DR. MARK A. STERN M.D.
NPI 1033201579
Internal Medicine - Rheumatology in Springfield, IL


Quality Rating: 91.33 out of 100 score

NPI Status: Active since September 29, 2006

Contact Information

800 N. 1ST STREET
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 528-7541

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  • Individual
  • Male
  • Internal Medicine
  • Rheumatology

About MARK STERN

This page provides the complete NPI Profile along with additional information for Mark Stern, an internist established in Springfield, Illinois with a medical specialization in Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1033201579 assigned on September 2006. The practitioner's primary taxonomy code is 207RR0500X with license number 036-063966 (IL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1033201579
Provider Name
DR. MARK A. STERN M.D.
Gender
Male
Entity Type
Individual
Location Address
800 N. 1ST STREET SPRINGFIELD, IL 62702
Location Phone
(217) 528-7541
Mailing Address
1025 S 6TH ST SPRINGFIELD, IL 62703
Mailing Phone
(217) 528-7541
Is Sole Proprietor?
No
Enumeration Date
09-29-2006
Last Update Date
06-18-2020
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An internist like Mark Stern is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Rheumatology

Taxonomy Code
207RR0500X
Type
Allopathic & Osteopathic Physicians
License No.
036-063966
License State
IL
Taxonomy Description
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of chemotherapy into vein, 1 hour or less

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

This service was performed 40 times for 19 patients

Administration of chemotherapy into vein, each additional hour

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

This service was performed 48 times for 14 patients

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 147 times for 97 patients

Aspiration and/or injection of fluid from medium joint

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

This service was performed 17 times for 14 patients

Aspiration and/or injection of fluid from small joint

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

This service was performed 17 times for 12 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 18 times for 18 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 332 times for 251 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 188 times for 144 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

This service was performed 17 times for 11 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

This service was performed 59 times for 34 patients

Infusion, normal saline solution, 250 cc

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

This service was performed 24 times for 11 patients

Injection of drug or substance under skin or into muscle

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

This service was performed 89 times for 54 patients

Injection, denosumab, 1 mg

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

This service was performed 2,760 times for 46 patients

Injection, golimumab, 1 mg, for intravenous use

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

This service was performed 6,250 times for 15 patients

Injection, methylprednisolone acetate, 20 mg

Methylprednisolone acetate is a medication given via injection to reduce inflammation and pain. It's often used to treat conditions like arthritis, allergic reactions, and certain skin diseases. The 20 mg dose is tailored to your specific needs.

This service was performed 29 times for 16 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 187 times for 91 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 22 times for 20 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 38 times for 38 patients

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 91.33, 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.

  • Final Score: 91.33 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.

  • Quality Score: 81.1

    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 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.

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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.
1033201579
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063402514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 0 + 2 + 5 + 1 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1033201579 is valid because the calculated check digit 9 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
1972615748 THOMAS E. BARON M.D.
Individual
Urology800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1588761811 JEFFREY R. HORVATH M.D.
Individual
Internal Medicine (Rheumatology)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1326131285DR. DONALD S. ROSS M.D.
Individual
Surgery800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1235222191DR. DAVID A. ROSZHART M.D.
Individual
Urology800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1871686030DR. VASKAR MUKERJI M.D.
Individual
Internal Medicine (Cardiovascular Disease)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1902990260DR. JOHN C. SHAFFER M.D.
Individual
Obstetrics & Gynecology (Gynecologic Oncology)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1326136870 DENISE K. MEARS FNP-BC, PNP-BC
Individual
Nurse Practitioner (Family)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1427199934 WILLIAM MICHAEL DAVIN
Individual
Massage Therapist800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1922149442 JEANNETTE M ATCHERSON CST/CFA
Individual
Specialist/Technologist, Other (Surgical Assistant)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1750493540 CECILE E.F. BECKER M.D.
Individual
Psychiatry & Neurology (Neurology)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1538262431 LYNNE D. BARKMEIER M.D.
Individual
Surgery (Vascular Surgery)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1972600294 DIANE C. HILLARD-SEMBELL M.D.
Individual
Orthopaedic Surgery800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1457459570 MARK D. GREATTING M.D.
Individual
Orthopaedic Surgery800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1457462558 GARY BRETT WESTERN MD
Individual
Family Medicine (Sports Medicine)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1669571113 DAVID A. GELBER M.D.
Individual
Psychiatry & Neurology (Neurology)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1811081177 MARTEN J. SIKORSKI DPM
Individual
Podiatrist800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1407949365DR. STEPHEN M. RYAN M.D.
Individual
Surgery (Vascular Surgery)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1326131459DR. KOTESWARA R. NARLA M.D.
Individual
Psychiatry & Neurology (Neurology)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1386737435DR. JOHN E. NESTER M.D.
Individual
Internal Medicine (Cardiovascular Disease)800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541
1407949571DR. ROBERT M. PARKER DPM
Individual
Podiatrist800 N. 1ST STREET
SPRINGFIELD, IL 62702
(217) 528-7541

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033201579, enumerated in the NPI registry as an "individual" on September 29, 2006

The provider is located at 800 N. 1st Street Springfield, Il 62702 and the phone number is (217) 528-7541

The provider's speciality is Internal Medicine with taxonomy code 207RR0500X with a focus in Rheumatology

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.

The most common procedures or services performed by this practitioner are: Administration of chemotherapy into vein, 1 hour or less, Administration of chemotherapy into vein, each additional hour, Aspiration and/or injection of fluid from large joint, Aspiration and/or injection of fluid from medium joint, Aspiration and/or injection of fluid from small joint, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hyaluronan or derivative, gel-one, for intra-articular injection, per dose, Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less, Infusion, normal saline solution, 250 cc, Injection of drug or substance under skin or into muscle, Injection, denosumab, 1 mg, Injection, golimumab, 1 mg, for intravenous use, Injection, methylprednisolone acetate, 20 mg, Injection, methylprednisolone acetate, 40 mg, Insertion of needle into vein for collection of blood sample and New patient office or other outpatient visit, 45-59 minutes.

This NPI record was last updated on September 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.