ERIN MARY MCMAHON CRNP NPI 1922648724
Nurse Practitioner - Women's Health in Saint Marys, PA
About ERIN MARY MCMAHON CRNP
Erin Mcmahon is a provider established in Saint Marys, Pennsylvania and her medical specialization is Nurse Practitioner with a focus in women's health with more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1922648724 assigned on January 2020. The practitioner's primary taxonomy code is 363LW0102X with license number SP021287 (PA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
| NPI | 1922648724 |
| Provider Name | ERIN MARY MCMAHON CRNP |
| Location Address | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 |
| Location Phone | (814) 788-8118 |
| Mailing Address | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2019 |
| Is Sole Proprietor? | No |
| Enumeration Date | 01-09-2020 |
| Last Update Date | 01-09-2020 |
A nurse practitioner (NP) like Erin Mcmahon is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Erin Mcmahon 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.
Erin Mcmahon 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. According to Medicare claims data she has hospital affiliations with Penn Highlands Elk.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $21.99 for a new patient copayment and $25.4 for an established patient copayment.
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.
| Taxonomy Code | 363LW0102X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Women's Health |
| License No. | SP021287 |
| License State | PA |
Business Address
761 JOHNSONBURG RD
SAINT MARYS, PA
ZIP 15857
Phone: (814) 788-8118
Fax: (814) 788-8022
Mailing Address
761 JOHNSONBURG RD
SAINT MARYS, PA
ZIP 15857
Phone: (814) 788-8118
Fax: (814) 788-8022
Location Map
PECOS Enrollment and Medicare Participation Status
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 Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 7214364710 |
| PECOS Enrollment ID | I20200224000014 |
| 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 Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 15857 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $57.02 | $174.05 | $87.96 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.25 | $43.51 | $21.99 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.59 | $142.08 | $101.62 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.39 | $35.52 | $25.4 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
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. |
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| 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. |
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| Cost | 20% | 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. |
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| MIPS Final Score | - | 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. | |||
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.
- 13Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
- 11Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Erin Mcmahon is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| PENN HIGHLANDS ELK | 763 JOHNSONBURG ROAD SAINT MARYS, PA 15857 | (814) 788-8000 | Critical Access Hospitals | 391315 |
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 | 9 | 2 | 2 | 6 | 4 | 8 | 7 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 12 | 4 | 16 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 1 + 2 + 4 + 1 + 6 + 7 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1922648724 is valid because the calculated check digit 4 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740274729 | JOHN MICHAEL GORLOWSKI M.D. Individual | Pediatrics (Adolescent Medicine) | 761 JOHNSONBURG RD SUITE 360 ST MARYS, PA 15857 (814) 781-8677 |
| 1205823424 | ELK REGIONAL PROFESSIONAL GROUP, INC. Organization | Surgery | 761 JOHNSONBURG RD ERPG SPECIALTY SERVICES SAINT MARYS, PA 15857 (814) 788-8615 |
| 1205885944 | DR. DONALD HENRY RUDICK MD Individual | Specialist | 761 JOHNSONBURG RD SUITE 350 ST MARYS, PA 15857 (814) 781-8669 |
| 1699722231 | JOSEPH & SUBRAMANY, INC. Organization | Specialist | 761 JOHNSONBURG RD SUITE 130 ST MARYS, PA 15857 (814) 781-1188 |
| 1578628806 | LEI CHEN MD Individual | Obstetrics & Gynecology (Obstetrics) | 761 JOHNSONBURG RD ST MARYS, PA 15857 (814) 834-6139 |
| 1053509513 | TRI-COUNTY UROLOGY INC Organization | Urology | 761 JOHNSONBURG RD SUITE 350 SAINT MARYS, PA 15857 (814) 781-8669 |
| 1043477946 | JOHN M GORLOWSKI MD PC Organization | Pediatrics (Adolescent Medicine) | 761 JOHNSONBURG RD SUITE 360 SAINT MARYS, PA 15857 (814) 781-8677 |
| 1447231378 | DR. TED BRUBAKER ESHBACH M.D. Individual | Orthopaedic Surgery | 761 JOHNSONBURG RD SUITE 310 ST MARYS, PA 15857 (814) 834-1686 |
| 1609889583 | DAVID HOWARD JOHE MD Individual | Orthopaedic Surgery | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 781-8655 |
| 1336120146 | MS. MEGEN HANDLEY CRNP Individual | Nurse Practitioner | 761 JOHNSONBURG RD SUITE 310 ST MARYS, PA 15857 (814) 834-1686 |
| 1407858277 | ANNE M BREINDEL PA-C Individual | Physician Assistant (Medical) | 761 JOHNSONBURG RD SUITE 240 SAINT MARYS, PA 15857 (814) 834-6565 |
| 1861401424 | DR. STEVEN KOCH MD Individual | Obstetrics & Gynecology | 761 JOHNSONBURG RD SUITE 210 SAINT MARYS, PA 15857 (814) 788-8118 |
| 1124403035 | DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE Organization | Family Medicine | 761 JOHNSONBURG RD SUITE 240 SAINT MARYS, PA 15857 (814) 788-8183 |
| 1043687213 | DUBOIS REGIONAL MED CENTER - PENN HIGHLANDS FAMILY MED ST MARYS 94150 Organization | Family Medicine | 761 JOHNSONBURG RD SUITE 220 SAINT MARYS, PA 15857 (814) 834-2850 |
| 1831574375 | DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS MEDICAL ARTS BLDG ELK Organization | Family Medicine | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 371-2200 |
| 1952715914 | MRS. FRANCESCA WOELFEL PA-C Individual | Physician Assistant (Medical) | 761 JOHNSONBURG RD SUITE 240 SAINT MARYS, PA 15857 (814) 834-6565 |
| 1205849197 | MRS. ANDREA LEE INZANA PA-C Individual | Physician Assistant | 761 JOHNSONBURG RD SUITE 310 SAINT MARYS, PA 15857 (814) 834-1686 |
| 1700239068 | SARAH MEANS PA-C Individual | Physician Assistant | 761 JOHNSONBURG RD SUITE 210 SAINT MARYS, PA 15857 (814) 788-8118 |
| 1881870905 | DR. ANUJIT SINGH DO Individual | Internal Medicine | 761 JOHNSONBURG RD SUITE 220 SAINT MARYS, PA 15857 (814) 788-8184 |
| 1437693868 | MRS. NICOLE LYNN VILLELLA CRNP Individual | Nurse Practitioner | 761 JOHNSONBURG RD SAINT MARYS, PA 15857 (814) 788-8777 |
Frequently Asked Questions
What is Erin Mcmahon CRNP NPI number?
The NPI number assigned to this healthcare provider is 1922648724, enumerated in the NPI registry as an "individual" on January 09, 2020
Where is the provider located?
The provider is located at 761 Johnsonburg Rd Saint Marys, Pa 15857 and the phone number is (814) 788-8118
What is the provider specialty code?
The provider's speciality is Nurse Practitioner with taxonomy code 363LW0102X with a focus in Women's Health
How many years of experience does Erin Mcmahon CRNP have?
The provider has more than 5 years of experience.
Is Erin Mcmahon CRNP registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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 are Erin Mcmahon CRNP Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Erin Mcmahon CRNP?
Medicare beneficiaries should expect a typical cost of $87.96 with an average copayment of $21.99 for new patient appointments. Established patients should expect a typical charge of $101.62 and an average copayment of 25.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Erin Mcmahon CRNP?
The most common procedures or services performed by this practitioner are: Cervical or vaginal cancer screening; pelvic and clinical breast examination and Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory.
Is Erin Mcmahon CRNP affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: PENN HIGHLANDS ELK. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on January 09, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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