MARY CLARE GUIGLIA M.D.
NPI 1245233600
Dermatology in Lexington, KY
Quality Rating: 64.15 out of 100 score
NPI Status: Active since May 31, 2005
Contact Information
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
Phone: (859) 263-4444
Fax: (859) 254-1814
- Individual
- Female
- Dermatology
About MARY GUIGLIA
This page provides the complete NPI Profile along with additional information for Mary Guiglia, a provider established in Lexington, Kentucky with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1245233600 assigned on May 2005. The practitioner's primary taxonomy code is 207N00000X with license number 24001 (KY). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1245233600
- Provider Name
- MARY CLARE GUIGLIA M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 250 FOUNTAIN CT LEXINGTON, KY 40509
- Location Phone
- (859) 263-4444
- Location Fax
- (859) 254-1814
- Mailing Address
- 250 FOUNTAIN CT LEXINGTON, KY 40509
- Mailing Phone
- (859) 263-4444
- Mailing Fax
- (859) 254-1814
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-31-2005
- Last Update Date
- 12-17-2013
- Code Navigator
A dermatologist like Mary Guiglia 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.
Location Map
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 24001
- License State
- KY
- Taxonomy Description
- A 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.
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) |
|---|---|---|---|---|
| 1 | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology | 24001 (KY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 000000236068 | OTHER (01) | ANTHEM | |
| 0300065 | OTHER (01) | KY | UNITED HEALTHCARE |
| C03008 | OTHER (01) | CUMBERLAND HEALTH | |
| 64240013 | MEDICAID (05) | KY | |
| 070003153 | MEDICARE PIN (08) | KY | |
| 1270405 | MEDICARE PIN (08) | KY |
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 64.15, 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: 64.15 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: 44.76
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: 81.76
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: 81.76
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 MARY CLARE GUIGLIA M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 3 | 3 | 6 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 3 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 3 + 6 + 6 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245233600 is valid because the calculated check digit 0 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.
DERMATOLOGY ASSOCIATES OF KENTUCKY PSC
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC
Clinic/Center
(Ambulatory Surgical)
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
CHARLIE BECKNELL M.D.
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
TODD V CLARK M.D.
Dermatology
250 FOUNTAIN CT
ATTN: LAUREN BRYANT
LEXINGTON, KY
ZIP 40509
JAMIE MARIE DAVIS PA-C
Physician Assistant
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC
Clinical Medical Laboratory
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
DR. SEAN A MARZOLF MD
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
MRS. CAITLIN ERIN PENNINGTON PA-C
Physician Assistant
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
LAURIE GREER MASSA M.D.
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
KRISTOPHER ADAM BRAUN M.D.
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
FERNANDO R. DE CASTRO M.D.
Dermatology
(Dermatopathology)
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
SAVINA NIKOLOVA PA-C
Physician Assistant
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
REBECCA MICHELLE LALUMANDIER APRN
Nurse Practitioner
(Family)
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
MADELYN FARRELL OLIVER JETER MD
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
NEW LEXINGTON CLINIC PSC
Clinic/Center
(Ambulatory Surgical)
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
NEW LEXINGTON CLINIC, PSC
Clinic/Center
(Multi-Specialty)
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
NEW LEXINGTON CLINIC PSC
Clinical Medical Laboratory
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
APRIL WINSTEAD RAMSEY MD
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
MS. MARYSA BRAYE RUEFF PA-C
Physician Assistant
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
RILEY DAYNE BECHTEL PA-C
Physician Assistant
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245233600, enumerated as an "individual" on May 31, 2005.
The provider is located at 250 FOUNTAIN CT LEXINGTON, KY 40509 and the phone number is (859) 263-4444.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
