227883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

DR. STEVEN E SICHER M.D.

Ophthalmology

8921 N. WOOD SAGE RD.
PEORIA, IL
ZIP 61615

(309) 243-2400

DR. STEVEN J LICHTENSTEIN M.D.

Ophthalmology

8921 N. WOOD SAGE RD.
PEORIA, IL
ZIP 61615

(309) 243-2400

DR. THOMAS M WYMAN M.D.

Ophthalmology

8921 N. WOOD SAGE RD.
PEORIA, IL
ZIP 61615

(309) 243-2400

DR. DONALD L BUEHLER O.D.

Optometrist

8921 N. WOOD SAGE RD.
PEORIA, IL
ZIP 61615

(309) 243-2400

DR. JOHN P RHODE M.D.

Ophthalmology

8921 N. WOOD SAGE RD.
PEORIA, IL
ZIP 61615

(309) 243-2400

DR. THOMAS C KIRCHGESSNER O.D.

Optometrist

8921 N. WOOD SAGE RD.
PEORIA, IL
ZIP 61615

(309) 243-2400

DR. YANNIS N KOLETTIS M.D.

Ophthalmology

8921 N. WOOD SAGE RD.
PEORIA, IL
ZIP 61615

(309) 243-2400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245227883, enumerated as an "individual" on September 29, 2005.

The provider is located at 8921 N. WOOD SAGE RD. PEORIA, IL 61615 and the phone number is (309) 243-2433.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to verify.