SHAUN P KAISER MD NPI 1538327150

Internal Medicine (Nephrology) in Dallas, TX

NPI 1538327150 Individual Male Years of Experience 13 Internal Medicine Nephrology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About SHAUN KAISER

Shaun Kaiser is an internal medicine provider established in Dallas, Texas and his medical specialization is internal medicine (nephrology) with more than 13 years of experience. The NPI number of Shaun Kaiser is 1538327150 and was assigned on May 2008. The practitioner's primary taxonomy code is 207RN0300X with license number P5539 (TX). The provider is registered as an individual and his NPI record was last updated 6 years ago.

An internist like Shaun P Kaiser Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Shaun Kaiser 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

Shaun Kaiser 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 Medical City Dallas Hospital, Texas Health Presbyterian Hospital Dallas, Dallas Medical Center, Medical City Plano and Methodist Hospital For Surgery.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan, diabetes: medical attention for nephropathy, engage patients and families to guide improvement in the system of care, engagement of patients, family, and caregivers in developing a plan of care, e-prescribing, health information exchange, implementation of improvements that contribute to more timely communication of test results, implementation of medication management practice improvements, medication reconciliation, medication reconciliation post-discharge, medication reconciliation post-discharge, onc direct review attestation, patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: unhealthy alcohol use: screening & brief counseling, provide patient access, secure messaging and security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1538327150

Provider Name SHAUN P KAISER MD
Provider Location Address9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231
Provider Mailing Address9900 N CENTRAL EXPY STE 215 DALLAS, TX 75231
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-30-2008
Last Update Date06-23-2015


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.P5539
License StateTX
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

SHAUN P KAISER MD
9900 N CENTRAL EXPY STE 215
DALLAS, TX
ZIP 75231
Phone: (214) 396-4950
Fax: (877) 423-5360

Get Directions


Mailing Address

SHAUN P KAISER MD
9900 N CENTRAL EXPY STE 215
DALLAS, TX
ZIP 75231
Phone: (214) 396-4950
Fax: (877) 423-5360



Medicare Participation

Registered in PECOS? Yes 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 ID3072664465
PECOS Enrollment IDI20130816000348
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

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.

  • 73Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • 48Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • 38Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • 20Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Care Plan 100% 287
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Diabetes: Medical Attention for Nephropathy 99% 149
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
e-Prescribing 86% 348
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 23% 26
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 96% 48
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Medication Reconciliation Post-Discharge 100% 33
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing practitioner, registered nurse, or clinical pharmacist providing on-going care for whom the discharge medication list was reconciled with the current medication list in the outpatient medical record. This measure is reported as three rates stratified by age group: - Submission Criteria 1: 18-64 years of age - Submission Criteria 2: 65 years and older - Total Rate: All patients 18 years of age and older
Medication Reconciliation Post-Discharge 100% 39
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing practitioner, registered nurse, or clinical pharmacist providing on-going care for whom the discharge medication list was reconciled with the current medication list in the outpatient medical record. This measure is reported as three rates stratified by age group: - Submission Criteria 1: 18-64 years of age - Submission Criteria 2: 65 years and older - Total Rate: All patients 18 years of age and older
Patient-Specific Education 81% 253
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99% 530
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 100% 328
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
Provide Patient Access 71% 253
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 65% 253
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.

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. Shaun Kaiser is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEDICAL CITY DALLAS HOSPITAL7777 FOREST LANE
DALLAS, TX 75230
(972) 566-6222Acute Care Hospitals450647
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS8200 WALNUT HILL LANE
DALLAS, TX 75231
(214) 345-6789Acute Care Hospitals450462
DALLAS MEDICAL CENTER7 MEDICAL PARKWAY
DALLAS, TX 75234
(972) 247-1000Acute Care Hospitals450379
MEDICAL CITY PLANO3901 W 15TH ST
PLANO, TX 75075
(972) 596-6800Acute Care Hospitals450651
METHODIST HOSPITAL FOR SURGERY17101 DALLAS PARKWAY
ADDISON, TX 75001
(469) 248-3900Acute Care Hospitals670073

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
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine01066260AINNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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
297127YTG1MEDICARE PIN (08)TX
065940FFMEDICARE PIN (08)IN
200942840MEDICAID (05)IN

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598743098DR. SUMIT KUMAR M.D.
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1578909164 SEPEHR DAHESHPOUR M.D.
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1730746199 DOLLY SUSAN VARGHESE
Individual
Nurse Practitioner9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1003003609 UMA B.R.K PAKKIVENKATA M.D.
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950
1225297922DR. VIVEK SHARMA M.D.
Individual
Internal Medicine (Nephrology)9900 N CENTRAL EXPY STE 215
DALLAS, TX 75231
(214) 396-4950

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.