DR. ANDREY GONCHARUK M.D. NPI 1356349922

Internal Medicine - Nephrology in Mineola, NY

Individual Male Internal Medicine Nephrology PECOS Enrolled MIPS Quality Score 30

About DR. ANDREY GONCHARUK M.D.

Andrey Goncharuk is an internist established in Mineola, New York and his medical specialization is Internal Medicine with a focus in nephrology . The NPI number of Andrey Goncharuk is 1356349922 and was assigned on July 2005. The practitioner's primary taxonomy code is 207RN0300X with license number 199896 (NY). The provider is registered as an individual and his NPI record was last updated 10 years ago.

An internist like Dr. Andrey Goncharuk M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1356349922

Provider NameDR. ANDREY GONCHARUK M.D.
Provider Location Address300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501
Provider Mailing Address300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date07-08-2005
Last Update Date08-09-2012



Andrey Goncharuk 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..

Andrey Goncharuk is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, 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 Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.199896
License StateNY
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

DR. ANDREY GONCHARUK M.D.
300 OLD COUNTRY RD
SUITE 111
MINEOLA, NY
ZIP 11501
Phone: (516) 745-0500
Fax: (516) 745-1534

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Mailing Address

DR. ANDREY GONCHARUK M.D.
300 OLD COUNTRY RD
SUITE 111
MINEOLA, NY
ZIP 11501
Phone: (516) 745-0500
Fax: (516) 745-1534


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
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

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% 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% N/A
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 - 30
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.

  • 321Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • 289Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • 93Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • 36Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

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
01888637MEDICAID (05)NY
22N391MEDICARE ID-TYPE UNSPECIFIED (04)NY
G48791MEDICARE UPIN (02)NY

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.
1356349922
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106641894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 6 + 4 + 1 + 8 + 9 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1356349922 is valid because the calculated check digit 2 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
1124026505DR. ROBERT J NEJAT M.D.
Individual
Urology300 OLD COUNTRY RD SUITE 211
MINEOLA, NY 11501
(516) 741-2255
1679560692DR. STEVEN JAY RAVICH MD
Individual
Orthopaedic Surgery300 OLD COUNTRY RD SUITE 151
MINEOLA, NY 11501
(516) 747-5700
1275598575 HUE T. LY M.D.
Individual
Internal Medicine300 OLD COUNTRY RD SUITE 31
MINEOLA, NY 11501
(516) 294-9380
1578516563QUEENS NASSAU NEPHROLOGY SERVICES, P.C.
Organization
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1699861237DR. MICHAEL PETELIS DO
Individual
Family Medicine300 OLD COUNTRY RD SUITE 211
MINEOLA, NY 11501
(516) 280-2599
1306922786DR. R. PHILLIP COLON PH.D.
Individual
Psychologist (Clinical)300 OLD COUNTRY RD SUITE 91
MINEOLA, NY 11501
(516) 294-8914
1780715508MS. IRENE HAJISAVA L.C.S.W.
Individual
Social Worker (Clinical)300 OLD COUNTRY RD SUITE 91
MINEOLA, NY 11501
(516) 294-0411
1841415726 ALLISON ELISE DUBNER PHD
Individual
Psychologist300 OLD COUNTRY RD SUITE 251
MINEOLA, NY 11501
(516) 779-0527
1689894685 IRA J SPECTOR MD
Individual
Obstetrics & Gynecology (Gynecology)300 OLD COUNTRY RD
MINEOLA, NY 11501
(516) 747-4404
1013137017 STEVEN A KLEIN MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)300 OLD COUNTRY RD
MINEOLA, NY 11501
(516) 747-4404
1588872113NASSAU SPORTS PHYSICAL THERAPY
Organization
Specialist300 OLD COUNTRY RD SUITE 191
MINEOLA, NY 11501
(516) 747-5050
1659516284SAMUEL KENAN,MD.,P.C
Organization
Specialist300 OLD COUNTRY RD SUITE221
MINEOLA, NY 11501
(516) 280-3733
1972839546 JEAN RUVEL MA, RD, CDE, CDN
Individual
Dietitian, Registered300 OLD COUNTRY RD SUITE 202
MINEOLA, NY 11501
(516) 747-4616
1548566342NORTH SHORE RETINA PHYSICIAN, PLLC
Organization
Ophthalmology300 OLD COUNTRY RD SUITE GL 51
MINEOLA, NY 11501
(516) 729-8515
1114925708DR. BINNY KOSHY M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1871591453DR. MARIO MAROTTA M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1598763187DR. YELENA ROSENBERG M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1518965110DR. VINCENT STEVEN AVILA M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1801831763 EDUARD BOVER D.O.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1992703490DR. CHRISTOPHER CAPUTO M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500

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. Andrey Goncharuk M.d. 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.