DR. LINDSAY BROOKE HALE AU.D. NPI 1477999589

Audiologist in Lexington, KY

NPI 1477999589 Individual Female Years of Experience 10 Audiologist Accepts Medicare Approved Payment MIPS Quality Score 76.1

NPI Profile for DR. LINDSAY BROOKE HALE AU.D.

Lindsay Hale is a provider established in Lexington, Kentucky and her medical specialization is audiologist with more than 10 years of experience. She graduated from University Of Louisville School Of Medicine in 2013. The NPI number of Lindsay Hale is 1477999589 and was assigned on May 2013. The practitioner's primary taxonomy code is 231H00000X with license number 100821 (KY). The provider is registered as an individual and her NPI record was last updated 3 years ago. Lindsay Hale 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.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 76.1, 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.

NPI

1477999589

Provider NameDR. LINDSAY BROOKE HALE AU.D.
Provider Location Address740 S LIMESTONE UNIVERSITY OF KENTUCKY LEXINGTON, KY 40536
Provider Mailing Address740 S LIMESTONE UNIVERSITY OF KENTUCKY LEXINGTON, KY 40536
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year2013
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-15-2013
Last Update Date06-04-2019


Primary Taxonomy

Taxonomy Code231H00000X
ClassificationAudiologist
TypeSpeech, Language and Hearing Service Providers
License No.100821
License StateKY
Taxonomy Description(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Business Address

DR. LINDSAY BROOKE HALE AU.D.
740 S LIMESTONE
UNIVERSITY OF KENTUCKY
LEXINGTON, KY
ZIP 40536
Phone: (859) 257-3390

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Mailing Address

DR. LINDSAY BROOKE HALE AU.D.
740 S LIMESTONE
UNIVERSITY OF KENTUCKY
LEXINGTON, KY
ZIP 40536
Phone: (859) 257-3390



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.

PECOS PAC ID9032351861
PECOS Enrollment IDI20130807000760
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.

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% 53.9
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% 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 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% 56.9
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 - 76.1
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.

  • 90Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • 56Eardrum testing using ear probe (HCPCS:92567)

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1477999589
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2414718918516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 8 + 9 + 1 + 8 + 5 + 1 + 6 + 24 = 81
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 81 = 99

The NPI number 1477999589 is valid because the calculated check digit 9 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
1861420770 STEVE B FISHER PA
Individual
Physician Assistant (Surgical)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-6711
1285665562 DIANA GASCON MD
Individual
Family Medicine (Adolescent Medicine)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 257-7910
1891720207 LORI ANN SHOOK MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1912932328 CAROL LEE STELTENKAMP MD
Individual
Pediatrics740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1801821210 ELSIE MAY STINES CRNP
Individual
Nurse Practitioner (Pediatrics)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1841215647 MARK VRANICAR MD
Individual
Pediatrics (Pediatric Cardiology)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1851317028 CAROLYN ANNETTE BAY MD
Individual
Medical Genetics (Clinical Genetics (M.D.))740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1275559619 JAMSHED FIROZE KANGA MD
Individual
Pediatrics (Pediatric Pulmonology)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1699791038 STEFAN GUENTER KIESSLING MD
Individual
Pediatrics (Pediatric Nephrology)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1992721559 NIRMALA S DESAI MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1235155664 GRACE FILI MAGUIRE MD
Individual
Pediatrics740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1205853637 JEFFREY ARNOLD MOSCOW MD
Individual
Pediatrics (Pediatric Hematology-Oncology)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 257-7910
1104843291 JOHN DONALD GEIL MD
Individual
Pediatrics (Pediatric Hematology-Oncology)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1184643660 KIMBERLY RENEE RINGLEY MD
Individual
Pediatrics740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1447279930 SUSAN ROBBINS MD
Individual
Pediatrics740 S LIMESTONE
LEXINGTON, KY 40536
(859) 257-7910
1083633572 EDWARD H ROMOND MD
Individual
Internal Medicine (Hematology)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1154340644 JENNA LEIGH ROSS MD
Individual
Pediatrics740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1578582060 WILLIAM LEWAYNE UNDERWOOD MD
Individual
Pediatrics740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481
1972522233 REGINA MEAD WINNER ARNP
Individual
Nurse Practitioner (Neonatal)740 S LIMESTONE
LEXINGTON, KY 40536
(859) 232-5481
1457370348 BETTY IRENE WOLF MD
Individual
Pediatrics740 S LIMESTONE
LEXINGTON, KY 40536
(859) 323-5481

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
Dr. Lindsay Brooke Hale Au.d. 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.