DR. NALINI PACKIANATHAN MD NPI 1750653101

Allergy & Immunology in Williamsville, NY

NPI 1750653101 Individual Female Allergy & Immunology PECOS Enrolled MIPS Quality Score 92.5

About NALINI PACKIANATHAN

Nalini Packianathan is a provider established in Williamsville, New York and her medical specialization is allergy & immunology. The NPI number of Nalini Packianathan is 1750653101 and was assigned on February 2012. The practitioner's primary taxonomy code is 207K00000X with license number 239984 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

Nalini Packianathan is enrolled in PECOS and is eligible to order or refer healthcare 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.

Nalini Packianathan 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 92.5, 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.

NPI

1750653101

Provider NameDR. NALINI PACKIANATHAN MD
Provider Location Address295 ESSJAY RD WILLIAMSVILLE, NY 14221
Provider Mailing Address425 ESSJAY RD STE 170 WILLIAMSVILLE, NY 14221
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-01-2012
Last Update Date10-09-2019


Primary Taxonomy

Taxonomy Code207K00000X
ClassificationAllergy & Immunology
TypeAllopathic & Osteopathic Physicians
License No.239984
License StateNY
Taxonomy DescriptionAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Business Address

DR. NALINI PACKIANATHAN MD
295 ESSJAY RD
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 630-1130
Fax: (716) 630-1255

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Mailing Address

DR. NALINI PACKIANATHAN MD
425 ESSJAY RD STE 170
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 630-1219
Fax: (716) 630-1255



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% 100
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% 71
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% 81.7
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 - 92.5
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.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1176Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972581965DR. KENNETH H ECKHERT JR. M.D.
Individual
Surgery295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1477
1548249832DR. DOMINIC A CIMATO D.O.
Individual
Family Medicine295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 877-3007
1801869284 ROBIN HEATHER MASSING RPA-C
Individual
Physician Assistant295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1050
1528023363 ROBYN MARIE EMERY RPA-C
Individual
Physician Assistant (Medical)295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1175
1528026556DR. ROBERT M MOSKOWITZ MD
Individual
Internal Medicine (Medical Oncology)295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1066
1063470003DR. MARY K MCGORRAY MD
Individual
Internal Medicine295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1159
1770532988DR. BLAZE SEKOVSKI MD
Individual
Internal Medicine (Cardiovascular Disease)295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1022
1013966696DR. PHILIP A SWIANTEK MD
Individual
Urology295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1050
1417964727 DAWN M SPRINGER NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1000
1144237769 JOEL R PATTERSON PA
Individual
Physician Assistant295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1022
1679581862 SUSAN M ZAKRZEWSKI NP
Individual
Nurse Practitioner (Family)295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1000
1164430328 KATHLEEN M THOMAS NP
Individual
Nurse Practitioner (Family)295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1066
1073628608 KELLY B FLANAGAN CDN
Individual
Dietitian, Registered (Nutrition, Metabolic)295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1245
1063567444 RENEE A ANDREEFF PHYSICIAN ASSISTANT
Individual
Physician Assistant295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1000
1235300930 JULIE M. TEPROVICH RPA-C
Individual
Physician Assistant295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1477
1669702601 BRIAN J. SAWKA
Individual
Audiologist295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1188
1285615047 EDWARD JOHN SPANGENTHAL MD
Individual
Internal Medicine (Cardiovascular Disease)295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1156
1467792168 SANDRA JOAN MICHEL
Individual
Nurse Practitioner (Adult Health)295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1151
1922383447DR. MELISSA APA PHARMD
Individual
Pharmacist295 ESSJAY RD
WILLIAMSVILLE, NY 14221
(716) 630-1498
1174506836 RICHARD J CORBELLI MD
Individual
Internal Medicine (Cardiovascular Disease)295 ESSJAY RD BUFFALO MEDICAL GROUP, PC
WILLIAMSVILLE, NY 14221
(716) 630-1146

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
The code describing 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.