KATHERINE ANNE WIDERBORG MD
NPI 1588757579
Surgery in Normal, IL
NPI Status: Active since October 02, 2006
Contact Information
1537 FORT JESSE RD
SUITE A
NORMAL, IL
ZIP 61761
Phone: (309) 808-0122
Fax: (309) 808-0552
- Individual
- Female
- Surgery
- Medicare Quality Reporting
About KATHERINE WIDERBORG
This page provides the complete NPI Profile along with additional information for Katherine Widerborg, a provider established in Normal, Illinois with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1588757579 assigned on October 2006. The practitioner's primary taxonomy code is 208600000X with license number 036-068927 (IL). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1588757579
- Provider Name
- KATHERINE ANNE WIDERBORG MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1537 FORT JESSE RD SUITE A NORMAL, IL 61761
- Location Phone
- (309) 808-0122
- Location Fax
- (309) 808-0552
- Mailing Address
- 1505 EASTLAND DR SUITE 2300 BLOOMINGTON, IL 61701
- Mailing Phone
- (309) 662-9022
- Mailing Fax
- (309) 808-0552
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-02-2006
- Last Update Date
- 03-12-2013
- Code Navigator
A surgeon like Katherine Widerborg treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-068927
- License State
- IL
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 777460 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| A53554 | MEDICARE UPIN (02) | ||
| 0360689271 | MEDICAID (05) | IL |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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 | Number of Patients |
|---|---|---|
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588757579, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588757579, enumerated as an "individual" on October 02, 2006.
The provider is located at 1537 FORT JESSE RD SUITE A NORMAL, IL 61761 and the phone number is (309) 808-0122.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
