DR. CORINE LEIGH CREECH D.P.M. NPI 1255628350
Podiatrist - Foot Surgery in Fairfax, VA

Individual Female Years of Experience 8 Podiatrist Foot Surgery PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 98.8

About DR. CORINE LEIGH CREECH D.P.M.

Corine Creech is a provider established in Fairfax, Virginia and her medical specialization is Podiatrist with a focus in foot surgery with more than 8 years of experience. The NPI number of Corine Creech is 1255628350 and was assigned on July 2011. The practitioner's primary taxonomy code is 213ES0131X with license number 0103301140 (VA). The provider is registered as an individual and her NPI record was last updated June 2022.

NPI
1255628350
Provider NameDR. CORINE LEIGH CREECH D.P.M.
Provider Location Address8501 ARLINGTON BLVD STE 200 FAIRFAX, VA 22031
Provider Mailing AddressPO BOX 37174 BALTIMORE, MD 21297
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2015
Is Sole Proprietor?No
Enumeration Date07-09-2011
Last Update Date06-01-2022

Corine Creech 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) and a Home Health Agency (HHA).

Corine Creech 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 Inova Fairfax Hospital, Novant Health Uva Health Haymarket Medical Center and Inova Fairfax Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.8, 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.



Primary Taxonomy

Taxonomy Code213ES0131X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot Surgery
License No.0103301140
License StateVA

Business Address

DR. CORINE LEIGH CREECH D.P.M.
8501 ARLINGTON BLVD STE 200
FAIRFAX, VA
ZIP 22031
Phone: (703) 970-6464
Fax: (703) 970-6465

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Mailing Address

DR. CORINE LEIGH CREECH D.P.M.
PO BOX 37174
BALTIMORE, MD
ZIP 21297
Phone: (571) 423-5699
Fax: (571) 423-5698


Secondary Locations

1721 Financial Loop
Lake Ridge, VA 22192
(703) 491-95007051 Heathcote Village Way Ste 230
Gainesville, VA 20155
(703) 970-64643300 Gallows Rd
Falls Church, VA 22042
(703) 776-4001


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 ID5395045801
PECOS Enrollment IDI20151204000752, I20180614000115
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 DevicesNo

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% 100
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% 80.1
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 - 98.8
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.

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. Corine Creech is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
INOVA FAIRFAX HOSPITAL3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
(703) 776-4001Acute Care Hospitals490063
NOVANT HEALTH UVA HEALTH HAYMARKET MEDICAL CENTER15225 HEALTHCOTE BOULEVARD
HAYMARKET, VA 20169
(571) 284-1000Acute Care Hospitals490144
INOVA FAIRFAX HOSPITAL3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
(703) 776-4001Acute Care Hospitals490063

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery0103301140VANo

Taxonomy Description: Not Available

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.
1255628350
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210512216310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 2 + 2 + 1 + 6 + 3 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255628350 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 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659800431 ALEJANDRO GERARDO CRUZ
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1538529219 JENNIFER NICOLE BURKHALTER DPT, OCS,CSCS
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1063803062DR. ALBERT PANNONE PT, DPT, ATC
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6423
1780683946 VANESSA MARIE HODGE DPT, PT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1629414339 UGOCHI OKOROAFOR-RIDGWAY MD
Individual
Orthopaedic Surgery8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464
1003017286DR. GREG E GASKI MD
Individual
Orthopaedic Surgery8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464
1699226159 ANNA ARMISTEAD CLINTON NP
Individual
Nurse Practitioner (Family)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6464
1023471141DR. NATALIE RAKESTRAW PT, DPT, OCS
Individual
Physical Therapist (Orthopedic)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1659975878DR. EMILY ANASTASIA BLUM PT, DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1104080050 JESSICA WERTZ DO
Individual
Family Medicine (Sports Medicine)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 204-2626
1093335549 MONA ELSAYED
Individual
Occupational Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1598355224DR. LAURA D'COSTA PT, DPT, PAM-GC
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1154096766 MICHAEL DATILES DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1013019868 ROBERT B STINGER MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 205-2626
1669142170 SHANNON HEALY DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490
1013656941 THOMAS FINNEGAN RONAYNE DPT
Individual
Physical Therapist8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031
(703) 970-6490

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. Corine Leigh Creech D.p.m. 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.