DR. STEPHEN R WISE M.D. NPI 1659373371
Surgery in Chicago, IL

Individual Male Surgery PECOS Enrolled MIPS Quality Score 79.4

About DR. STEPHEN R WISE M.D.

Stephen Wise is a provider established in Chicago, Illinois and his medical specialization is Surgery. The NPI number of Stephen Wise is 1659373371 and was assigned on August 2005. The practitioner's primary taxonomy code is 208600000X with license number 036-079109 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1659373371
Provider NameDR. STEPHEN R WISE M.D.
Provider Location Address1501 S CALIFORNIA AVE CHICAGO, IL 60608
Provider Mailing Address3537 PAYSPHERE CIR CHICAGO, IL 60674
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-12-2005
Last Update Date12-06-2016

A surgeon like Dr. Stephen R Wise M.d. 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.Stephen Wise 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..

Stephen Wise is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 79.4, 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 Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.036-079109
License StateIL
Taxonomy DescriptionA 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.

Business Address

DR. STEPHEN R WISE M.D.
1501 S CALIFORNIA AVE
CHICAGO, IL
ZIP 60608
Phone: (773) 257-6710

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Mailing Address

DR. STEPHEN R WISE M.D.
3537 PAYSPHERE CIR
CHICAGO, IL
ZIP 60674
Phone: (708) 786-2900


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
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% 82.5
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% 50
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% 65.3
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 - 79.4
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.

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
036-079109-3MEDICAID (05)IL
E30851MEDICARE UPIN (02)IL
L85323/357801MEDICARE ID-TYPE UNSPECIFIED (04)IL

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.
1659373371
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26109676314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 6 + 7 + 6 + 3 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1659373371 is valid because the calculated check digit 1 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
1033118856DR. ROBERT C PARKER M.D.
Individual
Internal Medicine1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-5096
1841299591DR. HYTHAM AL-MASRI M.D.
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6725
1053310714DR. SHAN-CHING YING M.D.
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-5499
1265431910DR. JACK E GARON M.D.
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6745
1104825108DR. AYESHA Y AHMED M.D.
Individual
Anesthesiology1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6850
1194724104DR. ANTHONY O FOULEN M.D.
Individual
Anesthesiology1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6850
1881693802DR. STEVEN R GREENWALD M.D.
Individual
Anesthesiology1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6850
1952301889DR. VENKATGIRI S MADY M.D.
Individual
Anesthesiology1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6850
1477553311DR. DOMINGO I OSUNERO JR. M.D.
Individual
Anesthesiology1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6850
1679573323DR. EDUARDO NIJENSOHN M.D.
Individual
Radiology (Diagnostic Radiology)1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6498
1013917764DR. NANCY A SIBIGTROTH M.D.
Individual
Radiology (Diagnostic Radiology)1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6498
1619977428DR. MATILDA D KOPPERA M.D.
Individual
Anesthesiology1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6850
1689674335DR. ALAN H HECHT M.D.
Individual
Radiology (Diagnostic Radiology)1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6498
1376543900DR. JOHN A GALL M.D.
Individual
Radiology (Diagnostic Radiology)1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6498
1174523658DR. HARLAN E BOGIE M.D.
Individual
Emergency Medicine1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6843
1184624546DR. STEPHEN D BOREN M.D.
Individual
Emergency Medicine1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6843
1467452839DR. EARL E FREDRICK M.D.
Individual
Emergency Medicine1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6843
1720088099DR. ANTON TAN M.D.
Individual
Radiology (Diagnostic Radiology)1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6498
1013917251DR. AMARDEEP SINGH M.D.
Individual
Emergency Medicine1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6843
1104826254DR. IL Y YOO M.D.
Individual
Emergency Medicine1501 S CALIFORNIA AVE
CHICAGO, IL 60608
(773) 257-6843

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
Dr. Stephen R Wise M.d. 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.