SUSAN KERR MD NPI 1457325300
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Buffalo, NY

Individual Female Years of Experience 43 Psychiatry & Neurology Neurology with Special Qualifications in... PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 86.7

About SUSAN KERR MD

Susan Kerr is a provider established in Buffalo, New York and her medical specialization is Psychiatry & Neurology with a focus in neurology with special qualifications in child neurology with more than 43 years of experience. She graduated from University Of Pittsburgh School Of Medicine in 1980. The NPI number of Susan Kerr is 1457325300 and was assigned on February 2006. The practitioner's primary taxonomy code is 2084N0402X with license number 154349 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1457325300
Provider Name SUSAN KERR MD
Location Address219 BRYANT ST WOMENS AND CHILDRENS HOSPITAL BUFFALO, NY 14222
Location Phone(716) 878-7840
Mailing Address219 BRYANT ST WOMENS AND CHILDRENS HOSPITAL BUFFALO, NY 14222
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year1980
Is Sole Proprietor?No
Enumeration Date02-16-2006
Last Update Date04-07-2008

Susan Kerr 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.

Susan Kerr 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 Kaleida Health.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 86.7, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $32.94 for a new patient copayment and $25.46 for an established patient copayment.



Primary Taxonomy

Taxonomy Code2084N0402X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology with Special Qualifications in Child Neurology
License No.154349
License StateNY
Taxonomy DescriptionA Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

SUSAN KERR MD
219 BRYANT ST
WOMENS AND CHILDRENS HOSPITAL
BUFFALO, NY
ZIP 14222
Phone: (716) 878-7840

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Mailing Address

SUSAN KERR MD
219 BRYANT ST
WOMENS AND CHILDRENS HOSPITAL
BUFFALO, NY
ZIP 14222
Phone: (716) 878-7840


Location Map

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
PECOS PAC ID143323402
PECOS Enrollment IDI20070307000458
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 14222 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$57.17 $174.05 $131.79
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.29 $43.51 $32.94
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.76 $142.28 $101.85
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.44 $35.57 $25.46

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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% 96.8
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% 46
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% 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 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% 81.1
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 - 86.7
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.

  • 26Measurement and recording of brain wave (EEG) activity, awake and drowsy (HCPCS:95816)
  • 11Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)

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. Susan Kerr is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
KALEIDA HEALTH100 HIGH STREET
BUFFALO, NY 14210
(716) 859-8620Acute Care Hospitals330005

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
14219GMEDICARE PIN (08)NY
01365071MEDICAID (05)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.
1457325300
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24107621030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 6 + 2 + 1 + 0 + 3 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1457325300 is valid because the calculated check digit 0 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
1609870963DR. HIRAN PERINPANAYAGAM D.D.S., PH.D.
Individual
Dentist (Endodontics)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7514
1013913425DR. PHILOMENA M BEHAR M.D.
Individual
Otolaryngology (Pediatric Otolaryngology)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7569
1912992116MRS. KATHLEEN F COURTNEY C.F.N.P.
Individual
Nurse Practitioner (Family)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7000
1134117203 VINCENT P CALLANAN MD
Individual
Otolaryngology219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7368
1003804949DR. TOM MAZUR PSY.D.
Individual
Psychologist (Clinical)219 BRYANT ST BUFFALO
BUFFALO, NY 14222
(716) 878-7093
1235110230 KOFI S AMANKWAH M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7509
1295712362 JOANNE R DENZ PNP
Individual
Nurse Practitioner (Pediatrics)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7000
1366422446 DEAN YACOBUCCI MD
Individual
Radiology (Pediatric Radiology)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7502
1326028408 ELUEN ANN YEH MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7848
1952371346 ARIE L. WEINSTOCK MD
Individual
Psychiatry & Neurology (Neurology)219 BRYANT ST
BUFFALO, NY 14222
(716) 689-1901
1942271960 PATRICIA DUFFNER MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-8000
1801867775 MICHAEL COHEN MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)219 BRYANT ST CHILDREN'S HOSPITAL
BUFFALO, NY 14222
(716) 878-7840
1275505463 MICHAEL G ADRAGNA MD
Individual
Anesthesiology219 BRYANT ST CGF ANESTHESIA
BUFFALO, NY 14222
(716) 878-7444
1578539243 THOMAS LANGAN MD
Individual
Psychiatry & Neurology (Neurology)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7848
1285601716MR. DAVID R REHRAUER NP
Individual
Nurse Practitioner (Neonatal)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7481
1043288426 SARAH FINNEGAN MD
Individual
Psychiatry & Neurology (Neurology)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7848
1376507228 SARAH A. JUDKIEWICZ PNP
Individual
Nurse Practitioner (Pediatrics)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7330
1760447288DR. THEODORE INMAN PUTNAM MD
Individual
Pediatrics219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7109
1861457848 DRUCY SARETTE BOROWITZ M.D.
Individual
Pediatrics (Pediatric Pulmonology)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-7524
1265498158MRS. SUSAN MARIE PFALZER NNP
Individual
Nurse Practitioner (Neonatal, Critical Care)219 BRYANT ST
BUFFALO, NY 14222
(716) 878-1942

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
Susan Kerr Md 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.