DR. BRADFORD ALAN QUATKEMEYER MD NPI 1942261250
Family Medicine in Crittenden, KY

About DR. BRADFORD ALAN QUATKEMEYER MD

Bradford Quatkemeyer is a primary care provider established in Crittenden, Kentucky and his medical specialization is Family Medicine with more than 28 years of experience. He graduated from University Of Louisville School Of Medicine in 1995. The NPI number of Bradford Quatkemeyer is 1942261250 and was assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 32259 (KY). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1942261250
Provider NameDR. BRADFORD ALAN QUATKEMEYER MD
Location Address405 VIOLET RD CRITTENDEN, KY 41030
Location Phone(859) 428-1610
Mailing AddressPO BOX 635283 CINCINNATI, OH 45263
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year1995
Is Sole Proprietor?No
Enumeration Date03-29-2006
Last Update Date09-07-2021

A primary care provider (PCP) like Dr. Bradford Alan Quatkemeyer Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Bradford Quatkemeyer 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.

Bradford Quatkemeyer 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 he has hospital affiliations with St Elizabeth Edgewood, St Elizabeth Grant and St Elizabeth Florence.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.4, 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: $21.18 for a new patient copayment and $24.51 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.32259
License StateKY
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. BRADFORD ALAN QUATKEMEYER MD
405 VIOLET RD
CRITTENDEN, KY
ZIP 41030
Phone: (859) 428-1610
Fax: (859) 428-3923

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Mailing Address

DR. BRADFORD ALAN QUATKEMEYER MD
PO BOX 635283
CINCINNATI, OH
ZIP 45263
Phone: (859) 428-1610
Fax: (859) 428-3923


Location Map

PECOS Enrollment and Medicare Participation Status

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
PECOS PAC ID749258481
PECOS Enrollment IDI20040921000741
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 DevicesYes

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 41030 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
$54.72 $168.41 $84.75
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.68 $42.1 $21.18
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
$16.65 $137.34 $98.06
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.16 $34.33 $24.51

* 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.
Promoting Interoperability (PI) 25% 79.6
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% 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.
MIPS Final Score - 96.4
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.

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. Bradford Quatkemeyer is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST ELIZABETH EDGEWOOD1 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017
(859) 301-2000Acute Care Hospitals180035
ST ELIZABETH GRANT238 BARNES ROAD
WILLIAMSTOWN, KY 41097
(859) 824-8105Critical Access Hospitals181311
ST ELIZABETH FLORENCE4900 HOUSTON ROAD
FLORENCE, KY 41042
(859) 212-5220Acute Care Hospitals180045

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 Identifier Issuer
2159104OTHER (01)OHMEDICAID
64322597MEDICAID (05)KY
K252620OTHER (01)KYKY MEDICARE

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.
1942261250
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2982462210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 4 + 6 + 2 + 2 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1942261250 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952415788 OSCAR O PEREZ JR. DO
Individual
Family Medicine405 VIOLET RD
CRITTENDEN, KY 41030
(859) 428-1610
1356446447DR. PHILLIP LEE KISER M.D.
Individual
Family Medicine405 VIOLET RD
CRITTENDEN, KY 41030
(859) 903-0268
1891197273 RYAN FREIBERT D.O.
Individual
Neuromusculoskeletal Medicine & OMM405 VIOLET RD
CRITTENDEN, KY 41030
(859) 428-1610
1063895522 NICOLE ABBOT MD
Individual
Psychiatry & Neurology (Psychiatry)405 VIOLET RD
CRITTENDEN, KY 41030
(859) 301-5901
1780063636 ANDREA CLAIR GIST M.D.
Individual
Family Medicine405 VIOLET RD
CRITTENDEN, KY 41030
(859) 903-0268
1053967653 AVERY JEA MARTIN
Individual
Nurse Practitioner405 VIOLET RD
CRITTENDEN, KY 41030
(859) 428-1610
1891285938HEALTHPOINT FAMILY CARE, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))405 VIOLET RD
CRITTENDEN, KY 41030
(859) 655-6100
1003012428DR. VIRAL PATEL D.O.
Individual
Family Medicine405 VIOLET RD
CRITTENDEN, KY 41030
(859) 428-1610
1518989334DR. KATHIE E MORGAN MD
Individual
Family Medicine405 VIOLET RD
CRITTENDEN, KY 41030
(859) 428-1610
1750899142 WILLIAM TRAVIS YOUNG ARNP, FNP-C
Individual
Nurse Practitioner405 VIOLET RD
CRITTENDEN, KY 41030
(859) 903-0268
1366539652MRS. SUZANNE MICHELLE FERNBACH PA-C
Individual
Physician Assistant405 VIOLET RD
CRITTENDEN, KY 41030
(859) 903-0268

Frequently Asked Questions

What is Dr. Bradford Quatkemeyer MD NPI number?

The NPI number assigned to Dr. Bradford Quatkemeyer MD is 1942261250, registered as an "individual" on March 29, 2006

Where is Dr. Bradford Quatkemeyer MD located?

The provider is located at 405 Violet Rd Crittenden, Ky 41030 and the phone number is (859) 428-1610

Which is Dr. Bradford Quatkemeyer MD specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Bradford Quatkemeyer MD have?

The provider has more than 28 years of experience. He graduated from University Of Louisville School Of Medicine in 1995.

What insurance does Dr. Bradford Quatkemeyer MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Bradford Quatkemeyer MD registered in PECOS?

Yes, as of November 14, 2022 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.

How much is a visit to Dr. Bradford Quatkemeyer MD?

Medicare beneficiaries should expect a typical cost of $84.75 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $98.06 and an average copayment of 24.51. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Dr. Bradford Quatkemeyer MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: ST ELIZABETH EDGEWOOD, ST ELIZABETH GRANT and ST ELIZABETH FLORENCE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Bradford Quatkemeyer MD was last updated on March 29, 2006. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]