DR. CARLOS A SIRVEN MD
NPI 1245206614
Obstetrics & Gynecology in Gretna, LA
Quality Rating: 95.47 out of 100 score
NPI Status: Active since February 27, 2006
Contact Information
515 WESTBANK EXPY
SUITE 7
GRETNA, LA
ZIP 70053
Phone: (504) 366-7233
Fax: (504) 366-0686
- Individual
- Male
- Obstetrics & Gynecology
- Accepts Insurance
- Medicare Quality Reporting
About CARLOS SIRVEN
This page provides the complete NPI Profile along with additional information for Carlos Sirven, a women's health care provider established in Gretna, Louisiana with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1245206614 assigned on February 2006. The practitioner's primary taxonomy code is 207V00000X with license number 016287 (LA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1245206614
- Provider Name
- DR. CARLOS A SIRVEN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 515 WESTBANK EXPY SUITE 7 GRETNA, LA 70053
- Location Phone
- (504) 366-7233
- Location Fax
- (504) 366-0686
- Mailing Address
- 515 WESTBANK EXPY SUITE 7 GRETNA, LA 70053
- Mailing Phone
- (504) 366-7233
- Mailing Fax
- (504) 366-0686
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-27-2006
- Last Update Date
- 11-27-2007
- Code Navigator
Women's health care providers like Carlos Sirven treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 016287
- License State
- LA
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Connect 80/60 $3200 (L) - POS
- Blue Connect 80/60 $3200 (N) - POS
- Blue Connect 80/60 $3200 (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) - POS
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- Signature Blue 80/60 $3200 - POS
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
5L668C867 | MEDICARE PIN (08) | ||
1329991 | MEDICAID (05) | LA | |
B89186 | MEDICARE UPIN (02) |
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.
Automated urinalysis test
Cervical or vaginal cancer screening; pelvic and clinical breast examination
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
Established patient office or other outpatient visit, 20-29 minutes
Screening 3d breast mammography
Screening mammography
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 23 times for 23 patientsThis procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
This service was performed 15 times for 15 patientsA fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
This service was performed 20 times for 20 patientsThis 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 17 times for 14 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 21 times for 21 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 21 times for 21 patientsOverall 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 95.47, 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: 95.47 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: 73.59
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: 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.
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 |
---|---|---|
Colorectal Cancer Screening | 100% | 54 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer |
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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 | 4 | 5 | 2 | 0 | 6 | 6 | 1 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 4 | 0 | 12 | 6 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 4 + 0 + 1 + 2 + 6 + 2 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1245206614 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1124094586 | DR. HENRY L ROSENBERG MD Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY SUITE 7 GRETNA, LA 70053 (504) 366-7233 |
1740256106 | DR. ELIZABETH N BLANTON MD Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY SUITE 7 GRETNA, LA 70053 (504) 366-7233 |
1043286347 | DR. SERGIO F CASTILLO MD Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY SUITE 7 GRETNA, LA 70053 (504) 366-7233 |
1821042607 | DR. STACEY BRADFORD CLASEN M.D. Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY SUITE 7 GRETNA, LA 70053 (504) 366-7233 |
1962436352 | DR. JEANNE GASQUET HUTCHINSON M.D. Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY EXPRESSWAY GRETNA, LA 70053 (504) 366-7623 |
1215946025 | NEWCO, WOMEN'S MEDICAL CENTER Organization | Obstetrics & Gynecology | 515 WESTBANK EXPY SUITE 7 GRETNA, LA 70053 (504) 366-7233 |
1063602506 | DR. JENNIFER L. BIGELOW MD Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY SUITE 7 GRETNA, LA 70053 (504) 366-7233 |
1932498185 | ILSA LEON M.D. Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY GRETNA, LA 70053 (504) 366-7233 |
1700531688 | DARBI PHILIBERT, LLC Organization | Occupational Therapist | 515 WESTBANK EXPY GRETNA, LA 70053 (504) 382-7661 |
1487717864 | DR. GEOFFREY GILLEN M.D. Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY GRETNA, LA 70053 (504) 366-7233 |
1063973519 | LEIGH SOULE MAHLUM MD Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY GRETNA, LA 70053 (504) 366-7233 |
1548729718 | MAGGIE JOYNER CAHILL MD Individual | Obstetrics & Gynecology | 515 WESTBANK EXPY GRETNA, LA 70053 (504) 366-7233 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245206614, enumerated in the NPI registry as an "individual" on February 27, 2006
The provider is located at 515 Westbank Expy Suite 7 Gretna, La 70053 and the phone number is (504) 366-7233
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: HMO Louisiana, Primewell Health Services of. 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: uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Automated urinalysis test, Cervical or vaginal cancer screening; pelvic and clinical breast examination, Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous, Established patient office or other outpatient visit, 20-29 minutes, Screening 3d breast mammography and Screening mammography.
This NPI record was last updated on February 27, 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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