KATHERINE ANNE WIDERBORG MD
NPI 1588757579
Surgery in Normal, IL
NPI Status: Active since October 02, 2006
Contact Information
1537 FORT JESSE RD
SUITE A
NORMAL, IL
ZIP 61761
Phone: (309) 808-0122
Fax: (309) 808-0552
- Individual
- Female
- Surgery
- Medicare Quality Reporting
About KATHERINE WIDERBORG
This page provides the complete NPI Profile along with additional information for Katherine Widerborg, a provider established in Normal, Illinois with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1588757579 assigned on October 2006. The practitioner's primary taxonomy code is 208600000X with license number 036-068927 (IL). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1588757579
- Provider Name
- KATHERINE ANNE WIDERBORG MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1537 FORT JESSE RD SUITE A NORMAL, IL 61761
- Location Phone
- (309) 808-0122
- Location Fax
- (309) 808-0552
- Mailing Address
- 1505 EASTLAND DR SUITE 2300 BLOOMINGTON, IL 61701
- Mailing Phone
- (309) 662-9022
- Mailing Fax
- (309) 808-0552
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-02-2006
- Last Update Date
- 03-12-2013
- Code Navigator
A surgeon like Katherine Widerborg treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-068927
- License State
- IL
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
|---|---|---|---|
| 777460 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| A53554 | MEDICARE UPIN (02) | ||
| 0360689271 | MEDICAID (05) | 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 |
|---|---|---|
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| 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. | ||
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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 | 5 | 8 | 8 | 7 | 5 | 7 | 5 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 14 | 5 | 14 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 4 + 5 + 1 + 4 + 5 + 1 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1588757579 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699906966 | DR. KATHERINE WIDERBORG M.D., F.A.C.S., P.C. Organization | Surgery | 1537 FORT JESSE RD SUITE A NORMAL, IL 61761 (309) 808-0122 |
| 1720377690 | PREMIER MEDICAL GROUP, LLC Organization | Surgery | 1537 FORT JESSE RD SUITE A NORMAL, IL 61761 (309) 808-0122 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588757579, enumerated in the NPI registry as an "individual" on October 02, 2006
The provider is located at 1537 Fort Jesse Rd Suite A Normal, Il 61761 and the phone number is (309) 808-0122
The provider's speciality is Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 02, 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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