MISS KELLY JEAN CHANEY D.O.
NPI 1588892632
Internal Medicine in Pittsburgh, PA


Quality Rating: 82.15 out of 100 score

NPI Status: Active since June 29, 2009

Contact Information

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227
Phone: (412) 881-0320
Fax: (412) 881-4154

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  • Individual
  • Female
  • Years of Experience 17
  • Internal Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KELLY CHANEY

This page provides the complete NPI Profile along with additional information for Kelly Chaney, an internist established in Pittsburgh, Pennsylvania with a medical specialization in Internal Medicine and more than 17 years of experience. She graduated from West Virginia School Of Osteopathic Medicine in 2009. The healthcare provider is registered in the NPI registry with number 1588892632 assigned on June 2009. The practitioner's primary taxonomy code is 207R00000X with license number OS016145 (PA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1588892632
Provider Name
MISS KELLY JEAN CHANEY D.O.
Gender
Female
Entity Type
Individual
Location Address
3000 BROWNSVILLE RD PITTSBURGH, PA 15227
Location Phone
(412) 881-0320
Location Fax
(412) 881-4154
Mailing Address
200 LOTHROP ST FORBES TOWER, SUITE 9055 PITTSBURGH, PA 15213
Mailing Phone
(412) 647-3087
Mailing Fax
(412) 881-4154
Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
06-29-2009
Last Update Date
11-01-2013
Code Navigator

An internist like Kelly Chaney 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.

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS016145
License State
PA
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.

Medicare Participation & PECOS Enrollment Status

Kelly Chaney is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kelly Chaney 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5698931236

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120725000708

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    4 DME suppliers used 17 Medicare Claims 30 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    2 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    2 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    3 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    4 DME suppliers used 16 Medicare Claims 73 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    1 DME suppliers used 15 Medicare Claims 15 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 24 Medicare Claims 24 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 20 times for 20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 58 times for 58 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 22 times for 18 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 102 times for 67 patients

Influenza vaccine, quadrivalent derived from recombinant dna

The quadrivalent influenza vaccine, made through recombinant DNA technology, is a flu shot that protects against four different flu viruses. This vaccine is produced by genetically modifying a virus, making it safer and more effective. It's a key tool in preventing flu-related illnesses.

This service was performed 17 times for 17 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.58 for a new patient copayment and $24.2 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 15227 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.34
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $31.58
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.82
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $24.2
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* The physician office visit costs information is generated by 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 provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.15, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 82.15 out of 100

    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.

  • Quality Score: 67.55

    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 Score: 100

    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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 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.

  • Cost Score: 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Kelly Chaney is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HERITAGE VALLEY SEWICKLEY720 BLACKBURN ROAD
SEWICKLEY, PA 15143
(412) 741-6600Acute Care Hospitals
UPMC PASSAVANT9100 BABCOCK BOULEVARD
PITTSBURGH, PA 15237
(412) 367-6700Acute Care Hospitals
MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM300 HALKET STREET
PITTSBURGH, PA 15213
(412) 641-4010Acute Care Hospitals
UPMC PRESBYTERIAN SHADYSIDE200 LOTHROP STREET
PITTSBURGH, PA 15213
(412) 647-8788Acute Care Hospitals
ST CLAIR HOSPITAL1000 BOWER HILL ROAD
PITTSBURGH, PA 15243
(412) 942-4000Acute Care Hospitals

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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.
1588892632
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168169466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 4 + 6 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1588892632 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

LYNNE J HAUBELT DPM

Podiatrist

(Foot Surgery)

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-5580

DAVID J MANCE DPM

Podiatrist

(Foot & Ankle Surgery)

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-5580

DR. EILEEN BAADE MD

Specialist

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-3111

DR. ROCCO JOSEPH ADAMS MD

Internal Medicine

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 884-8233

UPMC COMMUNITY MEDICINE INC

Internal Medicine

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-3111

UPMC COMMUNITY MEDICINE INC

Family Medicine

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-0320

DR. TIMOTHY A DUKE D.C.

Chiropractor

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 882-1930

CHIRO REHAB ASSOCIATES

Chiropractor

(Rehabilitation)

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 882-1930

SCOTT G SOLBACH DPM

Podiatrist

(Foot Surgery)

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-5580

UPMC COMMUNITY MEDICINE, INC.

Non-Pharmacy Dispensing Site

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-0320

GREATER PITTSBURGH ORTHOPAEDIC ASSOCIATES

Orthopaedic Surgery

3000 BROWNSVILLE RD
SUITE C
PITTSBURGH, PA
ZIP 15227

(412) 884-2733

ROCCO J. ADAMS, MD, LLC

Clinic/Center

(Primary Care)

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 884-8233

JORGE LINDENBAUM

Specialist

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-0320

SHOBHA BHAT MD

Family Medicine

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-0320

ASSOCIATES IN PODIATRY PC

Podiatrist

(Foot & Ankle Surgery)

3000 BROWNSVILLE RD
PITTSBURGH, PA
ZIP 15227

(412) 881-5580

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588892632, enumerated as an "individual" on June 29, 2009.

The provider is located at 3000 BROWNSVILLE RD PITTSBURGH, PA 15227 and the phone number is (412) 881-0320.

Internal Medicine with taxonomy code 207R00000X.

Kelly Chaney is affiliated with: HERITAGE VALLEY SEWICKLEY, UPMC PASSAVANT, MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM, UPMC PRESBYTERIAN SHADYSIDE and ST CLAIR HOSPITAL.