DR. PAMELA L MANTHOUS M.D.
NPI 1750389524
Obstetrics & Gynecology - Gynecology in Newington, CT
NPI Status: Active since July 14, 2005
Contact Information
18 CEDAR ST
GROVE HILL MEDICAL CENTER
NEWINGTON, CT
ZIP 06111
Phone: (860) 666-5111
Fax: (860) 666-5153
- Individual
- Female
- Obstetrics & Gynecology
- Gynecology
- Medicare Quality Reporting
About PAMELA MANTHOUS
This page provides the complete NPI Profile along with additional information for Pamela Manthous, a women's health care provider established in Newington, Connecticut with a medical specialization in Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1750389524 assigned on July 2005. The practitioner's primary taxonomy code is 207VG0400X with license number 032643 (CT). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1750389524
- Provider Name
- DR. PAMELA L MANTHOUS M.D.
- Other Name
- DR. PAMELA L BALLING M.D.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 18 CEDAR ST GROVE HILL MEDICAL CENTER NEWINGTON, CT 06111
- Location Phone
- (860) 666-5111
- Location Fax
- (860) 666-5153
- Mailing Address
- 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051
- Mailing Phone
- (860) 666-5111
- Mailing Fax
- (860) 666-5153
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-14-2005
- Last Update Date
- 07-09-2007
- Code Navigator
Women's health care providers like Pamela Manthous 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.
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
Obstetrics & Gynecology Gynecology
- Taxonomy Code
- 207VG0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 032643
- License State
- CT
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
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.
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.
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.
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 |
|---|---|---|---|
| 01032643 | OTHER (01) | CT | CIGNA PROV ID |
| C01373 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT | GHMC GRP MEDICARE ID |
| 912607 | OTHER (01) | CT | HEALTH NET REF ID |
| F56734 | MEDICARE UPIN (02) | ||
| 060074 | OTHER (01) | CT | HEALTH NET PROV ID |
| 1255448155 | OTHER (01) | CT | GHMC GRP NPI PROV ID |
| 160001146 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT | |
| 001326439 | MEDICAID (05) | CT | |
| 004196095 | MEDICAID (05) | CT | |
| P369849 | OTHER (01) | CT | OXFORD PROV ID |
| 3264301 | OTHER (01) | CT | CONNECTICARE PROV ID |
| 010032643CT | OTHER (01) | CT | BCBS N BCFP PROV ID |
| 500222 | OTHER (01) | CT | AETNA PROV ID |
| 368783 | OTHER (01) | CT | WELLCARE MEDICARE |
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 |
|---|---|---|
| e-Prescribing | 98% | 1770 |
| 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 | 25% | 24 |
| 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 | 85% | 266 |
| 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. | ||
| Participation in CAHPS or other supplemental questionnaire | Yes | N/A |
| Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). | ||
| Patient-Specific Education | 8% | 2009 |
| 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. | ||
| Provide Patient Access | 13% | 2009 |
| 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 | 1% | 2009 |
| 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. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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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 1750389524, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
NEWINGTON, CT 06111
NEWINGTON, CT 06111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750389524, enumerated as an "individual" on July 14, 2005.
The provider is located at 18 CEDAR ST GROVE HILL MEDICAL CENTER NEWINGTON, CT 06111 and the phone number is (860) 666-5111.
Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.
The provider might be accepting Accepts: Cigna, Medicare, Medicaid, Oxford Health Plans,. Please consult your insurance carrier or call the provider to verify.
