DR. KAREN RENEE GRASSIE M.D. NPI 1417056516

Surgery in Concord Twp, OH

NPI 1417056516 Individual Female Years of Experience 25 Surgery PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About KAREN GRASSIE

Karen Grassie is a provider established in Concord Twp, Ohio and her medical specialization is surgery with more than 25 years of experience. She graduated from Medical College Of Ohio in 1997. The NPI number of Karen Grassie is 1417056516 and was assigned on September 2006. The practitioner's primary taxonomy code is 208600000X with license number 35-075055-G (OH). The provider is registered as an individual and her NPI record was last updated 9 years ago.

A surgeon like Dr. Karen Renee Grassie M.d. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Karen Grassie is enrolled in PECOS and is eligible to order or refer healthcare 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

Karen Grassie 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 Lake Health.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: breast cancer screening, colorectal cancer screening, documentation of current medications in the medical record, health information exchange exclusion, implementation of medication management practice improvements, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, secure messaging, security risk analysis, syndromic surveillance reporting and tcpi participation. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1417056516

Provider NameDR. KAREN RENEE GRASSIE M.D.
Provider Location Address7580 AUBURN RD SUITE 314 CONCORD TWP, OH 44077
Provider Mailing Address7580 AUBURN RD STE 314 SUITE # 4 CONCORD TWP, OH 44077
GenderFemale
NPI Entity TypeIndividual
Medical School NameMEDICAL COLLEGE OF OHIO
Graduation Year1997
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-22-2006
Last Update Date08-02-2012


Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.35-075055-G
License StateOH
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

DR. KAREN RENEE GRASSIE M.D.
7580 AUBURN RD
SUITE 314
CONCORD TWP, OH
ZIP 44077
Phone: (440) 352-0646
Fax: (440) 352-0648

Get Directions


Mailing Address

DR. KAREN RENEE GRASSIE M.D.
7580 AUBURN RD STE 314
SUITE # 4
CONCORD TWP, OH
ZIP 44077
Phone: (440) 352-0646
Fax: (440) 352-0648



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID7315908928
PECOS Enrollment IDI20041027000000
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

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.

  • 14Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • 14Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 12Lymph node imaging during surgery (HCPCS:38900)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. 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 Rate Number of Patients
Breast Cancer Screening 27% 458
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Colorectal Cancer Screening 25% 602
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Documentation of Current Medications in the Medical Record 100% 1558
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
Medication Reconciliation 100% 286
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 44% 275
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 23% 997
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: Tobacco Use: Screening and Cessation Intervention 15% 48
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
Provide Patient Access 99% 275
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 1% 275
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.

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. Karen Grassie is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LAKE HEALTH7590 AUBURN ROAD
CONCORD, OH 44077
(440) 953-9600Acute Care Hospitals360098

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
H68264MEDICARE UPIN (02)OH
4089922MEDICARE ID-TYPE UNSPECIFIED (04)OH
2327771MEDICAID (05)OH

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1326366352LAKE ORTHOPAEDIC ASSOCIATES, INC.
Organization
Orthopaedic Surgery7580 AUBURN RD SUITE 214
CONCORD TWP, OH 44077
(440) 352-1711
1578884797LAKE HOSPITAL SYSTEM, INC.
Organization
Orthopaedic Surgery7580 AUBURN RD SUITE 214
PAINESVILLE, OH 44077
(440) 602-6670
1104100601LAKE HEALTH MEDICAL CENTER
Organization
General Acute Care Hospital7580 AUBURN RD SUITE 207
CONCORD TWP, OH 44077
(440) 953-6082
1114201522MRS. SONJA ELAINE PECKHAM CNP
Individual
Nurse Practitioner (Adult Health)7580 AUBURN RD SUITE 207
CONCORD TWP, OH 44077
(440) 354-1802
1699023390 HELENE ASHLEY CANTIN AUD.
Individual
Audiologist-Hearing Aid Fitter7580 AUBURN RD 103
CONCORD TWP, OH 44077
(440) 352-1474
1720243942 CATHERINE E HELKEY AU.D.
Individual
Audiologist7580 AUBURN RD SUITE 103
CONCORD TWP, OH 44077
(440) 352-1474
1073947867VEIN CLINICS OF LAKE COUNTY LLC
Organization
Internal Medicine7580 AUBURN RD STE 214
PAINESVILLE, OH 44077
(440) 352-2702
1245431527 LORI FALZONE M.A.
Individual
Audiologist7580 AUBURN RD 103
CONCORD TWP, OH 44077
(440) 352-1474
1326007980DRS. HILL AND CHAPNICK, INC.
Organization
Clinical Medical Laboratory7580 AUBURN RD
CONCORD, OH 44077
(440) 354-4208
1366844284LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH
Organization
Pharmacy (Community/Retail Pharmacy)7580 AUBURN RD
CONCORD TOWNSHIP, OH 44077
(440) 602-6320
1063761955MS. MAUREEN PATRICIA MURRAY NP-C
Individual
Nurse Practitioner (Adult Health)7580 AUBURN RD
CONCORD TWP, OH 44077
(440) 358-1116
1609239193 KAREN CLIFFORD R.D., L.D.
Individual
Dietitian, Registered7580 AUBURN RD PHYSICIAN PAVILION AT TRIPOINT SUITE 201
CONCORD TWP, OH 44077
(440) 350-4511
1528025327 ROBERT L KATZ MD
Individual
Otolaryngology7580 AUBURN RD SUITE 103
CONCORD TWP, OH 44077
(440) 352-1474
1477671642 KATHERINE M NOVOTNY NP-C
Individual
Nurse Practitioner (Family)7580 AUBURN RD SUITE 301
CONCORD TWP, OH 44077
(440) 352-7546
1003005257DR. STANLEY CARTER PACE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)7580 AUBURN RD #302, C/O DRS. HILL AND CHAPNICK, INC
CONCORD TWP, OH 44077
(440) 354-4208
1306455480 ASHLEY HIXON PHARM.D.
Individual
Pharmacist7580 AUBURN RD
CONCORD TWP, OH 44077
(440) 375-8791
1639362916 PATRICIA KELLY C.N.P.
Individual
Nurse Practitioner (Family)7580 AUBURN RD SUITE 202
PAINESVILLE, OH 44077
(440) 352-0400
1801454715 PAMELA ALISE HOFFMAN
Individual
Physician Assistant7580 AUBURN RD
CONCORD TOWNSHIP, OH 44077
(440) 352-7546
1861769630MS. CHRISTINA M. ZAYICEK CNP
Individual
Nurse Practitioner (Family)7580 AUBURN RD #202
PAINESVILLE, OH 44077
(440) 354-1899
1366018574 KAITLIN MARIE HIPPLEY
Individual
Dietitian, Registered7580 AUBURN RD
CONCORD TOWNSHIP, OH 44077
(216) 538-0643

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
The code describing 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.