KRISTINA M DEPHILIPPO O.D.
NPI 1831454636
Optometrist in Brockton, MA
Quality Rating: 28.58 out of 100 score
NPI Status: Active since July 08, 2012
- Individual
- Female
- Optometrist
- Accepts Insurance
About KRISTINA DEPHILIPPO
This page provides the complete NPI Profile along with additional information for Kristina Dephilippo, a provider established in Brockton, Massachusetts with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1831454636 assigned on July 2012. The practitioner's primary taxonomy code is 152W00000X with license number OEG002633 (PA). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1831454636
- Provider Name
- KRISTINA M DEPHILIPPO O.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 940 BELMONT ST BROCKTON, MA 02301
- Location Phone
- (774) 826-1106
- Mailing Address
- 140 KENRICK STREET UNIT 27 BRIGHTON, MA 02135
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-08-2012
- Last Update Date
- 07-10-2012
- 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
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- OEG002633
- License State
- PA
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- BlueCare Direct Gold? Standard - Rx Copays with Advocate - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 28.58, 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.
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Final Score: 28.58 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.
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Quality Score: 0
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.
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Promoting Interoperability Score: 0
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: 20
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: 70.29
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: 70.29
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 KRISTINA M DEPHILIPPO O.D.
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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 | 3 | 1 | 4 | 5 | 4 | 6 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 8 | 5 | 8 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 8 + 5 + 8 + 6 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1831454636 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1760441166 | CHERI LEONARD PA-C Individual | Physician Assistant (Medical) | 940 BELMONT ST DEPARTMENT 127 BROCKTON, MA 02301 (774) 826-2176 |
| 1356301329 | MR. DENNI J. WOODMANSEE PA-C Individual | Physician Assistant | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2035 |
| 1700841764 | MS. NANCY ELIZABETH GENDREAU NP Individual | Nurse Practitioner (Gerontology) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1174572721 | DR. JOHN C BRADLEY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 940 BELMONT ST BROCKTON, MA 02301 (617) 981-2109 |
| 1720031651 | MARYLOU GREGORY-LEE NP Individual | Nurse Practitioner | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2769 |
| 1083669972 | MS. EILEEN NANCY WILMARTH-GUERETTE RN Individual | Nurse Practitioner (Primary Care) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1386682961 | MS. ELLEN ELIZABETH ENDRES RNP Individual | Nurse Practitioner (Adult Health) | 940 BELMONT ST PRIMARY CARE CLINIC (11A) BROCKTON, MA 02301 (508) 583-4500 |
| 1013944388 | MRS. TRUDY ROSE RADVILLE OTR/L Individual | Occupational Therapist | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1316978653 | JANICE MAKARCHUK Individual | Dietitian, Registered | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-1439 |
| 1366475428 | MRS. CAROLYN MARGRETTA SHAKUR PT Individual | Physical Therapist | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1801816459 | MRS. CATHERINE F. CAHILL RD Individual | Dietitian, Registered | 940 BELMONT ST NUTRITION & FOOD SERVICE (120) BROCKTON, MA 02301 (774) 826-1910 |
| 1386664043 | MRS. PATRICIA MARIE COLLINS RD, CDE Individual | Dietitian, Registered (Nutrition, Metabolic) | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-4000 |
| 1972523074 | MR. DAVID FRANK MARSZALEK OTR/L Individual | Occupational Therapist | 940 BELMONT ST BROCKTON VAMC-BLDG 4, ROOM A204 BROCKTON, MA 02301 (508) 583-4500 |
| 1366458424 | MS. ANNMARIE FREDERICKS N.P. Individual | Nurse Practitioner (Adult Health) | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2889 |
| 1790795003 | DR. LOUISE BONNIE GRAHAM PH.D. Individual | Psychologist (Counseling) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1386655108 | DR. KYUNG H LEE M.D Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2588 |
| 1336252956 | DR. KEVIN C TOOLIN O.D Individual | Optometrist | 940 BELMONT ST VA BROCKTON EYE CLINIC BROCKTON, MA 02301 (508) 583-4500 |
| 1922111442 | DR. JAMES DOUGLASS BROOKS O.D. Individual | Optometrist | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-1106 |
| 1285748558 | SUSAN K. SINK MSW,LICSW Individual | Social Worker (Clinical) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1174637086 | MR. CARL ANTHONY AVENI MSW LICSW Individual | Social Worker (Clinical) | 940 BELMONT ST WARD 2-3-C BROCKTON, MA 02301 (774) 826-1347 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831454636, enumerated in the NPI registry as an "individual" on July 08, 2012
The provider is located at 940 Belmont St Brockton, Ma 02301 and the phone number is (774) 826-1106
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois and Blue. 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 July 08, 2012. 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.