CATHERINE CHUNG MD
NPI 1235320995
Pediatrics - Pediatric Emergency Medicine in Falls Church, VA
Quality Rating: 96.4 out of 100 score
NPI Status: Active since August 07, 2007
Contact Information
3300 GALLOWS RD
FALLS CHURCH, VA
ZIP 22042
Phone: (773) 880-1800
- Individual
- Female
- Pediatrics
- Pediatric Emergency Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About CATHERINE CHUNG
This page provides the complete NPI Profile along with additional information for Catherine Chung, a pediatrician established in Falls Church, Virginia with a medical specialization in Pediatrics, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1235320995 assigned on August 2007. The practitioner's primary taxonomy code is 2080P0204X with license number MD036727 (DC). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1235320995
- Provider Name
- CATHERINE CHUNG MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3300 GALLOWS RD FALLS CHURCH, VA 22042
- Location Phone
- (773) 880-1800
- Mailing Address
- 1222 N MEADE ST 17 ARLINGTON, VA 22209
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-07-2007
- Last Update Date
- 11-09-2011
- Code Navigator
A pediatrician like Catherine Chung is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Pediatric Emergency Medicine
- Taxonomy Code
- 2080P0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD036727
- License State
- DC
- Taxonomy Description
- A pediatrician who has special qualifications to manage emergencies in infants and children.
Medicare Participation & PECOS Enrollment Status
Catherine Chung 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.
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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 96.4, 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.
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Final Score: 96.4 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.
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Quality Score: 93.39
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.
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Promoting Interoperability Score: 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 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.
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 |
|---|---|---|
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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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 | 2 | 3 | 5 | 3 | 2 | 0 | 9 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 2 | 0 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 2 + 0 + 9 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1235320995 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1255339289 | DR. PETER AUERBACH MD Individual | Emergency Medicine | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3195 |
| 1063412336 | PHILIP ANDREW BRANTON MD Individual | Pathology (Clinical Pathology/Laboratory Medicine) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3428 |
| 1053311357 | FAIRFAX PATHOLOGY ASSOCIATES LTD Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-2390 |
| 1437150497 | JASBIR SANTOKH JOHAL MD Individual | Pathology (Anatomic Pathology) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-2788 |
| 1689675647 | GEETHA A MENEZES MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-2638 |
| 1477554434 | DR. JAMES R MIZE MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-2638 |
| 1881695666 | HASSAN NAYER MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3441 |
| 1780685560 | DR. DAN YI QI MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-4196 |
| 1770584476 | MYONG HO NAM MD Individual | Pathology (Blood Banking & Transfusion Medicine) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-6679 |
| 1578564282 | JOEL SENNESH MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-2390 |
| 1578564183 | DR. SYED ZAMAN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3034 |
| 1235126434 | DR. ALBERT EDWARD HOLT IV M.D. Individual | Internal Medicine (Critical Care Medicine) | 3300 GALLOWS RD CRITICAL CARE DEPARTMENT FALLS CHURCH, VA 22042 (703) 776-3582 |
| 1609847318 | DR. ZACHARY DALE GOODMAN M.D., PH.D. Individual | Pathology (Anatomic Pathology) | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (301) 802-1820 |
| 1871564484 | TODD MULLER MD Individual | Emergency Medicine | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3111 |
| 1548238959 | ELIZABETH TALOTTA PA Individual | Physician Assistant | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3111 |
| 1972560373 | RICHARD M BISHOW PA Individual | Emergency Medicine | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3111 |
| 1407813827 | WILLIAM D BOSLEY PA Individual | Emergency Medicine | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3111 |
| 1346208501 | HANNAH M GRAUSZ MD Individual | Emergency Medicine (Emergency Medical Services) | 3300 GALLOWS RD EMERGENCY DEPARTMENT FALLS CHURCH, VA 22042 (703) 205-9790 |
| 1356392591 | VIVIAN HWANG MD Individual | Emergency Medicine | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3111 |
| 1174574420 | KONSTANTINOS KOHILAS MD Individual | Emergency Medicine | 3300 GALLOWS RD FALLS CHURCH, VA 22042 (703) 776-3111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235320995, enumerated in the NPI registry as an "individual" on August 07, 2007
The provider is located at 3300 Gallows Rd Falls Church, Va 22042 and the phone number is (773) 880-1800
The provider's speciality is Pediatrics with taxonomy code 2080P0204X with a focus in Pediatric Emergency Medicine
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
This NPI record was last updated on August 07, 2007. 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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