DR. LEAH R URBANOSKY MD NPI 1285684308
Orthopaedic Surgery - Hand Surgery in Joliet, IL

About DR. LEAH R URBANOSKY MD

Leah Urbanosky is a provider established in Joliet, Illinois and her medical specialization is Orthopaedic Surgery with a focus in hand surgery with more than 30 years of experience. She graduated from University Of Cincinnati College Of Medicine in 1993. The NPI number of Leah Urbanosky is 1285684308 and was assigned on May 2006. The practitioner's primary taxonomy code is 207XS0106X with license number 036105212 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1285684308
Provider NameDR. LEAH R URBANOSKY MD
Location Address951 ESSINGTON RD JOLIET, IL 60435
Location Phone(815) 744-4551
Mailing Address550 W OGDEN AVE HINSDALE, IL 60521
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Enumeration Date05-11-2006
Last Update Date12-30-2021

Leah Urbanosky 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.

Leah Urbanosky 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 Advocate Good Samaritan Hospital, Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital and Elmhurst Memorial 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 94.3, 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 provider also has detailed performance information the following quality measures: annual registration in the prescription drug monitoring program, clinical data registry reporting, consultation of the prescription drug monitoring program, documentation of current medications in the medical record, e-prescribing, falls: screening for future fall risk, implementation of fall screening and assessment programs, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, promote use of patient-reported outcome tools, provide patients electronic access to their health information, query of the prescription drug monitoring program (pdmp), security risk analysis and use of high-risk medications in the elderly.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.99 for a new patient copayment and $19.44 for an established patient copayment.



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 Code207XS0106X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
SpecializationHand Surgery
License No.036105212
License StateIL
Taxonomy DescriptionAn orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Accepted Insurance

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

  • Medicaid
  • Medicare

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

Business Address

DR. LEAH R URBANOSKY MD
951 ESSINGTON RD
JOLIET, IL
ZIP 60435
Phone: (815) 744-4551
Fax: (815) 744-4756

Get Directions


Mailing Address

DR. LEAH R URBANOSKY MD
550 W OGDEN AVE
HINSDALE, IL
ZIP 60521
Phone: (630) 323-6116
Fax: (630) 323-6169


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
PECOS PAC ID5496763757
PECOS Enrollment IDI20060328000399
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 60435 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
$62.5 $188.97 $95.99
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.62 $47.24 $23.99
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
$19.4 $153.84 $77.76
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.85 $38.46 $19.44

* 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% 90.5
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 - 94.3
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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Clinical Data Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.
Consultation of the Prescription Drug Monitoring ProgramYesN/A
Clinicians would attest to reviewing the patients' history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient's history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient's history performance.
Documentation of Current Medications in the Medical Record 95% 3189
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 95% 1263
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Falls: Screening for Future Fall Risk 90% 574
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Implementation of fall screening and assessment programsYesN/A
Implementation of fall screening and assessment programs to identify patients at risk for falls and address modifiable risk factors (e.g., Clinical decision support/prompts in the electronic health record that help manage the use of medications, such as benzodiazepines, that increase fall risk).
Pneumococcal Vaccination Status for Older Adults 43% 574
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 58% 1556
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounterNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 24% 98
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Promote Use of Patient-Reported Outcome ToolsYesN/A
Demonstrate performance of activities for employing patient-reported outcome (PRO) tools and corresponding collection of PRO data such as the use of PQH-2 or PHQ-9, PROMIS instruments, patient reported Wound-Quality of Life (QoL), patient reported Wound Outcome, and patient reported Nutritional Screening.
Provide Patients Electronic Access to Their Health Information 81% 1805
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).
Query of the Prescription Drug Monitoring Program (PDMP)YesN/A
For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a Prescription Drug Monitoring Program (PDMP) for prescription drug history, except where prohibited and in accordance with applicable law.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of High-Risk Medications in the Elderly 2% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
574
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication2) Percentage of patients who were ordered at least two of the same high-risk medication

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.

  • 243Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 101Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 85X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 46X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 40X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 33Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • 16Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • 16Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 14Release and/or relocation of median nerve of hand (HCPCS:64721)
  • 14X-ray of fingers, minimum of 2 views (HCPCS:73140)

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. Leah Urbanosky is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ADVOCATE GOOD SAMARITAN HOSPITAL3815 HIGHLAND AVENUE
DOWNERS GROVE, IL 60515
(630) 275-5900Acute Care Hospitals140288
ADVENTIST LA GRANGE MEMORIAL HOSPITAL5101 S WILLOW SPRINGS RD
LA GRANGE, IL 60525
(708) 352-1200Acute Care Hospitals140065
ADVENTIST HINSDALE HOSPITAL120 NORTH OAK ST
HINSDALE, IL 60521
(630) 856-9000Acute Care Hospitals140122
ELMHURST MEMORIAL HOSPITAL155 EAST BRUSH HILL ROAD
ELMHURST, IL 60126
(331) 221-0130Acute Care Hospitals140200

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
1207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery036105212ILNo

Taxonomy Description: an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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
036105212MEDICAID (05)IL

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.
1285684308
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165128830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 8 + 3 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285684308 is valid because the calculated check digit 8 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
1831127232DR. ROBERT J DALEY MD
Individual
Orthopaedic Surgery951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1659395119DR. CARY ROBERT TEMPLIN M.D.
Individual
Orthopaedic Surgery951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1528263373DR. ANUJ S. PUPPALA M.D.
Individual
Orthopaedic Surgery951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1932411527 SABRINA MURINO OT
Individual
Occupational Therapist951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1598958282 DANA ARCHER PA-C
Individual
Physician Assistant951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1679514350 JERILYNN LEA SCHIEDEMEYER O.T.
Individual
Occupational Therapist951 ESSINGTON RD SUITE 400
JOLIET, IL 60435
(815) 942-8301
1205385192 TAYLOR CALDWELL LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1861796096HINSDALE ORTHOPAEDIC ASSOCIATES, SC
Organization
Orthopaedic Surgery951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1063467934 SHERI JOYCE LASK PA
Individual
Physician Assistant (Surgical)951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1942413018DR. NIKHIL K CHOKSHI MD
Individual
Orthopaedic Surgery951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1588989164DR. ROBERT JOHN THORSNESS M.D.
Individual
Orthopaedic Surgery (Hand Surgery)951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4455
1396387247 STACEY LYNN ROKUSEK
Individual
Nurse Practitioner (Family)951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1144394727HINSDALE ORTHOPAEDIC ASSOCIATES, S.C.
Organization
Durable Medical Equipment & Medical Supplies951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1063026599ILLINOIS BONE AND JOINT INSTITUTE LLC
Organization
Orthopaedic Surgery951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1649779471 KRISTOPHER BRIDGEMAN PA
Individual
Physician Assistant951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1720641244 HANNAH SKRABACZ
Individual
Physician Assistant951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1588148126 MEGAN LEONARD PA
Individual
Physician Assistant951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1639706005 TROY SMITH
Individual
Physician Assistant951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1194935064 JASON GREGORY HURBANEK M.D.
Individual
Orthopaedic Surgery (Sports Medicine)951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551
1982189189 MICHAEL SZYPULINSKI PA-C
Individual
Physician Assistant951 ESSINGTON RD
JOLIET, IL 60435
(815) 744-4551

Frequently Asked Questions

What is Dr. Leah Urbanosky MD NPI number?

The NPI number assigned to Dr. Leah Urbanosky MD is 1285684308, registered as an "individual" on May 11, 2006

Where is Dr. Leah Urbanosky MD located?

The provider is located at 951 Essington Rd Joliet, Il 60435 and the phone number is (815) 744-4551

Which is Dr. Leah Urbanosky MD specialty?

The provider's speciality is Orthopaedic Surgery with a focus in Hand Surgery

How many years of experience does Dr. Leah Urbanosky MD have?

The provider has more than 30 years of experience. She graduated from University Of Cincinnati College Of Medicine in 1993.

What insurance does Dr. Leah Urbanosky MD accept?

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

Is Dr. Leah Urbanosky MD registered in PECOS?

Yes, as of November 14, 2022 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.

How much is a visit to Dr. Leah Urbanosky MD?

Medicare beneficiaries should expect a typical cost of $95.99 with an average copayment of $23.99 for new patient appointments. Established patients should expect a typical charge of $77.76 and an average copayment of 19.44. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Leah Urbanosky MD?

The most common procedures or services performed by this practitioner are: Injection, dexamethasone sodium phosphate, 1mg, Injection, methylprednisolone acetate, 40 mg, X-ray of shoulder, minimum of 2 views, X-ray of wrist, minimum of 3 views, X-ray of hand, minimum of 3 views, Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance, Injections of tendon sheath, ligament, or muscle membrane, Aspiration and/or injection of large joint or joint capsule, Release and/or relocation of median nerve of hand and X-ray of fingers, minimum of 2 views.

Is Dr. Leah Urbanosky MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: ADVOCATE GOOD SAMARITAN HOSPITAL, ADVENTIST LA GRANGE MEMORIAL HOSPITAL, ADVENTIST HINSDALE HOSPITAL and ELMHURST MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Leah Urbanosky MD was last updated on May 11, 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]