ERIN M WHITMAN PA-C NPI 1508092156

Physician Assistant - Surgical in Decatur, IN

Individual Female Years of Experience 14 Physician Assistant Surgical PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 90.3

About ERIN M WHITMAN PA-C

Erin Whitman is a provider established in Decatur, Indiana and her medical specialization is Physician Assistant with a focus in surgical with more than 14 years of experience. The NPI number of Erin Whitman is 1508092156 and was assigned on June 2009. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI

1508092156

Provider Name ERIN M WHITMAN PA-C
Provider Location Address1100 MERCER AVE DECATUR, IN 46733
Provider Mailing AddressPO BOX 151 1100 MERCER AVE DECATUR, IN 46733
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?No
Enumeration Date06-09-2009
Last Update Date05-05-2010



Erin Whitman 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.

Erin Whitman 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 Adams Memorial Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.3, 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.



Primary Taxonomy

Taxonomy Code363AS0400X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationSurgical

Business Address

ERIN M WHITMAN PA-C
1100 MERCER AVE
DECATUR, IN
ZIP 46733
Phone: (260) 728-3900

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Mailing Address

ERIN M WHITMAN PA-C
PO BOX 151
1100 MERCER AVE
DECATUR, IN
ZIP 46733
Phone:


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 ID5193853620
PECOS Enrollment IDI20100504000645
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% 89.5
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% N/A
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% 71.7
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 - 90.3
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.

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.

  • 608Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 176Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 16Repair of knee joint (HCPCS:27447)

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. Erin Whitman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ADAMS MEMORIAL HOSPITAL1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145Critical Access Hospitals151330

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
1363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalNo

Taxonomy Description: Not Available

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.
1508092156
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508094110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 0 + 9 + 4 + 1 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1508092156 is valid because the calculated check digit 6 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
1710989710 HAVEN DOVE CRNA
Individual
Nurse Anesthetist, Certified Registered1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1679612006 DAVID A COATS MD
Individual
Orthopaedic Surgery1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1891830345DR. NICHOLAS W LAZOFF M.D.
Individual
Emergency Medicine1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1427183169 SCOTT T SMITH MD
Individual
Emergency Medicine1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1396871299ADAMS COUNTY MEMORIAL HOSPITAL
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1881726263ADAMS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Rural)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1124152301 MICHAEL KEVIN KOBS CRNA
Individual
Nurse Anesthetist, Certified Registered1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1235353483DR. DARVIN KEITH SUTER
Individual
Preventive Medicine (Occupational Medicine)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1003018094MRS. MARY ANN WEBB PT
Individual
Physical Therapist1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1467619650MRS. EMILY JEAN SOVINE MA CCC-SLP
Individual
Speech-Language Pathologist1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1558596478 ANN MARIE GEIMER N.P.
Individual
Nurse Practitioner1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1992081327 TIM E HIRSCHY LCSW
Individual
Social Worker (Clinical)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1316223498 MARY LOU SCHEUMANN LCSW
Individual
Social Worker (Clinical)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1730466236 CARRIE ANN BINEGAR LMHC
Individual
Counselor (Mental Health)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1063763282DR. JOHN ALLEN GIBSON PH.D.
Individual
Registered Nurse (Psychiatric/Mental Health)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1962630426 KATHLEEN A. HEIMANN D.O.
Individual
Family Medicine1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1073691531ADAMS COUNTY MEMORIAL HOSPITAL
Organization
Pharmacy (Institutional Pharmacy)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1467868174P & R HOME IV SERVICE, INC.
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)1100 MERCER AVE SUITE A122
DECATUR, IN 46733
(800) 587-7670
1699740191DR. DAVID SCOTT COLCLASURE M.D.
Individual
Anesthesiology1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1508254392 REBECCA KAY WERST ATC,LAT
Individual
Specialist/Technologist (Athletic Trainer)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145

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
Erin M Whitman Pa-c 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.