DR. CLARE B O'HARE MD
NPI 1932594116
Pediatrics - Pediatric Cardiology in Cleveland, OH
Quality Rating: 92.38 out of 100 score
NPI Status: Active since April 03, 2015
Contact Information
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
Phone: (216) 445-5015
Fax: (216) 445-3692
- Individual
- Female
- Years of Experience 11
- Pediatrics
- Pediatric Cardiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CLARE O'HARE
This page provides the complete NPI Profile along with additional information for Clare O'hare, a pediatrician established in Cleveland, Ohio with a medical specialization in Pediatrics, focusing in pediatric cardiology and more than 11 years of experience. She graduated from Saint Louis University School Of Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1932594116 assigned on April 2015. The practitioner's primary taxonomy code is 2080P0202X with license number 35.146526 (OH). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1932594116
- Provider Name
- DR. CLARE B O'HARE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9500 EUCLID AVE CLEVELAND, OH 44195
- Location Phone
- (216) 445-5015
- Location Fax
- (216) 445-3692
- Mailing Address
- 9500 EUCLID AVE # M4-1 CLEVELAND, OH 44195
- Mailing Phone
- (216) 445-5015
- Mailing Fax
- (216) 445-3692
- Medical School Name
- SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2015
- Last Update Date
- 09-06-2022
- Code Navigator
A pediatrician like Clare O'hare is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35.146526
- License State
- OH
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 35.146526 (OH) |
2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 2018010582 (MO) |
3 | 2080P0202X | Allopathic & Osteopathic Physicians | Pediatrics | 2018010582 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- AultCare Bronze 7000 Select - PPO
- AultCare Bronze 8550 Select No Pediatric Dental - PPO
- AultCare Gold 1100 Select - PPO
- AultCare Gold 1100 Select No Pediatric Dental - PPO
- AultCare Silver 6550 Select No Pediatric Dental - PPO
- AultCare Silver 7900 Premier Select No Pediatric Dental - PPO
- AultCare Standard Bronze Select No Pediatric Dental - PPO
- AultCare Standard Gold Select No Pediatric Dental - PPO
- AultCare Standard Silver Premier Select No Pediatric Dental - PPO
- AultCare Standard Silver Select No Pediatric Dental - PPO
- AultCare Bronze 5500 - PPO
- AultCare Bronze 7050 - PPO
- AultCare Gold 1000 - PPO
- AultCare Gold 1200 - PPO
- AultCare Gold 1800 - PPO
- AultCare Gold 2850 - PPO
- AultCare Gold 3150 - PPO
- AultCare Platinum 1200 - PPO
- AultCare Platinum 1800 Health Savings 500 - PPO
- AultCare Platinum 300 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Clare O'hare 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.
Clare O'hare 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: 9335411958
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: I20220927000499
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
Overall 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 92.38, 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: 92.38 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: 80.44
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.
Reviews for DR. CLARE B O'HARE MD
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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 | 9 | 3 | 2 | 5 | 9 | 4 | 1 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 6 | 2 | 10 | 9 | 8 | 1 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 6 + 2 + 1 + 0 + 9 + 8 + 1 + 2 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1932594116 is valid because the calculated check digit 6 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. TERENCE LEE GUTGSELL M.D.
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DR. LEONARD JOSEPH HORWITZ MD
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ZIP 44195
DR. DANIEL CLARK D.O.
Anesthesiology
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CLEVELAND, OH
ZIP 44195
CATHERINE NAHAS CRNA
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
DR. KALYANI D SHAH MD
Physical Medicine & Rehabilitation
(Pain Medicine)
9500 EUCLID AVE
C-21
CLEVELAND, OH
ZIP 44195
ALBERT V CHAN JR.
Internal Medicine
(Cardiovascular Disease)
9500 EUCLID AVE
WL20
CLEVELAND, OH
ZIP 44195
MARK PAUL PACE D.O.
Internal Medicine
(Cardiovascular Disease)
9500 EUCLID AVE
TW10
CLEVELAND, OH
ZIP 44195
PERRY L FLEISHER M.D.
Internal Medicine
(Interventional Cardiology)
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
MRS. ERIN MARIE FELDMAN MSSA, LSW
Social Worker
9500 EUCLID AVE
DESK S20
CLEVELAND, OH
ZIP 44195
BOHDAN MYKOLA PICHURKO MD
Internal Medicine
(Pulmonary Disease)
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
AMY L AYLWARD M.A.
Audiologist
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
MRS. JULIA C JANKO AA-C
Anesthesiologist Assistant
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
MICHAEL HARRY HACKETT MD
Family Medicine
9500 EUCLID AVE
WH10
CLEVELAND, OH
ZIP 44195
DR. ANDREI VERMONT M.D.
Radiology
(Diagnostic Radiology)
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
DR. RAMON MADARA MALAYA JR. M.D.
Surgery
9500 EUCLID AVE
ECC-1
CLEVELAND, OH
ZIP 44195
DR. RICHARD A FIGLER MD
Family Medicine
(Sports Medicine)
9500 EUCLID AVE
A 41
CLEVELAND, OH
ZIP 44195
RUTH M FARRELL MD, MA
Surgery
9500 EUCLID AVE
JJ-60
CLEVELAND, OH
ZIP 44195
NORMAN KAI-YAN SO MD
Psychiatry & Neurology
(Neurology)
9500 EUCLID AVE
S51
CLEVELAND, OH
ZIP 44195
MS. EVELYN M ARAMBASICK APRN, BC
Registered Nurse
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
AIDA L MANDAPAT MD
Pediatrics
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932594116, enumerated in the NPI registry as an "individual" on April 03, 2015
The provider is located at 9500 Euclid Ave Cleveland, Oh 44195 and the phone number is (216) 445-5015
The provider's speciality is Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology
The provider has more than 11 years of experience. She graduated from Saint Louis University School Of Medicine in 2015.
The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc. and AultCare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
This NPI record was last updated on April 03, 2015. 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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