DR. SUSAN KATZ MD NPI 1902866627

Dermatology in Bronx, NY

NPI 1902866627 Individual Female Dermatology PECOS Enrolled MIPS Quality Score 86.8

About SUSAN KATZ

Susan Katz is a provider established in Bronx, New York and her medical specialization is dermatology. The NPI number of Susan Katz is 1902866627 and was assigned on March 2006. The practitioner's primary taxonomy code is 207N00000X with license number 134725 (NY). The provider is registered as an individual and her NPI record was last updated 14 years ago.

A dermatologist like Dr. Susan Katz Md is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Susan Katz 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.

Susan Katz 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 86.8, 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

1902866627

Provider NameDR. SUSAN KATZ MD
Provider Location Address1578 WILLIAMSBRIDGE RD BRONX, NY 10461
Provider Mailing Address1578 WILLIAMSBRIDGE RD BRONX, NY 10461
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date03-25-2006
Last Update Date04-11-2008


Primary Taxonomy

Taxonomy Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.134725
License StateNY
Taxonomy DescriptionA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Business Address

DR. SUSAN KATZ MD
1578 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461
Phone: (718) 518-8888
Fax: (718) 518-8616

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Mailing Address

DR. SUSAN KATZ MD
1578 WILLIAMSBRIDGE RD
BRONX, NY
ZIP 10461
Phone: (718) 518-8888
Fax: (718) 518-8616



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% 91.3
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% 72
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% 69.5
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 - 86.8
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.

  • 107Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 64Destruction of skin growth (HCPCS:17000)
  • 62Destruction of 2-14 skin growths (HCPCS:17003)
  • 36Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • 23Insertion of needle into vein for collection of blood sample (HCPCS:36415)

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
92A071MEDICARE PIN (08)NY

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1700854486DR. KENNETH SHAPIRO MD
Individual
Specialist1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 904-1400
1790746865DR. KATHLEEN OCONNOR MD
Individual
Dermatology1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 518-8888
1639189038 PETER KARL KELLER M.D.
Individual
Internal Medicine (Cardiovascular Disease)1578 WILLIAMSBRIDGE RD SUITE 1A
BRONX, NY 10461
(718) 892-7817
1447363247DR. SUMAN M REDDY MD
Individual
Internal Medicine (Nephrology)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 822-1469
1518071729DR. PETER LYLE STONE M.D.
Individual
Urology1578 WILLIAMSBRIDGE RD SUITE 2A
BRONX, NY 10461
(718) 892-2100
1396855656 BRYAN RUSSELL LATZMAN MD
Individual
Internal Medicine (Cardiovascular Disease)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 892-7817
1760584791 KATIA ASCHER MD
Individual
Internal Medicine (Nephrology)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 822-1469
1598867285DR. ALAN SETH FRIEDMAN MD
Individual
Internal Medicine (Nephrology)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 822-1469
1356446173 MARCO GENTILUCCI M.D.
Individual
Internal Medicine (Cardiovascular Disease)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 892-7817
1285797217MRS. AYLIN KIYICI M.D.
Individual
Internal Medicine1578 WILLIAMSBRIDGE RD C-LEVEL
BRONX, NY 10461
(718) 239-2491
1447315338DR. FIRAS LUTFI BARAKAT M.D.
Individual
Internal Medicine1578 WILLIAMSBRIDGE RD C-LEVEL
BRONX, NY 10461
(718) 239-2491
1124155619KATHLEEN O CONNOR MD
Organization
Dermatology1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 518-8888
1538339387NEW YORK WESTCHESTER SURGICAL, PC
Organization
Surgery1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 904-1400
1003040536 OLGA L. VILLAMIL
Individual
Physical Therapist1578 WILLIAMSBRIDGE RD SUITE 3D
BRONX, NY 10461
(718) 863-3292
1073814604HELEN MAY MD PLLC
Organization
Internal Medicine1578 WILLIAMSBRIDGE RD LEVEL C
BRONX, NY 10461
(718) 597-5700
1588938625B & K MEDICAL ASSOCIATES LLC
Organization
Legal Medicine1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 239-2492
1881930832MONTEFIORE MEDICAL CENTER
Organization
Clinic/Center (Oncology)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 931-2290
1821066531DR. ANIBAL O PUENTE MD
Individual
Specialist1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 904-1400
1568430221DR. JOACHIM Z FUKS MD
Individual
Specialist1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 931-2290
1063576692RENAL MEDICINE, P.C.
Organization
Internal Medicine (Nephrology)1578 WILLIAMSBRIDGE RD
BRONX, NY 10461
(718) 822-1469

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.