CHRISTOPHER J NELSON PA NPI 1497864045

Physician Assistant (Surgical) in New Hyde Park, NY

NPI 1497864045 Individual Male Years of Experience 27 Physician Assistant Surgical PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 94.3

NPI Profile for CHRISTOPHER J NELSON PA

Christopher Nelson is a provider established in New Hyde Park, New York and his medical specialization is physician assistant (surgical) with more than 27 years of experience. The NPI number of Christopher Nelson is 1497864045 and was assigned on August 2006. The practitioner's primary taxonomy code is 363AS0400X with license number 005878 (NY). The provider is registered as an individual and his NPI record was last updated 15 years ago.

Christopher Nelson 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.

Christopher Nelson 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 he has hospital affiliations with Long Island Jewish Medical Center.

The provider participated in Medicare's 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.

NPI

1497864045

Provider Name CHRISTOPHER J NELSON PA
Provider Location Address27005 76TH AVE NEW HYDE PARK, NY 11040
Provider Mailing Address175 COMMUNITY DR GREAT NECK, NY 11021
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1996
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-29-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code363AS0400X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationSurgical
License No.005878
License StateNY

Business Address

CHRISTOPHER J NELSON PA
27005 76TH AVE
NEW HYDE PARK, NY
ZIP 11040
Phone: (516) 562-3020
Fax: (516) 562-3030

Get Directions


Mailing Address

CHRISTOPHER J NELSON PA
175 COMMUNITY DR
GREAT NECK, NY
ZIP 11021
Phone: (516) 465-1900
Fax: (516) 465-1830



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 ID5092774471
PECOS Enrollment IDI20041011000356
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

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% 95.6
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% 77.5
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% 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.
MIPS Final Score - 94.3
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.

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. Christopher Nelson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LONG ISLAND JEWISH MEDICAL CENTER270 - 05 76TH AVENUE
NEW HYDE PARK, NY 11040
(718) 470-7000Acute Care Hospitals330195

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
P95382MEDICARE UPIN (02)

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.
1497864045
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187166808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 6 + 6 + 8 + 0 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1497864045 is valid because the calculated check digit 5 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
1417950817DR. MARIA C ADRAGNA MD
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1750387148DR. ALAN BUTLER M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1114923455DR. MICHAEL HANANIA M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1396741625DR. DAVID GLATT M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1043216302DR. ELLEN KAVEE M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1154327427 ANN KRAMER C.R.N.A
Individual
Nurse Anesthetist, Certified Registered27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1972509131DR. SHITAL PASRICHA M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1285630426DR. BERNARD MILMAN M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1033115282DR. SHELDON NEWMAN M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1902802390DR. CRISTIAN BARTOC M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1215933528DR. BRETT DANZER M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1790781011DR. PHILLIP DEVINE M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1053317370DR. THOMAS EIDE M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1043216310DR. RICHARD KRAUSS M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1285630517DR. MARK GLICK M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1073519302DR. SUSAN GORDON M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1215933585 ROSEMARY LANE C.R.N.A
Individual
Nurse Anesthetist, Certified Registered27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1316943517DR. MICHAEL LIANG M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1336145549DR. CLAUDIO LUMERMANN M.D.
Individual
Anesthesiology27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7390
1972509289 AMINTA CORDOBA C.R.N.A
Individual
Nurse Anesthetist, Certified Registered27005 76TH AVE
NEW HYDE PARK, NY 11040
(718) 470-7309

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
Christopher J Nelson Pa 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.