KYLIE ANN GROSS
NPI 1821638727
Nurse Anesthetist, Certified Registered in Oklahoma City, OK
NPI Status: Active since January 09, 2020
Contact Information
9600 BROADWAY EXT STE B103
OKLAHOMA CITY, OK
ZIP 73114
Phone: (405) 715-3610
Fax: (405) 715-3612
- Individual
- Female
- Years of Experience 7
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About KYLIE GROSS
This page provides the complete NPI Profile along with additional information for Kylie Gross, a provider established in Oklahoma City, Oklahoma with a medical specialization in Nurse Anesthetist, Certified Registered and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1821638727 assigned on January 2020. The practitioner's primary taxonomy code is 367500000X with license number 115153 (OK). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1821638727
- Provider Name
- KYLIE ANN GROSS
- Other Name
- KYLIE ANN CASTONGUAY
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9600 BROADWAY EXT STE B103 OKLAHOMA CITY, OK 73114
- Location Phone
- (405) 715-3610
- Location Fax
- (405) 715-3612
- Mailing Address
- PO BOX 13618 OKLAHOMA CITY, OK 73113
- Medical School Name
- OTHER
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-09-2020
- Last Update Date
- 01-09-2020
- Code Navigator
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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 115153
- License State
- OK
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Bronze HMO? 902 - HMO
- MyBlue Bronze HMO? 904 - HMO
- MyBlue Bronze HMO? Standard - HMO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- MyBlue Silver HMO? 705 - HMO
- Bronze Classic 4700 - PPO
- Bronze Classic Standard - PPO
- Bronze Elite + PCP Saver Plus - PPO
- Gold Classic Standard - PPO
- Secure - PPO
- Silver Classic Standard - PPO
- Silver Elite Saver Plus - PPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - PPO
- Silver Simple Diabetes - PPO
- Silver Simple PCP Saver - PPO
- TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kylie Gross 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: 8729414685
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: I20200212002411
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 open or endoscopic total shoulder joint replacement
Anesthesia for other procedure on top of arm bone and shoulder joint
Anesthesia for procedure for total knee joint replacement
Anesthesia for total hip replacement
Injection of anesthetic agent and/or steroid into arm nerve bundle
Injection of anesthetic agent and/or steroid into lower back and leg nerve
Injection of anesthetic agent and/or steroid into other nerve or branch
Injection of anesthetic agent and/or steroid into thigh nerve
Ultrasonic guidance for needle placement
Anesthesia for total shoulder joint replacement, either open or endoscopic, involves using medications to block pain during surgery. It can be general (you're asleep) or regional (only the area being operated on is numbed). This ensures comfort and stillness, facilitating a successful procedure.
This service was performed 11 times for 11 patientsAnesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
This service was performed 12 times for 12 patientsAnesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
This service was performed 35 times for 34 patientsAnesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
This service was performed 19 times for 19 patientsThis procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
This service was performed 20 times for 20 patientsThis procedure involves injecting an anesthetic or steroid into the lower back and leg nerve to alleviate pain. The injection helps reduce inflammation and numb the area, providing relief from discomfort. This is a common treatment for conditions such as sciatica and herniated discs.
This service was performed 18 times for 18 patientsThis procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
This service was performed 16 times for 16 patientsThis procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
This service was performed 47 times for 47 patientsUltrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
This service was performed 69 times for 69 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.76 for a new patient copayment and $16.62 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 73114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.06
- Minimum New Patient Price $53
- Maximum New Patient Price $162.61
- Average New Patient Copayment $30.76
- Minimum New Patient Copayment $13.25
- Maximum New Patient Copayment $40.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.48
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $16.62
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.1
* 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.
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 |
|---|---|---|
| Perioperative Temperature Management | 100% | 399 |
| Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy | 100% | 242 |
| Use of Neuraxial Techniques and/or Peripheral Nerve Blocks for Total Knee Arthroplasty (TKA) | 99% | 72 |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kylie Gross is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MCBRIDE ORTHOPEDIC HOSPITAL | 9600 NORTH BROADWAY EXTENSION OKLAHOMA CITY, OK 73114 | (405) 486-2212 | Acute Care Hospitals |
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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 | 8 | 2 | 1 | 6 | 3 | 8 | 7 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 12 | 3 | 16 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 1 + 2 + 3 + 1 + 6 + 7 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1821638727 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265046403 | LANDIN BOLER Individual | Nurse Anesthetist, Certified Registered | 9600 BROADWAY EXT STE B103 OKLAHOMA CITY, OK 73114 (405) 715-3610 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821638727, enumerated in the NPI registry as an "individual" on January 09, 2020
The provider is located at 9600 Broadway Ext Ste B103 Oklahoma City, Ok 73114 and the phone number is (405) 715-3610
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 7 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $123.06 with an average copayment of $30.76 for new patient appointments. Established patients should expect a typical charge of $66.48 and an average copayment of 16.62. 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 open or endoscopic total shoulder joint replacement, Anesthesia for other procedure on top of arm bone and shoulder joint, Anesthesia for procedure for total knee joint replacement, Anesthesia for total hip replacement, Injection of anesthetic agent and/or steroid into arm nerve bundle, Injection of anesthetic agent and/or steroid into lower back and leg nerve, Injection of anesthetic agent and/or steroid into other nerve or branch, Injection of anesthetic agent and/or steroid into thigh nerve and Ultrasonic guidance for needle placement.
The practitioner is affiliated to the following hospital(s): MCBRIDE ORTHOPEDIC HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on January 09, 2020. 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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