COURTNEY L KERSTETTER
NPI 1447868773
Physical Therapist in Roseville, CA


Quality Rating: 94.3 out of 100 score

NPI Status: Active since July 22, 2020

Contact Information

1600 EUREKA RD
ROSEVILLE, CA
ZIP 95661
Phone: (530) 401-3523

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  • Individual
  • Female
  • Physical Therapist
  • Accepts Insurance

About COURTNEY KERSTETTER

This page provides the complete NPI Profile along with additional information for Courtney Kerstetter, a provider established in Roseville, California with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1447868773 assigned on July 2020. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1447868773
Provider Name
COURTNEY L KERSTETTER
Gender
Female
Entity Type
Individual
Location Address
1600 EUREKA RD ROSEVILLE, CA 95661
Location Phone
(530) 401-3523
Mailing Address
3565 MARY LN AUBURN, CA 95602
Mailing Phone
(530) 401-3523
Is Sole Proprietor?
No
Enumeration Date
07-22-2020
Last Update Date
07-22-2020
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Focus Bronze POS? 205 - POS
  • Blue Focus Bronze POS? 705 - POS
  • Blue Focus Bronze POS? Standard - POS
  • Blue Focus Gold POS? 207 - POS
  • Blue Focus Gold POS? 902 - POS
  • Blue Focus Gold POS? Standard - POS
  • Blue Focus Silver POS? 206 - POS
  • Blue Focus Silver POS? 903 - POS
  • Blue Focus Silver POS? Standard - POS
  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • Peak PPO Bronze HDHP - PPO
  • Peak PPO Bronze Standard - PPO
  • Peak PPO Catastrophic - PPO
  • Peak PPO Gold - PPO
  • Peak PPO Gold Standard - PPO
  • Peak PPO Silver - PPO
  • Peak PPO Silver Standard - PPO
  • Plus Bronze - PPO
  • Plus Bronze Standard - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • PEAK PPO BRONZE - PPO
  • PEAK PPO BRONZE HDHP - PPO
  • PEAK PPO GOLD - PPO
  • PEAK PPO GOLD HDHP - PPO
  • PEAK PPO SILVER - PPO
  • PEAK PPO SILVER HDHP - PPO
  • Plus Bronze HDHP - PPO
  • Plus Gold HDHP - PPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 94.3, 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: 94.3 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: 85.58

    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: 100

    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: 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.

  • Cost Score: 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.

Reviews for COURTNEY L KERSTETTER

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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 1447868773, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 4 → 8 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 8 + 7 + 1 + 6 + 6 + 1 + 6 + 7 + 1 + 4 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1447868773.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
1600 EUREKA RD
ROSEVILLE, CA 95661
Nurse Practitioner (Adult Health)
1600 EUREKA RD
ROSEVILLE, CA 95661
Internal Medicine (Medical Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Surgery (Pediatric Surgery)
1600 EUREKA RD
ROSEVILLE, CA 95661
Emergency Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Nurse Practitioner (Women's Health)
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD, INPATIENT HOSPITAL PHARMACY
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD, INPATIENT PHARMACY
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Nurse Practitioner (Acute Care)
1600 EUREKA RD, MUSKULOSKLELETAL SERVICES
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD, INPATIENT PHARMACY
ROSEVILLE, CA 95661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447868773, enumerated as an "individual" on July 22, 2020.

The provider is located at 1600 EUREKA RD ROSEVILLE, CA 95661 and the phone number is (530) 401-3523.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to verify.