FRANCINE M BARAN MD
NPI 1346302189
Ophthalmology in Seattle, WA


Quality Rating: 95.34 out of 100 score

NPI Status: Active since December 15, 2006

Contact Information

4800 SAND POINT WAY NE
SEATTLE, WA
ZIP 98105
Phone: (206) 987-2177
Fax: (206) 987-2722

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  • Individual
  • Female
  • Years of Experience 25
  • Ophthalmology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About FRANCINE BARAN

This page provides the complete NPI Profile along with additional information for Francine Baran, a provider established in Seattle, Washington with a medical specialization in Ophthalmology and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1346302189 assigned on December 2006. The practitioner's primary taxonomy code is 207W00000X with license number MD00047342 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1346302189
Provider Name
FRANCINE M BARAN MD
Gender
Female
Entity Type
Individual
Location Address
4800 SAND POINT WAY NE SEATTLE, WA 98105
Location Phone
(206) 987-2177
Location Fax
(206) 987-2722
Mailing Address
PO BOX 50010 SEATTLE, WA 98105
Mailing Phone
(206) 987-8450
Mailing Fax
(206) 987-2722
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
12-15-2006
Last Update Date
07-08-2007
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Ophthalmologists like Francine Baran specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

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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

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00047342
License State
WA
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Insurance Plans Accepted

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

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

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

Medicare Participation & PECOS Enrollment Status

Francine Baran 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.

Francine Baran 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

  • PECOS PAC ID: 6305879362

    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: I20070105000077

    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.

  • 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

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $35.94 for a new patient copayment and $19.68 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 98105 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $143.76
  • Minimum New Patient Price $63.67
  • Maximum New Patient Price $189.37
  • Average New Patient Copayment $35.94
  • Minimum New Patient Copayment $15.91
  • Maximum New Patient Copayment $47.34

Established Patients Visit Costs *

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

  • Average Established Patient Price $78.74
  • Minimum Established Patient Price $21.12
  • Maximum Established Patient Price $155
  • Average Established Patient Copayment $19.68
  • Minimum Established Patient Copayment $5.28
  • Maximum Established Patient Copayment $38.75

* 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 95.34, 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: 95.34 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: 75.69

    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.

Reviews for FRANCINE M BARAN MD

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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.
1346302189
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386604116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 6 + 0 + 4 + 1 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1346302189 is valid because the calculated check digit 9 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
1891791448DR. ERIC M HARVEY PHARMD
Individual
Pharmacist (Pharmacotherapy)4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-1990
1801893086DR. RICHARD ALOYSIUS MOLTENI M.D.
Individual
Pediatrics4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-2005
1114915097MS. LINDA A. RAMSDELL M.S.
Individual
Genetic Counselor, MS4800 SAND POINT WAY NE M2-9
SEATTLE, WA 98105
(206) 987-2663
1821087321 LISA CLAIRE SNIDERMAN KING M.SC., CGC, CCGC
Individual
Genetic Counselor, MS4800 SAND POINT WAY NE BIOCHEMICAL GENETICS
SEATTLE, WA 98105
(206) 987-1406
1780674200MS. SHANNON MARIE FITZGERALD ARNP
Individual
Nurse Practitioner (Family)4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-4650
1144202151 MARGARET MACMILLAN VERNON M.D.
Individual
Pediatrics (Pediatric Cardiology)4800 SAND POINT WAY NE CHILDRENS HEART CENTER MS G-0035
SEATTLE, WA 98105
(206) 987-2127
1215916960MS. DARCI LISE STERNEN MS, CGC
Individual
Genetic Counselor, MS4800 SAND POINT WAY NE CHILDREN'S HOSP & REG MED CTR, MEDICAL GENETICS M2-9
SEATTLE, WA 98105
(206) 987-2664
1235119587DR. KELLY J FAUCETTE M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-2206
1518937978DR. JEFFREY ALAN CONWELL M.D.
Individual
Pediatrics (Pediatric Cardiology)4800 SAND POINT WAY NE M/S G-0035
SEATTLE, WA 98105
(206) 987-2266
1255309035DR. WANJIKU NJOROGE MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-3229
1255393328MS. LORI ANN MARKHAM RNC, MSN, NNP, CCRN
Individual
Nurse Practitioner (Neonatal, Critical Care)4800 SAND POINT WAY NE MS CSB 240
SEATTLE, WA 98105
(206) 987-2248
1710940721DR. MARGARET PEARSON ADAM MD, MS
Individual
Medical Genetics (Clinical Genetics (M.D.))4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-2689
1083672513 TERESA Y SOUCIE PA-C
Individual
Physician Assistant4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-3717
1952352445 BRIAN E SAELENS PH.D.
Individual
Psychologist (Clinical)4800 SAND POINT WAY NE CHILDREN'S HOSPITAL & REGIONAL MEDICAL CENTER
SEATTLE, WA 98105
(206) 616-1224
1881647055DR. STEVEN C ALLER M.D., PH.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-2000
1649227489 JENNIFER W LISLE MD
Individual
Orthopaedic Surgery4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-2109
1083661631 SOREN M GANTT MD
Individual
Pediatrics (Pediatric Infectious Diseases)4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-1909
1407803992 MARGARET R SCHLESINGER MD
Individual
Pediatrics (Pediatric Rheumatology)4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-2057
1760439905 CARRIE L HEIKE MD
Individual
Pediatrics4800 SAND POINT WAY NE
SEATTLE, WA 98105
(206) 987-2528
1497792261DR. PETER RICHARD KOLLROS MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)4800 SAND POINT WAY NE SEATTLE CHILDREN'S HOSPTIAL M/S B5552
SEATTLE, WA 98105
(206) 987-2078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346302189, enumerated in the NPI registry as an "individual" on December 15, 2006

The provider is located at 4800 Sand Point Way Ne Seattle, Wa 98105 and the phone number is (206) 987-2177

The provider's speciality is Ophthalmology with taxonomy code 207W00000X

The provider has more than 25 years of experience.

The provider might be accepting Accepts: PacificSource Health Plans and Premera Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $143.76 with an average copayment of $35.94 for new patient appointments. Established patients should expect a typical charge of $78.74 and an average copayment of 19.68. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on December 15, 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].
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.