MRS. CATHERINE MADELINE HREN M.D. NPI 1508851478

Dermatology in Cary, NC

NPI 1508851478 Individual Female Years of Experience 31 Dermatology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 86.7

About CATHERINE HREN

Catherine Hren is a provider established in Cary, North Carolina and her medical specialization is dermatology with more than 31 years of experience. She graduated from Duke University School Of Medicine in 1991. The NPI number of Catherine Hren is 1508851478 and was assigned on September 2005. The practitioner's primary taxonomy code is 207N00000X with license number 009400275 (NC). The provider is registered as an individual and her NPI record was last updated 12 years ago.

A dermatologist like Mrs. Catherine Madeline Hren M.d. is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Catherine Hren is enrolled in PECOS and is eligible to order or refer healthcare 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

Catherine Hren 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 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: $21.8 for a new patient copayment and $17.73 for an established patient copayment.

NPI

1508851478

Provider NameMRS. CATHERINE MADELINE HREN M.D.
Provider Location Address101 SW CARY PKWY SUITE 210 CARY, NC 27511
Provider Mailing Address101 SW CARY PKWY SUITE 210 CARY, NC 27511
GenderFemale
NPI Entity TypeIndividual
Medical School NameDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1991
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-15-2005
Last Update Date07-07-2010


Primary Taxonomy

Taxonomy Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.009400275
License StateNC
Taxonomy DescriptionA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Business Address

MRS. CATHERINE MADELINE HREN M.D.
101 SW CARY PKWY
SUITE 210
CARY, NC
ZIP 27511
Phone: (919) 467-8556
Fax: (919) 380-1480

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Mailing Address

MRS. CATHERINE MADELINE HREN M.D.
101 SW CARY PKWY
SUITE 210
CARY, NC
ZIP 27511
Phone: (919) 467-8556
Fax: (919) 380-1480



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 ID2860476850
PECOS Enrollment IDI20110222000827
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 27511 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.51 $172.65 $87.2
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.12 $43.16 $21.8
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.43 $140.98 $70.95
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.35 $35.24 $17.73

* 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% 100
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% 56
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% 78.5
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.

  • 1076Destruction of 2-14 skin growths (HCPCS:17003)
  • 387Destruction of skin growth (HCPCS:17000)
  • 153Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 54Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • 42Destruction of up to 14 skin growths (HCPCS:17110)

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
G00474MEDICARE UPIN (02)
03-55790OTHER (01)NC
44500OTHER (01)NC
G00474MEDICARE ID-TYPE UNSPECIFIED (04)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942201488CARY DERMATOLOGY CENTER, P.A.
Organization
Clinic/Center (Health Service)101 SW CARY PKWY SUITE 210
CARY, NC 27511
(919) 467-8556
1932194909MR. ALEXANDER CHIARAMONTI M.D.
Individual
Dermatology101 SW CARY PKWY SUITE 210
CARY, NC 27511
(919) 467-8556
1528053428MRS. HEIDI MANGELSDORF M.D.
Individual
Dermatology101 SW CARY PKWY SUITE 210
CARY, NC 27511
(919) 467-8556
1730175365MR. ROBERT B JOHNSON M.D.
Individual
Dermatology101 SW CARY PKWY SUITE 210
CARY, NC 27511
(919) 467-8556
1508835844DR. IRENE S.T. CHAO M.D.
Individual
Pediatrics101 SW CARY PKWY SUITE 270
CARY, NC 27511
(919) 467-5543
1336118652DR. TERESA PALMER SALTER M.D.
Individual
Pediatrics101 SW CARY PKWY SUITE 270
CARY, NC 27511
(919) 467-5543
1215996285DR. SAMANTHA DENISE BAER M.D.
Individual
Pediatrics101 SW CARY PKWY SUITE 270
CARY, NC 27511
(919) 467-5543
1144289109DR. DAVID ALFRED HOROWITZ M.D.
Individual
Pediatrics101 SW CARY PKWY SUITE 270
CARY, NC 27511
(919) 467-5543
1316906357DR. DEBORAH WALGROVE BASSETT M.D.
Individual
Pediatrics101 SW CARY PKWY SUITE 270
CARY, NC 27511
(919) 467-5543
1518926294DR. MARY ELIZABETH CAPPS M.D.
Individual
Pediatrics101 SW CARY PKWY SUITE 270
CARY, NC 27511
(919) 467-5543
1710947213SELECT PHYSICAL THERAPY HOLDINGS INC
Organization
Clinic/Center (Rehabilitation)101 SW CARY PKWY SUITE 10
CARY, NC 27511
(919) 467-7678
1417917956DR. WILLIAM CHAMBLISS ADAMS M.D.
Individual
Pediatrics101 SW CARY PKWY SUITE 270
CARY, NC 27511
(919) 467-5543
1003838368DR. DANIEL THORNE HOWELL DDS, MS
Individual
Dentist (Pediatric Dentistry)101 SW CARY PKWY SUITE 80
CARY, NC 27511
(919) 467-0635
1801904479 CHRISTINE CREWS
Individual
Physical Therapist101 SW CARY PKWY STE 10
CARY, NC 27511
(919) 467-7678
1750491643 MICHAEL SHANK
Individual
Physical Therapist101 SW CARY PKWY SUITE 10
CARY, NC 27511
(919) 467-7678
1134230279CARY DIAGNOSTIC RADIOLOGY, PA
Organization
Radiology (Diagnostic Radiology)101 SW CARY PKWY SUITE 40
CARY, NC 27511
(919) 467-5900
1235231762 GINETTE ANNE ARCHINAL MD
Individual
Family Medicine101 SW CARY PKWY # 170
CARY, NC 27511
(919) 467-5678
1801963251DR. SHEILA FRYER MARSHALL D.O.
Individual
Family Medicine101 SW CARY PKWY SUITE 170
CARY, NC 27511
(919) 467-5678
1407924202MRS. MARYANN ESPOSITO VALENTE PT
Individual
Physical Therapist101 SW CARY PKWY
CARY, NC 27511
(919) 467-7678
1356546451DANIEL T. HOWELL D.D.S., M.S.
Organization
Dentist (Pediatric Dentistry)101 SW CARY PKWY SUITE #80
CARY, NC 27511
(919) 467-0635

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
The code describing 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.