DR. STANCA ARIANA BIRLEA
NPI 1134499577
Dermatology in Aurora, CO


Quality Rating: 84.53 out of 100 score

NPI Status: Active since January 02, 2012

Contact Information

12605 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 848-0500
Fax: (720) 848-0538

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  • Individual
  • Female
  • Dermatology
  • Accepts Insurance

About STANCA BIRLEA

This page provides the complete NPI Profile along with additional information for Stanca Birlea, a provider established in Aurora, Colorado with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1134499577 assigned on January 2012. The practitioner's primary taxonomy code is 207N00000X with license number TDP.0041925 (CO). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1134499577
Provider Name
DR. STANCA ARIANA BIRLEA
Gender
Female
Entity Type
Individual
Location Address
12605 E 16TH AVE AURORA, CO 80045
Location Phone
(720) 848-0500
Location Fax
(720) 848-0538
Mailing Address
PO BOX 110429 AURORA, CO 80042
Mailing Phone
(303) 439-7000
Is Sole Proprietor?
No
Enumeration Date
01-02-2012
Last Update Date
12-16-2016
Code Navigator

A dermatologist like Stanca Birlea 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.

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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
TDP.0041925
License State
CO
Taxonomy Description
A 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

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

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.

Biopsy of related skin growth, first growth

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

This service was performed 11 times for 11 patients

Destruction of precancer skin growth, 1 growth

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

This service was performed 16 times for 15 patients

Destruction of skin growth, 1-14 growths

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

This service was performed 19 times for 17 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 48 times for 38 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 13 times for 13 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 23 times for 23 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 84.53, 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: 84.53 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: 83.68

    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: 64.74

    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: 64.74

    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. STANCA ARIANA BIRLEA

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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.
1134499577
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21648918514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 8 + 9 + 1 + 8 + 5 + 1 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1134499577 is valid because the calculated check digit 7 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
1992701411 ELIZABETH CERIMELE CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1700884541 RUTH E PARKER CNM
Individual
Advanced Practice Midwife12605 E 16TH AVE UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
(720) 848-0000
1205826120DR. JAMES EATON MD
Individual
Radiology (Diagnostic Radiology)12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1972594190 ERIN WELCH MD
Individual
Dermatology12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1437130101 NEKO UPSON CNM
Individual
Advanced Practice Midwife12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1346222114DR. ANGELA M DAVIES M.D.
Individual
Internal Medicine (Hematology & Oncology)12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1013993526 MICHAEL JOBIN MD
Individual
Emergency Medicine12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1740266964 TODD GUTH MD
Individual
Emergency Medicine12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1831169952 JAVIER WAKSMAN MD
Individual
Internal Medicine12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1285605535 MONICA WAZIRI CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1215903174 KENNETH TYLER MD
Individual
Psychiatry & Neurology (Clinical Neurophysiology)12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1831166701 DANIEL MERRICK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1730157942 DONNA LILLY CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1861453128 SARAH CHILTON MD
Individual
Radiology (Body Imaging)12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1609838770 BETTYANN HEPPLER CNM
Individual
Advanced Practice Midwife12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1659334324 KATHLEEN MITCHELL CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1568426070 PRISCILLA NODINE CNM
Individual
Advanced Practice Midwife12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1386600237DR. RICHARD ZANE MD
Individual
Emergency Medicine12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1760449607MS. CHERYL A MCGINNIS CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
1558312769 JACQUELINE VASQUEZ CRNA
Individual
Nurse Anesthetist, Certified Registered12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134499577, enumerated in the NPI registry as an "individual" on January 02, 2012

The provider is located at 12605 E 16th Ave Aurora, Co 80045 and the phone number is (720) 848-0500

The provider's speciality is Dermatology with taxonomy code 207N00000X

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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: Biopsy of related skin growth, first growth, Destruction of precancer skin growth, 1 growth, Destruction of skin growth, 1-14 growths, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and New patient office or other outpatient visit, 30-44 minutes.

This NPI record was last updated on January 02, 2012. 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.