DR. SUZANNE C NASH MD NPI 1336146273
Family Medicine in Thornton, CO

About DR. SUZANNE C NASH MD

Suzanne Nash is a primary care provider established in Thornton, Colorado and her medical specialization is Family Medicine with more than 32 years of experience. She graduated from University Of Colorado School Of Medicine, Denver in 1991. The NPI number of this provider is 1336146273 and was assigned on July 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 33481 (CO). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1336146273
Provider NameDR. SUZANNE C NASH MD
Location Address3655 E 104TH AVE SUITE A THORNTON, CO 80233
Location Phone(303) 254-8500
Mailing Address3655 E 104TH AVE SUITE A THORNTON, CO 80233
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year1991
Is Sole Proprietor?No
Enumeration Date07-07-2005
Last Update Date05-02-2013

A primary care provider (PCP) like Suzanne Nash sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Suzanne Nash 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.

Suzanne Nash 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 North Suburban Medical Center, Centura Health-st Anthony North Health Campus and Centura Health-avista Adventist 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 96, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $23.01 for a new patient copayment and $26.58 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 Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.33481
License StateCO
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

3655 E 104TH AVE
SUITE A
THORNTON, CO
ZIP 80233
Phone: (303) 254-8500
Fax: (303) 453-1819

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Mailing Address

3655 E 104TH AVE
SUITE A
THORNTON, CO
ZIP 80233
Phone: (303) 254-8500
Fax: (303) 453-1819


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 ID941191837
PECOS Enrollment IDI20100927000176
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 80233 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
$60.06 $181 $92.04
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.01 $45.25 $23.01
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.98 $148.2 $106.32
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.74 $37.05 $26.58

* 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% 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% 79.4
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 - 96
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.

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.

  • 84Administration of influenza virus vaccine (HCPCS:G0008)
  • 53Administration of pneumococcal vaccine (HCPCS:G0009)
  • 50Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 34Urinalysis, manual test (HCPCS:81002)
  • 28X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 28Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 23Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • 11Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

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
F55893MEDICARE UPIN (02)CO
CB1858MEDICARE PIN (08)
B1858MEDICARE ID-TYPE UNSPECIFIED (04)CO
01334812MEDICAID (05)CO

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.
1336146273
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23662412214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 4 + 1 + 2 + 2 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1336146273 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 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295732022DR. PHILIP J ROSENBLUM MD
Individual
Family Medicine3655 E 104TH AVE SUITE A
THORNTON, CO 80233
(303) 254-8500
1922005818DR. KENNETH W HAHN DO
Individual
Family Medicine3655 E 104TH AVE SUITE A
THORNTON, CO 80233
(303) 254-8500
1871514901ARBOR FAMILY MEDICINE
Organization
Family Medicine3655 E 104TH AVE SUITE A
THORNTON, CO 80233
(303) 254-8500
1013075423 MELANIE ANICEE ANDERSON PA-C
Individual
Physician Assistant (Medical)3655 E 104TH AVE
THORNTON, CO 80233
(303) 254-8500
1538334354ARBOR AFTER HOURS
Organization
Clinic/Center (Urgent Care)3655 E 104TH AVE
THORNTON, CO 80233
(303) 246-4877
1669647764AFTERCARE COLORADO, LLC
Organization
Clinic/Center (Urgent Care)3655 E 104TH AVE
THORNTON, CO 80233
(303) 246-4877
1699070227COLORADO SLEEP COMPANY
Organization
Clinic/Center (Sleep Disorder Diagnostic)3655 E 104TH AVE SUITE C
THORNTON, CO 80233
(303) 395-5548
1902119902 STACI BOGIN DPM
Individual
Podiatrist (Foot & Ankle Surgery)3655 E 104TH AVE SUITE B
THORNTON, CO 80233
(720) 328-2022
1720428626ELITE FOOT & ANKLE CLINIC
Organization
Podiatrist (Primary Podiatric Medicine)3655 E 104TH AVE SUITE B
THORNTON, CO 80233
(720) 328-2022
1235276528 KENT SCHREIBER MD
Individual
Family Medicine3655 E 104TH AVE
THORNTON, CO 80233
(303) 245-8500
1730316506 DIANA N KEILING PA
Individual
Physician Assistant (Medical)3655 E 104TH AVE
THORNTON, CO 80233
(303) 254-8500
1699849315 GINA STECINA BOLINGER PA-C
Individual
Physician Assistant (Medical)3655 E 104TH AVE
THORNTON, CO 80233
(303) 254-8500

Frequently Asked Questions

What is Dr. Suzanne Nash MD NPI number?

The NPI number assigned to this healthcare provider is 1336146273, registered as an "individual" on July 07, 2005

Where is Dr. Suzanne Nash MD located?

The provider is located at 3655 E 104th Ave Suite A Thornton, Co 80233 and the phone number is (303) 254-8500

Which is Dr. Suzanne Nash MD specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Suzanne Nash MD have?

The provider has more than 32 years of experience. She graduated from University Of Colorado School Of Medicine, Denver in 1991.

What insurance does Dr. Suzanne Nash MD 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 Dr. Suzanne Nash MD 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.

How much is a visit to Dr. Suzanne Nash MD?

Medicare beneficiaries should expect a typical cost of $92.04 with an average copayment of $23.01 for new patient appointments. Established patients should expect a typical charge of $106.32 and an average copayment of 26.58. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Suzanne Nash MD?

The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Pneumococcal vaccine for injection into muscle, Urinalysis, manual test, X-ray of chest, 2 views, front and side, Routine EKG using at least 12 leads including interpretation and report, Measurement and graphic recording of total and timed exhaled air capacity and Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.

How do I update my NPI information?

The NPI record of Dr. Suzanne Nash MD was last updated on July 07, 2005. 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]