DONALD S. HART CRNA
NPI 1609854900
Nurse Anesthetist, Certified Registered in Mauston, WI


Quality Rating: 98.04 out of 100 score

NPI Status: Active since January 06, 2006

Contact Information

1050 DIVISION ST
MAUSTON, WI
ZIP 53948
Phone: (608) 847-6161

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  • Individual
  • Male
  • Years of Experience 21
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About DONALD HART

This page provides the complete NPI Profile along with additional information for Donald Hart, a provider established in Mauston, Wisconsin with a medical specialization in Nurse Anesthetist, Certified Registered and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1609854900 assigned on January 2006. The practitioner's primary taxonomy code is 367500000X with license number 3057-33 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1609854900
Provider Name
DONALD S. HART CRNA
Gender
Male
Entity Type
Individual
Location Address
1050 DIVISION ST MAUSTON, WI 53948
Location Phone
(608) 847-6161
Mailing Address
1050 DIVISION ST MAUSTON, WI 53948
Mailing Phone
(608) 847-6161
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
01-06-2006
Last Update Date
05-08-2023
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3057-33
License State
WI
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

129787 (WI)

Insurance Plans Accepted

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

  • Partners HMO Bronze 5000 Ded/9200 MOOP - HMO
  • Partners HMO Bronze 7500 Ded/9200 MOOP - HMO
  • Partners HMO Bronze 7900 Ded/7900 MOOP HSA - HMO
  • Partners HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
  • Partners HMO Gold 1500 Ded/7800 MOOP - HMO
  • Partners HMO Gold 2900 Ded/2900 MOOP HSA - HMO
  • Partners HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
  • Partners HMO Silver 5000 Ded/8000 MOOP - HMO
  • Partners HMO Silver 5500 Ded/5500 MOOP HSA - HMO
  • 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
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

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

Medicare Participation & PECOS Enrollment Status

Donald Hart 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.

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.

  • PECOS PAC ID: 2961417191

    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: I20060209000364

    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.

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.

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 20 times for 20 patients

Anesthesia for procedure on small and large bowel using an endoscope

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

This service was performed 11 times for 11 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.92 for a new patient copayment and $16.84 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 53948 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $123.69
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $30.92
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

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

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* 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 98.04, 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: 98.04 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: 96.44

    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: 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 DONALD S. HART CRNA

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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.
1609854900
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609165890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 5 + 8 + 9 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1609854900 is valid because the calculated check digit 0 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
1689655979 RON DIXON CRNA
Individual
Nurse Anesthetist, Certified Registered1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1073594362 AUGUST J. MARTIN CRNA
Individual
Nurse Anesthetist, Certified Registered1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1396722021MRS. MARY KAY MCLEAN M.S.,CCC-A
Individual
Audiologist-Hearing Aid Fitter1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1568487411MILE BLUFF MEDICAL CENTER INC
Organization
General Acute Care Hospital1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1255350575MILE BLUFF MEDICAL CENTER INC
Organization
Skilled Nursing Facility1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1508889767MILE BLUFF MEDICAL CENTER INC
Organization
Home Health1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1356492912MS. COLLEEN ANN QUINN MS., CCC-SLP
Individual
Speech-Language Pathologist1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1033260435 MARY ELIZABETH EMERSON PT
Individual
Physical Therapist1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1144375783MRS. DAWN LYNETTE OSTHOFF
Individual
Physical Therapy Assistant1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1073668513 TRACY ANDERSON OTR
Individual
Occupational Therapist1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1922145077MILE BLUFF MEDICAL CENTER INC
Organization
Nurse Anesthetist, Certified Registered1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1720125792MILE BLUFF MEDICAL CENTER INC
Organization
Durable Medical Equipment & Medical Supplies1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1306983978 LAURA KAY SCHWAB VINOPAL M.S.
Individual
Audiologist1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1659415271MS. CHRISTINE MARIE REICHERT PT
Individual
Physical Therapist1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1326175894 KAREN M PATTON PT
Individual
Physical Therapist1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1871717421 JEAN MARIE DUTTON ATC
Individual
Specialist/Technologist (Athletic Trainer)1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1457548117MRS. ERICA ANDREA LEHR-REUBER A.P.S.W.
Individual
Social Worker (Clinical)1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1265615835MR. JASON A. NUTTALL ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-1421
1821252123MR. DAVID SCOTT LENNINGER CRNA
Individual
Nurse Anesthetist, Certified Registered1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161
1407006851MRS. DONNA SUE SHUCK DIETITIAN B.S.
Individual
Nutritionist1050 DIVISION ST
MAUSTON, WI 53948
(608) 847-6161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609854900, enumerated in the NPI registry as an "individual" on January 06, 2006

The provider is located at 1050 Division St Mauston, Wi 53948 and the phone number is (608) 847-6161

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 21 years of experience.

The provider might be accepting Accepts: Group Health Cooperative-SCW, Medica and Molina. 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.

Medicare beneficiaries should expect a typical cost of $123.69 with an average copayment of $30.92 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Anesthesia for other procedure on large bowel using an endoscope and Anesthesia for procedure on small and large bowel using an endoscope.

This NPI record was last updated on January 06, 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.