CHAD J PRUSMACK M.D.
NPI 1396844346
Neurological Surgery in Lone Tree, CO


Quality Rating: 62.62 out of 100 score

NPI Status: Active since September 22, 2006

Contact Information

10103 RIDGEGATE PKWY
SUITE 306
LONE TREE, CO
ZIP 80124
Phone: (303) 225-8120
Fax: (303) 225-8130

Get Directions Write a Review

  • Individual
  • Male
  • Neurological Surgery

About CHAD PRUSMACK

This page provides the complete NPI Profile along with additional information for Chad Prusmack, a provider established in Lone Tree, Colorado with a medical specialization in Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1396844346 assigned on September 2006. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1396844346
Provider Name
CHAD J PRUSMACK M.D.
Gender
Male
Entity Type
Individual
Location Address
10103 RIDGEGATE PKWY SUITE 306 LONE TREE, CO 80124
Location Phone
(303) 225-8120
Location Fax
(303) 225-8130
Mailing Address
10103 RIDGEGATE PKWY SUITE 306 LONE TREE, CO 80124
Mailing Phone
(303) 225-8120
Mailing Fax
(303) 225-8130
Is Sole Proprietor?
No
Enumeration Date
09-22-2006
Last Update Date
01-07-2008
Code Navigator

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

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License State
CO
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

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
61127230MEDICAID (05)CO 
807471MEDICARE PIN (08)CO 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 20 times for 20 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 32 times for 22 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

This service was performed 28 times for 15 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 19 times for 19 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 62.62, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 62.62 out of 100

    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.

  • Quality Score: 76.54

    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 Score: 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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 18.43

    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.

  • Cost Score: 18.43

    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.

Reviews for CHAD J PRUSMACK M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396844346, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 6 + 4 + 8 + 3 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1396844346.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
10103 RIDGEGATE PKWY, SUITE G21
LONE TREE, CO 80124
Nurse Practitioner (Perinatal)
10103 RIDGEGATE PKWY, SUITE 212
LONE TREE, CO 80124
Nurse Practitioner (Perinatal)
10103 RIDGEGATE PKWY, SUITE 212
LONE TREE, CO 80124
Pharmacist
10103 RIDGEGATE PKWY, SUITE 117A
LONE TREE, CO 80124
Clinic/Center (Ambulatory Surgical)
10103 RIDGEGATE PKWY, STE 312
LONE TREE, CO 80124
Family Medicine
10103 RIDGEGATE PKWY, SUITE G-23
LONE TREE, CO 80124
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10103 RIDGEGATE PKWY, #306
LONE TREE, CO 80124
Dentist (Oral and Maxillofacial Surgery)
10103 RIDGEGATE PKWY, #214
LONETREE, CO 80124
Physician Assistant (Surgical)
10103 RIDGEGATE PKWY, SUITE 306
LONE TREE, CO 80124
Podiatrist (Foot & Ankle Surgery)
10103 RIDGEGATE PKWY, 309
LONE TREE, CO 80124
Clinic/Center (Primary Care)
10103 RIDGEGATE PKWY, SUITE 114
LONE TREE, CO 80124
Psychiatry & Neurology (Neurology)
10103 RIDGEGATE PKWY, SUITE 125
LONE TREE, CO 80124
Specialist/Technologist, Other (Electroneurodiagnostic)
10103 RIDGEGATE PKWY, SUITE 306
LONE TREE, CO 80124
Specialist/Technologist, Other (Electroneurodiagnostic)
10103 RIDGEGATE PKWY, SUITE 306
LONE TREE, CO 80124
Podiatrist (Foot & Ankle Surgery)
10103 RIDGEGATE PKWY, SUITE 345
LONE TREE, CO 80124
Pharmacy
10103 RIDGEGATE PKWY
LONE TREE, CO 80124
Audiologist-Hearing Aid Fitter
10103 RIDGEGATE PKWY, #125
LONE TREE, CO 80124
Internal Medicine (Rheumatology)
10103 RIDGEGATE PKWY, 203
LONE TREE, CO 80124
Family Medicine
10103 RIDGEGATE PKWY, SUITE G-23
LONE TREE, CO 80124
Specialist
10103 RIDGEGATE PKWY, 213
LONE TREE, CO 80124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396844346, enumerated as an "individual" on September 22, 2006.

The provider is located at 10103 RIDGEGATE PKWY SUITE 306 LONE TREE, CO 80124 and the phone number is (303) 225-8120.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.