ELIZABETH M KILGORE O.D. NPI 1770897076

Optometrist in Cherokee Village, AR

NPI 1770897076 Individual Female Years of Experience 12 Optometrist PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About ELIZABETH KILGORE

Elizabeth Kilgore is a provider established in Cherokee Village, Arkansas and her medical specialization is optometrist with more than 12 years of experience. She graduated from Southern College Of Optometry in 2010. The NPI number of Elizabeth Kilgore is 1770897076 and was assigned on July 2010. The practitioner's primary taxonomy code is 152W00000X with license number 2656 (AR). The provider is registered as an individual and her NPI record was last updated 11 years ago.

Elizabeth Kilgore 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) and a Home Health Agency (HHA)

Elizabeth Kilgore 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 and the following quality measures were reported: age-related macular degeneration (amd): counseling on antioxidant supplement, age-related macular degeneration (amd): dilated macular examination, diabetes: eye exam, diabetic retinopathy: communication with the physician managing ongoing diabetes care, documentation of current medications in the medical record, e-prescribing, health information exchange exclusion, onc direct review attestation, participation in a qcdr, that promotes collaborative learning network opportunities that are interactive., patient-specific education, primary open-angle glaucoma (poag): optic nerve evaluation, provide patient access, regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms., secure messaging and security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1770897076

Provider Name ELIZABETH M KILGORE O.D.
Provider Location Address197 HOSPITAL DR STE A CHEROKEE VILLAGE, AR 72529
Provider Mailing Address197 HOSPITAL DR STE A CHEROKEE VILLAGE, AR 72529
GenderFemale
NPI Entity TypeIndividual
Medical School NameSOUTHERN COLLEGE OF OPTOMETRY
Graduation Year2010
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-29-2010
Last Update Date07-29-2010


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.2656
License StateAR
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

ELIZABETH M KILGORE O.D.
197 HOSPITAL DR STE A
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 257-2100
Fax: (870) 257-4395

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Mailing Address

ELIZABETH M KILGORE O.D.
197 HOSPITAL DR STE A
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 257-2100
Fax: (870) 257-4395



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID4183819071
PECOS Enrollment IDI20101117001274
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 DevicesNo

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.

  • 235Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 186Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 140Photography of the retina (HCPCS:92250)
  • 113Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 87Diagnostic imaging of retina (HCPCS:92134)
  • 70Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 33Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Quality Reporting

The following quality measures meets 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 Rate Number of Patients
Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement 68% 173
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for preventing progression of AMD
Age-Related Macular Degeneration (AMD): Dilated Macular Examination 88% 169
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage AND the level of macular degeneration severity during one or more office visits within 12 months
Diabetes: Eye Exam 100% 98
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 3% 30
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months
Documentation of Current Medications in the Medical Record 49% 2597
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 97% 685
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patient-Specific Education 69% 3181
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.
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 97% 118
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
Provide Patient Access 68% 3181
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 0% 3181
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.

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.