KAREN ANN BAUER MD
NPI 1811937410
Internal Medicine - Pulmonary Disease in Cincinnati, OH


Quality Rating: 92 out of 100 score

NPI Status: Active since June 08, 2006

Contact Information

379 DIXMYTH AVE
CINCINNATI, OH
ZIP 45220
Phone: (132) 467-0005
Fax: (513) 246-7590

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  • Individual
  • Female
  • Internal Medicine
  • Pulmonary Disease
  • Accepts Insurance

About KAREN BAUER

This page provides the complete NPI Profile along with additional information for Karen Bauer, an internist established in Cincinnati, Ohio with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1811937410 assigned on June 2006. The practitioner's primary taxonomy code is 207RP1001X with license number 35050830 (OH). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1811937410
Provider Name
KAREN ANN BAUER MD
Gender
Female
Entity Type
Individual
Location Address
379 DIXMYTH AVE CINCINNATI, OH 45220
Location Phone
(132) 467-0005
Location Fax
(513) 246-7590
Mailing Address
4685 FOREST AVE CINCINNATI, OH 45212
Mailing Phone
(132) 467-0000
Is Sole Proprietor?
No
Enumeration Date
06-08-2006
Last Update Date
02-11-2019
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An internist like Karen Bauer is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
35050830
License State
OH
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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)
1207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

39182 (KY)
2207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

01037574A (IN)

Insurance Plans Accepted

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

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - 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.

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
H648890OTHER (01)OHMEDICARE PTAN
100318160MEDICAID (05)IN 
64930878MEDICAID (05)KY 
000000879842OTHER (01)INANTHEM PROVIDER NUMBER
0740774MEDICAID (05)OH 

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.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 16 times for 16 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 92, 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: 92 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: 85.02

    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: 94.8

    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 KAREN ANN BAUER 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.
1811937410
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28211831442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 8 + 3 + 1 + 4 + 4 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1811937410 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
1851348445DR. LEE LAUTMAN MD
Individual
Obstetrics & Gynecology379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7800
1306893615DR. MATTHEW BURTON MD
Individual
Internal Medicine (Rheumatology)379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1235178716 STEPHEN HAVERKOS MD
Individual
Orthopaedic Surgery379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7800
1942243761DR. TARA KNIPPER MD
Individual
Obstetrics & Gynecology379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1184660862DR. CHARLES GORDON TOBY MATHIAS MD
Individual
Dermatology379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1699702720 ANGELA B MORRISS MD
Individual
Psychiatry & Neurology (Neurology)379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1699792416DR. ABBIE YOUKILIS MD
Individual
Internal Medicine379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1447451299 MAHNAZ SAOUDIAN MD
Individual
Internal Medicine (Rheumatology)379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1689813453DR. AMY LYN LONG M.D.
Individual
Obstetrics & Gynecology379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1578851036 AMANDA SCHIRMER P.T.
Individual
Physical Therapist379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1417996646DR. MELVIN FIRESTONE MD
Individual
Internal Medicine379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1629412945 PATRICIA ERIN HUMS CNP
Individual
Nurse Practitioner (Adult Health)379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1285862987 LEANNA LANE MD
Individual
Dermatology379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1790934107MS. LORI ANN STANLEY AU.D.
Individual
Audiologist379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1871532986DR. KEVIN GRANNAN
Individual
Surgery379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1174569446DR. DANNY MORGAN DPM
Individual
Podiatrist (Foot & Ankle Surgery)379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1689888588DR. SUSAN R ABOUHASSAN MD
Individual
Allergy & Immunology379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1801054598MR. JOSEPH APPEL PT
Individual
Physical Therapist379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1154743094TRIHEALTH OS, LLC
Organization
Orthopaedic Surgery379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000
1245279926DR. MARALYN ITZKOWITZ MD
Individual
Internal Medicine379 DIXMYTH AVE
CINCINNATI, OH 45220
(513) 246-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811937410, enumerated in the NPI registry as an "individual" on June 08, 2006

The provider is located at 379 Dixmyth Ave Cincinnati, Oh 45220 and the phone number is (132) 467-0005

The provider's speciality is Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

The provider might be accepting Accepts: CareSource, Medicare, Medicaid and Anthem Blue. 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 most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes.

This NPI record was last updated on June 08, 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.