JOHN R CLAUSSEN PA-C
NPI 1194814376
Physician Assistant in Kenosha, WI
NPI Status: Active since October 12, 2006
Contact Information
3601 30TH AVE
SUITE 201
KENOSHA, WI
ZIP 53144
Phone: (262) 898-4400
Fax: (262) 658-0149
- Individual
- Male
- Physician Assistant
- Medicare Quality Reporting
About JOHN CLAUSSEN
This page provides the complete NPI Profile along with additional information for John Claussen, a primary care provider established in Kenosha, Wisconsin with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1194814376 assigned on October 2006. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1194814376
- Provider Name
- JOHN R CLAUSSEN PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3601 30TH AVE SUITE 201 KENOSHA, WI 53144
- Location Phone
- (262) 898-4400
- Location Fax
- (262) 658-0149
- Mailing Address
- 801 YORK ST MANITOWOC, WI 54220
- Mailing Phone
- (920) 663-9146
- Mailing Fax
- (262) 658-0149
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-12-2006
- Last Update Date
- 10-20-2016
- Code Navigator
A primary care provider (PCP) like John Claussen 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 .
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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 85-000366 (IL) |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Biopsy Follow-Up | 78% | 97 |
| Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician | ||
| Documentation of Current Medications in the Medical Record | 100% | 1678 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 91% | 2054 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Medication Reconciliation | 99% | 647 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 57% | 1290 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 0% | 1045 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Influenza Immunization | 2% | 815 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | 69 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 48% | 450 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 100% | 1290 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 0% | 1290 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of tools to assist patient self-management | Yes | N/A |
| Use tools to assist patients in assessing their need for support for self-management (e.g., the Patient Activation Measure or How’s My Health). | ||
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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. | |||||||||
| 1 | 1 | 9 | 4 | 8 | 1 | 4 | 3 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 16 | 1 | 8 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 1 + 6 + 1 + 8 + 3 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1194814376 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 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710936141 | MR. EDWARD J DONNER PH.D. Individual | Psychologist (Clinical) | 3601 30TH AVE SUITE LL1 KENOSHA, WI 53144 (262) 657-9777 |
| 1962500728 | DR. RICHARD J BORMAN MD Individual | Family Medicine | 3601 30TH AVE STE 205 KENOSHA, WI 53144 (262) 652-7002 |
| 1548460082 | KARL B SCHEIDT MD, SC Organization | Orthopaedic Surgery | 3601 30TH AVE KENOSHA, WI 53144 (262) 658-8862 |
| 1144420688 | REGINA CAPELLI-SCHEIDT M.D,S.C Organization | General Practice | 3601 30TH AVE KENOSHA, WI 53144 (262) 658-8862 |
| 1518291376 | FAMILY PEDIATRICS, INC. Organization | Clinic/Center (Primary Care) | 3601 30TH AVE KENOSHA, WI 53144 (262) 564-0611 |
| 1104151406 | KAREN BETH WAHLGREN OTR, M.S. Individual | Occupational Therapist | 3601 30TH AVE SUITE 103 KENOSHA, WI 53144 (262) 657-7071 |
| 1801151212 | JENNA M SHERMAN ATC Individual | Specialist/Technologist (Athletic Trainer) | 3601 30TH AVE SUITE 103 KENOSHA, WI 53144 (262) 657-7071 |
| 1750314159 | ALLIANCE PSYCHOLOGICAL AND FAMILY SERVICES LLC Organization | Psychologist (Clinical) | 3601 30TH AVE STE. LL1 KENOSHA, WI 53144 (262) 657-9777 |
| 1578961181 | MARY C GIRSH-JENSEN LCSW CSAC Individual | Social Worker (Clinical) | 3601 30TH AVE SUITE 102 KENOSHA, WI 53144 (262) 654-0487 |
| 1710102066 | DR. OLIVIA BRESSY CASHMORE DC, CCN Individual | Chiropractor (Nutrition) | 3601 30TH AVE SUITE 101 KENOSHA, WI 53144 (262) 220-8500 |
| 1902341548 | BLOSSOM CHIROPRACTIC AND NATURAL MEDICINE Organization | Chiropractor (Nutrition) | 3601 30TH AVE SUITE 101 KENOSHA, WI 53144 (262) 220-8500 |
| 1548716533 | FOREFRONT DERMATOLOGY, S.C. Organization | Dermatology | 3601 30TH AVE SUITE 201 KENOSHA, WI 53144 (262) 898-4400 |
| 1447500814 | JENA LYNN DELISLE DPT Individual | Physical Therapist | 3601 30TH AVE SUITE 103 KENOSHA, WI 53144 (262) 657-7071 |
| 1396186045 | CHAD T MIKESELL PT Individual | Physical Therapist | 3601 30TH AVE SUITE 103 KENOSHA, WI 53144 (262) 657-7071 |
| 1558576322 | GREAT LAKES DERMATOLOGY Organization | Dermatology (Procedural Dermatology) | 3601 30TH AVE SUITE 210 KENOSHA, WI 53144 (262) 658-2594 |
| 1003184003 | LINDSAY B.N. LAUBMEIER PT Individual | Physical Therapist | 3601 30TH AVE SUITE 103 KENOSHA, WI 53144 (262) 657-7071 |
| 1467544346 | AMTUL R AHMAD MD SC Organization | Pediatrics | 3601 30TH AVE SUITE #101 KENOSHA, WI 53144 (262) 564-0611 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194814376, enumerated in the NPI registry as an "individual" on October 12, 2006
The provider is located at 3601 30th Ave Suite 201 Kenosha, Wi 53144 and the phone number is (262) 898-4400
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
This NPI record was last updated on October 12, 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].
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