TIMOTHY P PLACKETT
NPI 1851567648
Surgery - Surgical Critical Care in Chicago, IL
Quality Rating: 99.97 out of 100 score
NPI Status: Active since May 01, 2008
Contact Information
5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
Phone: (888) 824-0200
- Individual
- Male
- Years of Experience 20
- Surgery
- Surgical Critical Care
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About TIMOTHY PLACKETT
This page provides the complete NPI Profile along with additional information for Timothy Plackett, a provider established in Chicago, Illinois with a medical specialization in Surgery, focusing in surgical critical care and more than 20 years of experience. He graduated from Midwestern University, Chicago College Of Osteopathic Med in 2006. The healthcare provider is registered in the NPI registry with number 1851567648 assigned on May 2008. The practitioner's primary taxonomy code is 2086S0102X with license number 036132813 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1851567648
- Provider Name
- TIMOTHY P PLACKETT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5841 S MARYLAND AVE CHICAGO, IL 60637
- Location Phone
- (888) 824-0200
- Mailing Address
- 150 HARVESTER DR SUITE 300 BURR RIDGE, IL 60527
- Medical School Name
- MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
- Graduation Year
- 2006
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-01-2008
- Last Update Date
- 10-24-2022
- Code Navigator
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
Surgery Surgical Critical Care
- Taxonomy Code
- 2086S0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036132813
- License State
- IL
- Taxonomy Description
- A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic Standard (Choice) - HMO
- Gold Classic Standard (Choice) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Simple Diabetes (Choice) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Timothy Plackett is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Timothy Plackett 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 244562825
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210209002883
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Hernia repair - groin (open)
Upper gastrointestinal (GI) endoscopy for acid reflux
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 19 times for 13 patientsHernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
This service was performed for 1-10 patientsAn upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
This service was performed for 1-10 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.97, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.
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Final Score: 99.97 out of 100
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.
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Quality Score: 79.94
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.
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Promoting Interoperability Score: 100
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 Score: 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 activities measure category compromises 15% providers final MPIS scores.
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 Score: N/A
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. -
Cost Score: N/A
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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Timothy Plackett is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
THE UNIVERSITY OF CHICAGO MEDICAL CENTER | 5841 SOUTH MARYLAND CHICAGO, IL 60637 | (773) 702-1000 | Acute Care Hospitals |
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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. | |||||||||
1 | 8 | 5 | 1 | 5 | 6 | 7 | 6 | 4 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 10 | 1 | 10 | 6 | 14 | 6 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 0 + 1 + 1 + 0 + 6 + 1 + 4 + 6 + 8 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1851567648 is valid because the calculated check digit 8 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.
DR. ADAM BUCHANAN COCHRANE PHARM.D., BCPS
Pharmacist
(Pharmacotherapy)
5841 S MARYLAND AVE
MC 5026
CHICAGO, IL
ZIP 60637
MRS. VINAY KUMARI GARG
Dietitian, Registered
5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
THOMAS L FISHER JR. MD., M.P.H
Emergency Medicine
5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
LINDA MARIE NAHLIK R.PH.
Pharmacist
(Pharmacotherapy)
5841 S MARYLAND AVE
UNIVERSITY OF CHICAGO HOSPITALS
CHICAGO, IL
ZIP 60637
HEATHER M MACLEOD MS
Genetic Counselor, MS
5841 S MARYLAND AVE
MC 6088
CHICAGO, IL
ZIP 60637
RACHELLE J LORENZ M.S.
Genetic Counselor, MS
5841 S MARYLAND AVE
MC 0077
CHICAGO, IL
ZIP 60637
DR. MARCO G. PATTI MD
Surgery
5841 S MARYLAND AVE
MC 5031
CHICAGO, IL
ZIP 60637
TRISHA RABIDOUX RD, LDN
Dietitian, Registered
5841 S MARYLAND AVE
MC 0988
CHICAGO, IL
ZIP 60637
DR. REBECCA LYNN BROWN M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
5841 S MARYLAND AVE
MC1027
CHICAGO, IL
ZIP 60637
DR. JERRY KRISHNAN M.D., PHD.
Internal Medicine
(Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
DR. MARION S. VERP M.D.
Obstetrics & Gynecology
(Gynecology)
5841 S MARYLAND AVE
MC2050
CHICAGO, IL
ZIP 60637
DR. BASHARAT BUCHH MD
Pediatrics
(Neonatal-Perinatal Medicine)
5841 S MARYLAND AVE
MC 6060
CHICAGO, IL
ZIP 60637
DR. ARTHUR FRANCIS HANEY MD
Obstetrics & Gynecology
(Reproductive Endocrinology)
5841 S MARYLAND AVE
MC2050
CHICAGO, IL
ZIP 60637
KEME HEAVEN CARTER M.D.
Emergency Medicine
5841 S MARYLAND AVE
MC 5068
CHICAGO, IL
ZIP 60637
MARY KRYSTOFIAK RUSSELL RD
Dietitian, Registered
5841 S MARYLAND AVE
MC 0988
CHICAGO, IL
ZIP 60637
DR. LISA M SHAH M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
ANNETTE C BOOGERD
Dietitian, Registered
5841 S MARYLAND AVE
MC 3051
CHICAGO, IL
ZIP 60637
MRS. EMILY NICOLE LISCIANDRO MS, RD, LDN
Dietitian, Registered
(Nutrition, Pediatric)
5841 S MARYLAND AVE
MC0988
CHICAGO, IL
ZIP 60637
SEEMA S LIMAYE MD
Internal Medicine
5841 S MARYLAND AVE
DEPARTMENT OF MEDICINE, (MC6098)
CHICAGO, IL
ZIP 60637
CONSTANCE N DROSSOS PH.D.
Psychologist
(Clinical)
5841 S MARYLAND AVE
STE MC 3077
CHICAGO, IL
ZIP 60637
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851567648, enumerated as an "individual" on May 01, 2008.
The provider is located at 5841 S MARYLAND AVE CHICAGO, IL 60637 and the phone number is (888) 824-0200.
Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.
The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare and Oscar. Please consult your insurance carrier or call the provider to verify.
Timothy Plackett is affiliated with: THE UNIVERSITY OF CHICAGO MEDICAL CENTER.