DR. HARNATH CHRISTOPHER HOLMES M.D. NPI 1679598759
Obstetrics & Gynecology in Kailua Kona, HI

Individual Male Years of Experience 31 Obstetrics & Gynecology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 37.1 Medicare Quality Reporting

About DR. HARNATH CHRISTOPHER HOLMES M.D.

Harnath Holmes is a women's health care provider established in Kailua Kona, Hawaii and his medical specialization is Obstetrics & Gynecology with more than 31 years of experience. He graduated from University Of Minnesota Medical School in 1992. The NPI number of Harnath Holmes is 1679598759 and was assigned on July 2006. The practitioner's primary taxonomy code is 207V00000X with license number 17220 (HI). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1679598759
Provider NameDR. HARNATH CHRISTOPHER HOLMES M.D.
Provider Location Address78-6831 ALII DR SUITE 422 KAILUA KONA, HI 96740
Provider Mailing Address78-6831 ALII DR SUITE 422 KAILUA KONA, HI 96740
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year1992
Is Sole Proprietor?No
Enumeration Date07-12-2006
Last Update Date03-12-2014

Women's health care providers like Dr. Harnath Christopher Holmes M.d. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.Harnath Holmes 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.

Harnath Holmes 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 37.1, 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 following quality measures were reported for this provider: preventive care and screening: body mass index (bmi) screening and follow-up plan.

The typical physician office visit costs for Medicare beneficiaries in this area are: $35.68 for a new patient copayment and $19.6 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.17220
License StateHI
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

DR. HARNATH CHRISTOPHER HOLMES M.D.
78-6831 ALII DR
SUITE 422
KAILUA KONA, HI
ZIP 96740
Phone: (808) 747-8321

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Mailing Address

DR. HARNATH CHRISTOPHER HOLMES M.D.
78-6831 ALII DR
SUITE 422
KAILUA KONA, HI
ZIP 96740
Phone: (808) 747-8321


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
PECOS PAC ID9335053016
PECOS Enrollment IDI20220106001283
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 96740 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$63.01 $188.11 $142.72
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.75 $47.02 $35.68
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
$20.25 $154.36 $78.41
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.06 $38.59 $19.6

* 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% 0
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% 36
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% 76
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 - 37.1
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 Reporting

The following quality measures meet 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 Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 31
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

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
1207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology36895MNNo

Taxonomy Description: an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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 Identifier Issuer
HP28436OTHER (01)HEALTH PARTNERS
832699OTHER (01)AMERICA'S PPO
0708087OTHER (01)MEDICA
63D77HOOTHER (01)MNBCBS OF MINNESOTA
160044161MEDICARE ID-TYPE UNSPECIFIED (04)RR MEDICARE
NA9231019244OTHER (01)PREFERRED ONE
A021OTHER (01)MNTRICARE
160001600MEDICARE ID-TYPE UNSPECIFIED (04)MN
129684C736OTHER (01)MNUCARE MINNESOTA
G89872MEDICARE UPIN (02)
077025600MEDICAID (05)MN

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.
1679598759
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2614910916710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 0 + 9 + 1 + 6 + 7 + 1 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1679598759 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518057017PUNA PLANTATION HAWAII, LTD.
Organization
Pharmacy (Community/Retail Pharmacy)78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 322-2511
1902956360PUNA PLANTATION HAWAII, LTD.
Organization
Durable Medical Equipment & Medical Supplies78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 322-2511
1497801773 PEGGY J BASINGA C.PH.T
Individual
Pharmacy Technician78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 929-9296
1972927119THERAPYDIA, INC.
Organization
Clinic/Center (Physical Therapy)78-6831 ALII DR #420
KAILUA KONA, HI 96740
(415) 533-4863
1548693518 TYLER J PATRICK PT
Individual
Physical Therapist78-6831 ALII DR #420
KAILUA KONA, HI 96740
(808) 498-4144
1396237855DR. KATELYN MARY LAPAK DPT
Individual
Physical Therapist78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 498-4144
1730744640 JAIME ANGELYN WESTLUND NP
Individual
Nurse Practitioner78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 747-8725
1003016171LONGS DRUG STORES CALIFORNIA INC.
Organization
Durable Medical Equipment & Medical Supplies78-6831 ALII DR STE H
KAILUA KONA, HI 96740
(808) 322-6627
1922349679 RYAN ELIZABETH SENSECQUA D.O.
Individual
Surgery78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 747-8321
1437722493 MICAH K ANDRADE NP
Individual
Nurse Practitioner (Acute Care)78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 747-8321
1679247480 DALLAS R ANDRADE
Individual
Nurse Practitioner78-6831 ALII DR
KAILUA KONA, HI 96740
(808) 747-8321

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. Harnath Christopher Holmes 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.