CHARET JEAN PELKEY LPT
NPI 1346329174
Physical Therapist in Crystal, MN


Quality Rating: 82.16 out of 100 score

NPI Status: Active since November 03, 2006

Contact Information

5700 BOTTINEAU BLVD
#210
CRYSTAL, MN
ZIP 55429
Phone: (763) 587-7000
Fax: (763) 587-7015

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  • Individual
  • Female
  • Physical Therapist
  • Accepts Insurance
  • Medicare Quality Reporting

About CHARET PELKEY

This page provides the complete NPI Profile along with additional information for Charet Pelkey, a provider established in Crystal, Minnesota with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1346329174 assigned on November 2006. The practitioner's primary taxonomy code is 225100000X with license number 6860 (MN). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1346329174
Provider Name
CHARET JEAN PELKEY LPT
Gender
Female
Entity Type
Individual
Location Address
5700 BOTTINEAU BLVD #210 CRYSTAL, MN 55429
Location Phone
(763) 587-7000
Location Fax
(763) 587-7015
Mailing Address
5700 BOTTINEAU BLVD #210 CRYSTAL, MN 55429
Mailing Phone
(763) 587-7000
Mailing Fax
(763) 587-7015
Is Sole Proprietor?
No
Enumeration Date
11-03-2006
Last Update Date
04-16-2015
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
6860
License State
MN
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

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

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

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
650001237MEDICARE ID-TYPE UNSPECIFIED (04)MN 

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.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 35 times for 11 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 82.16, 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 provider also has detailed performance information the following quality measures: .

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: 82.16 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: 84.44

    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: 56.09

    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: 56.09

    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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Documentation of Current Medications in the Medical Record 5% 430
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 36% 211
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 22% 291
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 22% 291
Provide Patients Electronic Access to Their Health Information 96% 454

Reviews for CHARET JEAN PELKEY LPT

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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.
1346329174
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23866218114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 6 + 2 + 1 + 8 + 1 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1346329174 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861467227 JONATHAN C. TALLMAN M.D.
Individual
Family Medicine5700 BOTTINEAU BLVD SUITE 100
MINNEAPOLIS, MN 55429
(763) 504-6500
1194950303 RUBY WAIYEE TAM D.O.
Individual
Family Medicine5700 BOTTINEAU BLVD SUITE 100
CRYSTAL, MN 55429
(763) 504-6500
1760733752DR. ELIZABETH JANET ALBRIGHT M.D.
Individual
Family Medicine5700 BOTTINEAU BLVD SUITE #100
CRYSTAL, MN 55429
(763) 504-6500
1962470278MRS. LORI JEAN RUDA OTR
Individual
Occupational Therapist5700 BOTTINEAU BLVD SUITE 200
CRYSTAL, MN 55429
(763) 535-7607
1124377825 KIMBERLY ANN PLESSEL MS, RD, LD
Individual
Dietitian, Registered5700 BOTTINEAU BLVD SUITE 210
CRYSTAL, MN 55429
(651) 335-6552
1437354099DR. MATTHEW MICHAEL PALMER D.O.
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD SUITE 210
CRYSTAL, MN 55429
(763) 587-7000
1407289754 LISA HOIUM DPT
Individual
Physical Therapist5700 BOTTINEAU BLVD SUITE 200
CRYSTAL, MN 55429
(763) 535-7607
1316111768 JENNIFER J. RILEY MD
Individual
Family Medicine5700 BOTTINEAU BLVD SUITE 100
CRYSTAL, MN 55429
(763) 504-6500
1720015316DR. MARY K MARTINIE M.D.
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD #210
CRYSTAL, MN 55429
(763) 587-7000
1124139910DR. CHRISTINE MARIE SARKINEN MD
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD #210
CRYSTAL, MN 55429
(763) 587-7000
1982715777DR. LISA M SHAKERIN MD
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD #210
CRYSTAL, MN 55429
(763) 587-7000
1780795575DR. JILLIAN MARIE HALLSTROM MD
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD #210
CRYSTAL, MN 55429
(763) 587-7000
1083725873DR. JAMES R KRAUSE MD
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD #210
CRYSTAL, MN 55429
(763) 587-7000
1790896587DR. SHANNON E HARRIS MD
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD #210
CRYSTAL, MN 55429
(763) 587-7000
1811054356DR. TARYN MARIE MCEVOY M.D.
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD #210
MINNEAPOLIS, MN 55429
(763) 587-7000
1063523850DR. JON S NIELSEN MD
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD 210
CRYSTAL, MN 55429
(763) 587-7000
1528179314DR. LORI L WILCOX MD
Individual
Obstetrics & Gynecology5700 BOTTINEAU BLVD #210
CRYSTAL, MN 55429
(763) 587-7000
1093184533 OFER BARNIV PAC
Individual
Family Medicine5700 BOTTINEAU BLVD SUITE 100
CRYSTAL, MN 55429
(763) 504-6500
1467546549 CHRISTIAN GERALD SCHROCK MD
Individual
Internal Medicine (Infectious Disease)5700 BOTTINEAU BLVD SUITE 270
MINNEAPOLIS, MN 55429
(763) 520-4320
1326462292 SARA LYNN BUDHOO PA-C
Individual
Physician Assistant (Medical)5700 BOTTINEAU BLVD
CRYSTAL, MN 55429
(763) 504-6550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346329174, enumerated in the NPI registry as an "individual" on November 03, 2006

The provider is located at 5700 Bottineau Blvd #210 Crystal, Mn 55429 and the phone number is (763) 587-7000

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider might be accepting Accepts: Medica, Medicare and Medicaid. 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 provider obtained a high score in the following performance measures: Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.

The most common procedures or services performed by this practitioner are: Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes.

This NPI record was last updated on November 03, 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.