DR. ADRIENNE LYNNE MAROLD PARAD M.D. NPI 1467659227
Family Medicine in Mystic, CT
About DR. ADRIENNE LYNNE MAROLD PARAD M.D.
Adrienne Parad is a primary care provider established in Mystic, Connecticut and her medical specialization is Family Medicine. The NPI number of this provider is 1467659227 and was assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 053396 (CT). The provider is registered as an individual and her NPI record was last updated 9 years ago.
| NPI | 1467659227 |
| Provider Name | DR. ADRIENNE LYNNE MAROLD PARAD M.D. |
| Location Address | 23 CLARA DR SUITE 203 MYSTIC, CT 06355 |
| Location Phone | (860) 464-2028 |
| Mailing Address | 23 CLARA DR SUITE 203 MYSTIC, CT 06355 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-27-2007 |
| Last Update Date | 10-08-2014 |
A primary care provider (PCP) like Adrienne Parad sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Adrienne Parad 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 88.4, 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.
Primary Taxonomy
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.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 053396 |
| License State | CT |
| Taxonomy Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Business Address
23 CLARA DR
SUITE 203
MYSTIC, CT
ZIP 06355
Phone: (860) 464-2028
Mailing Address
23 CLARA DR
SUITE 203
MYSTIC, CT
ZIP 06355
Location Map
PECOS Enrollment and Medicare Participation Status
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 |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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% | 93.2 | |
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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. |
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| Promoting Interoperability (PI) | 25% | 72.9 | |
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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. |
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| Improvement Activities | 15% | 40 | |
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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. |
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| Cost | 20% | N/A | |
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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. |
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| MIPS Final Score | - | 88.4 | |
| 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.
- 132Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 94Administration of pneumococcal vaccine (HCPCS:G0009)
- 93Pneumococcal vaccine for injection into muscle (HCPCS:90670)
- 63Administration of influenza virus vaccine (HCPCS:G0008)
- 60Insertion of needle into vein for collection of blood sample (HCPCS:36415)
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 171000000X | Other Service Providers | Military Health Care Provider | No | |||
Taxonomy Description: active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. | |||||||
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD438274 | PA | No | |
Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. | |||||||
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. | |||||||||
| 1 | 4 | 6 | 7 | 6 | 5 | 9 | 2 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 12 | 5 | 18 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 2 + 5 + 1 + 8 + 2 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1467659227 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720065154 | BRUCE A. BERLOW M.D. Individual | Specialist | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 (860) 536-2995 |
| 1265656946 | JENNIFER FELICELLI PA-C Individual | Physician Assistant | 23 CLARA DR MYSTIC, CT 06355 (860) 536-1666 |
| 1003001850 | MAIN MEDICAL-MYSTIC, LLC Organization | Internal Medicine | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 (860) 536-1666 |
| 1013195064 | MRS. LAURA ANN WHITE OTRL Individual | Occupational Therapist | 23 CLARA DR VISIONS SIGHT AND LEARNING CENTER MYSTIC, CT 06355 (860) 572-4805 |
| 1528236932 | MRS. GABRIELLE EDEN PIERCE PA-C Individual | Physician Assistant | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 (860) 536-1666 |
| 1558406066 | DANIEL LEROY WAGGONER M.D. Individual | Allergy & Immunology | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 (860) 536-2995 |
| 1811109259 | COASTAL CHIROPRACTIC & FAMILY WELLNESS CENTRE Organization | Chiropractor (Rehabilitation) | 23 CLARA DR SUITE 105 MYSTIC, CT 06355 (860) 572-7711 |
| 1891417242 | DANIELLE PETROWSKI Individual | Nurse Practitioner (Family) | 23 CLARA DR MYSTIC, CT 06355 (860) 572-5782 |
| 1437611696 | DR. SUNGSIL CHO MD Individual | Family Medicine | 23 CLARA DR MYSTIC, CT 06355 (860) 572-5782 |
Frequently Asked Questions
What is Dr. Adrienne Parad M.D. NPI number?
The NPI number assigned to this healthcare provider is 1467659227, registered as an "individual" on June 27, 2007
Where is Dr. Adrienne Parad M.D. located?
The provider is located at 23 Clara Dr Suite 203 Mystic, Ct 06355 and the phone number is (860) 464-2028
Which is Dr. Adrienne Parad M.D. specialty?
The provider's speciality is Family Medicine
Is Dr. Adrienne Parad M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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 are Dr. Adrienne Parad M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Dr. Adrienne Parad M.D.?
Medicare beneficiaries should expect a typical cost of $97.18 with an average copayment of $24.29 for new patient appointments. Established patients should expect a typical charge of $112.09 and an average copayment of 28.02. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Adrienne Parad M.D.?
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Administration of pneumococcal vaccine, Pneumococcal vaccine for injection into muscle, Administration of influenza virus vaccine and Insertion of needle into vein for collection of blood sample.
How do I update my NPI information?
The NPI record of Dr. Adrienne Parad M.D. was last updated on June 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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