KAREN L ESHRAGHI MD NPI 1942299326
Dermatology in Osage Beach, MO

About KAREN L ESHRAGHI MD

Karen Eshraghi is a provider established in Osage Beach, Missouri and her medical specialization is Dermatology with more than 33 years of experience. She graduated from University Of Missouri, Kansas City, School Of Medicine in 1990. The NPI number of Karen Eshraghi is 1942299326 and was assigned on October 2005. The practitioner's primary taxonomy code is 207N00000X with license number R8P969 (MO). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1942299326
Provider Name KAREN L ESHRAGHI MD
Location Address5721 OSAGE BEACH PKWY STE 100 OSAGE BEACH, MO 65065
Location Phone(573) 302-4696
Mailing Address801 YORK ST MANITOWOC, WI 54220
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year1990
Is Sole Proprietor?Yes
Enumeration Date10-18-2005
Last Update Date02-15-2021

A dermatologist like Karen L Eshraghi 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.Karen Eshraghi 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.

Karen Eshraghi 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 Lake Regional Health System.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, 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: $21.01 for a new patient copayment and $17.08 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 Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.R8P969
License StateMO
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

KAREN L ESHRAGHI MD
5721 OSAGE BEACH PKWY STE 100
OSAGE BEACH, MO
ZIP 65065
Phone: (573) 302-4696
Fax: (573) 302-4698

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Mailing Address

KAREN L ESHRAGHI MD
801 YORK ST
MANITOWOC, WI
ZIP 54220
Phone: (920) 663-9016
Fax: (920) 684-1439


Secondary Locations

331 Hospital Dr
Lebanon, MO 65536
(417) 322-9013


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 ID7911994132
PECOS Enrollment IDI20040429000357
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 65065 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
$54.2 $167.17 $84.04
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.55 $41.79 $21.01
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.43 $136.28 $68.32
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.1 $34.07 $17.08

* 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% N/A
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% 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.
Improvement Activities 15% N/A
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 - 30
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.

  • 4409Destruction of 2-14 skin growths (HCPCS:17003)
  • 1127Destruction of skin growth (HCPCS:17000)
  • 557Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • 469Destruction of up to 14 skin growths (HCPCS:17110)
  • 151Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 96Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • 30Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)

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. Karen Eshraghi is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LAKE REGIONAL HEALTH SYSTEM54 HOSPITAL DRIVE
OSAGE BEACH, MO 65065
(573) 348-8000Acute Care Hospitals260186

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.
1942299326
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2982491834
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 4 + 9 + 1 + 8 + 3 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1942299326 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003003872KAREN ESHRAGHI, MD LAKE OF THE OZARKS, LLC
Organization
Dermatology5721 OSAGE BEACH PKWY STE 100
OSAGE BEACH, MO 65065
(573) 302-4696
1275968489 AMY RENEE BUTLER FNP-C
Individual
Nurse Practitioner (Family)5721 OSAGE BEACH PKWY STE 100
OSAGE BEACH, MO 65065
(573) 302-4696

Frequently Asked Questions

What is Karen Eshraghi MD NPI number?

The NPI number assigned to Karen Eshraghi MD is 1942299326, registered as an "individual" on October 18, 2005

Where is Karen Eshraghi MD located?

The provider is located at 5721 Osage Beach Pkwy Ste 100 Osage Beach, Mo 65065 and the phone number is (573) 302-4696

Which is Karen Eshraghi MD specialty?

The provider's speciality is Dermatology

How many years of experience does Karen Eshraghi MD have?

The provider has more than 33 years of experience. She graduated from University Of Missouri, Kansas City, School Of Medicine in 1990.

Is Karen Eshraghi 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 Karen Eshraghi MD?

Medicare beneficiaries should expect a typical cost of $84.04 with an average copayment of $21.01 for new patient appointments. Established patients should expect a typical charge of $68.32 and an average copayment of 17.08. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Karen Eshraghi MD?

The most common procedures or services performed by this practitioner are: Destruction of 2-14 skin growths, Destruction of skin growth, Pathology examination of tissue using a microscope, intermediate complexity, Destruction of up to 14 skin growths, Biopsy of single growth of skin and/or tissue, Biopsy of each additional growth of skin and/or tissue and Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips.

Is Karen Eshraghi MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: LAKE REGIONAL HEALTH SYSTEM. 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 Karen Eshraghi MD was last updated on October 18, 2005. 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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