DR. MEGAN GALE ENGELMAN DNP, CRNA
NPI 1114543352
Nurse Anesthetist, Certified Registered in Terre Haute, IN


Quality Rating: 92.04 out of 100 score

NPI Status: Active since June 23, 2020

Contact Information

1606 N 7TH ST
TERRE HAUTE, IN
ZIP 47804
Phone: (317) 902-7309

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  • Individual
  • Female
  • Years of Experience 6
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About MEGAN ENGELMAN

This page provides the complete NPI Profile along with additional information for Megan Engelman, a provider established in Terre Haute, Indiana with a medical specialization in Nurse Anesthetist, Certified Registered and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1114543352 assigned on June 2020. The practitioner's primary taxonomy code is 367500000X with license number 130468 (IN). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1114543352
Provider Name
DR. MEGAN GALE ENGELMAN DNP, CRNA
Gender
Female
Entity Type
Individual
Location Address
1606 N 7TH ST TERRE HAUTE, IN 47804
Location Phone
(317) 902-7309
Mailing Address
860 DARLINGTON DR AVON, IN 46123
Mailing Phone
(317) 902-7309
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
06-23-2020
Last Update Date
06-23-2020
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
130468
License State
IN
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Medicare Participation & PECOS Enrollment Status

Megan Engelman 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.

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.

  • PECOS PAC ID: 4082038492

    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: I20200717002602

    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.

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.

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 11 times for 11 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 22 times for 22 patients

Anesthesia for procedure for total knee joint replacement

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

This service was performed 11 times for 11 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.62 for a new patient copayment and $16.62 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 47804 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.49
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $30.62
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.48
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $16.62
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by 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 provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.04, 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: 92.04 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: 78.2

    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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Megan Engelman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HENDRICKS REGIONAL HEALTH1000 E MAIN ST
DANVILLE, IN 46122
(317) 745-4451Acute Care Hospitals

Reviews for DR. MEGAN GALE ENGELMAN DNP, CRNA

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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.
1114543352
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241046310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 0 + 4 + 6 + 3 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1114543352 is valid because the calculated check digit 2 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
1336142587 MARY A. FLYNN M.D.
Individual
Specialist1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 244-0100
1780687921 GERALD J. LONGA M.D.
Individual
Specialist1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 232-9557
1033112297 ASUNCION U DEWITT M.D.
Individual
Specialist1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 244-0100
1396748992DR. SCOTT LORING ACKLEY MD
Individual
Radiology (Radiation Oncology)1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7504
1306849872DR. ROBERT HAERR MD
Individual
Radiology (Radiation Oncology)1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7504
1700877230 YOUNG SOO SUH MD
Individual
Radiology (Diagnostic Radiology)1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1154312684 LINGAN SIDDA MD
Individual
Radiology (Diagnostic Radiology)1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1619968153 VERA Y MOROZOVA MD
Individual
Anesthesiology1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1326039868DR. PAVEL G MOROZOV MD
Individual
Anesthesiology1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1104807353 MICHAEL R BROWN MD
Individual
Radiology (Diagnostic Radiology)1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1154302305 JOSE F DAVID JR. MD
Individual
Anesthesiology1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1548241532UNION HOSPITAL INC.
Organization
Radiology (Diagnostic Radiology)1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1063493930UNION HOSPITAL INC.
Organization
Anesthesiology1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1699753137UNION HOSPITAL INC.
Organization
Psychologist1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1568430155 BETTY JO ANN MILLS MD
Individual
Nuclear Medicine1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 244-0100
1598725681 TODD M CARPENTER PSYD, HSPP
Individual
Psychologist (Clinical)1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7384
1013967637 KENNETH J. CRANE MD
Individual
Anesthesiology1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1417996430MIDWEST MEDICAL MANAGEMENT, P.C.
Organization
Emergency Medicine1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1063448546DR. ANTHONY D HEAVIN MD
Individual
Emergency Medicine1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000
1487678306 ERIC J BENNETT MD
Individual
Emergency Medicine1606 N 7TH ST
TERRE HAUTE, IN 47804
(812) 238-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114543352, enumerated in the NPI registry as an "individual" on June 23, 2020

The provider is located at 1606 N 7th St Terre Haute, In 47804 and the phone number is (317) 902-7309

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 6 years of experience.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $122.49 with an average copayment of $30.62 for new patient appointments. Established patients should expect a typical charge of $66.48 and an average copayment of 16.62. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Anesthesia for lens surgery, Anesthesia for other procedure on large bowel using an endoscope and Anesthesia for procedure for total knee joint replacement.

The practitioner is affiliated to the following hospital(s): HENDRICKS REGIONAL HEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 23, 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].
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.