DR. LORE LISA GARTEN M.D., P.H.D
NPI 1376507202
Internal Medicine - Addiction Medicine in Kingston, NY
- Individual
- Female
- Internal Medicine
- Addiction Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About LORE GARTEN
This page provides the complete NPI Profile along with additional information for Lore Garten, an internist established in Kingston, New York with a medical specialization in Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1376507202 assigned on April 2006. The practitioner's primary taxonomy code is 207RA0401X with license number 224224 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1376507202 Verify this NPI
- Provider Name
- DR. LORE LISA GARTEN M.D., P.H.D
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10 BARBAROSSA LN KINGSTON, NY 12401
- Location Phone
- (845) 943-6091
- Mailing Address
- 19 BRADHURST AVE HAWTHORNE, NY 10532
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-17-2006
- Last Update Date
- 05-01-2023
- Code Navigator
An internist like Lore Garten 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.
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
Internal Medicine Addiction Medicine
- Taxonomy Code
- 207RA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 224224
- License State
- NY
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 224224 (NY) |
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.
*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 |
|---|---|---|---|
| 02244324 | MEDICAID (05) | NY |
Medicare Participation & PECOS Enrollment Status
Lore Garten 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 12401 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $141.77
- Minimum New Patient Price $61.88
- Maximum New Patient Price $187.05
- Average New Patient Copayment $35.44
- Minimum New Patient Copayment $15.47
- Maximum New Patient Copayment $46.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $108.56
- Minimum Established Patient Price $19.92
- Maximum Established Patient Price $151.94
- Average Established Patient Copayment $27.14
- Minimum Established Patient Copayment $4.98
- Maximum Established Patient Copayment $37.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 67% | 102 |
| 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 encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 33% | 95 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376507202, enumerated as an "individual" on April 17, 2006.
The provider is located at 10 BARBAROSSA LN KINGSTON, NY 12401 and the phone number is (845) 943-6091.
Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
