MS. KELLY LYNN DAHLER PA
NPI 1861736241
Physician Assistant in Branchburg, NJ
Quality Rating: 71.81 out of 100 score
NPI Status: Active since November 25, 2012
- Individual
- Female
- Years of Experience 14
- Physician Assistant
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KELLY DAHLER
This page provides the complete NPI Profile along with additional information for Kelly Dahler, a primary care provider established in Branchburg, New Jersey with a medical specialization in Physician Assistant and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1861736241 assigned on November 2012. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1861736241
- Provider Name
- MS. KELLY LYNN DAHLER PA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3322 ROUTE 22 BRANCHBURG, NJ 08876
- Location Phone
- (908) 704-0100
- Mailing Address
- 3322 ROUTE 22 BRANCHBURG, NJ 08876
- Mailing Phone
- (908) 704-0100
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-25-2012
- Last Update Date
- 11-25-2012
- Code Navigator
A primary care provider (PCP) like Kelly Dahler sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- NJ
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS Enrollment Status
Kelly Dahler 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.
Kelly Dahler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 446404768
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: I20130213000369
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.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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.
Critical care, first 30-74 minutes
Electrocardiogram (ecg) 1 to 3 leads with review by physician only
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Initial hospital observation care per day, typically 70 minutes
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 11 times for 11 patientsAn Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
This service was performed 85 times for 82 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 156 times for 154 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 84 times for 83 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 30 times for 30 patientsThis service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
This service was performed 20 times for 20 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.52 for a new patient copayment and $19.77 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 08876 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $98.09
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $24.52
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $79.09
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $19.77
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* 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 71.81, 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: 71.81 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: 67.1
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: N/A
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: 45.74
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: 45.74
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.
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. Kelly Dahler is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET | 110 REHILL AVE SOMERVILLE, NJ 08876 | (908) 685-2200 | 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 | 6 | 1 | 7 | 3 | 6 | 2 | 4 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 12 | 1 | 14 | 3 | 12 | 2 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 2 + 1 + 1 + 4 + 3 + 1 + 2 + 2 + 8 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1861736241 is valid because the calculated check digit 1 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 |
---|---|---|---|
1841265352 | MRS. SONIA M RODRIGUES-MARTO MA, LPC, NCC Individual | Counselor (Professional) | 3322 ROUTE 22 SUITE 424 BRANCHBURG, NJ 08876 (732) 221-0568 |
1558399196 | DR. STEVEN HAL MARKOWITZ DDS Individual | Dentist (General Practice) | 3322 ROUTE 22 SUITE 1104 BRANCHBURG, NJ 08876 (908) 595-1221 |
1598815409 | MARK D. NIERENBERG D.C. Individual | Chiropractor (Orthopedic) | 3322 ROUTE 22 SUITE 1101 BRANCHBURG, NJ 08876 (908) 595-9360 |
1669653309 | MARGARET ANDRIN, MD, FACOG, LLC Organization | Obstetrics & Gynecology | 3322 ROUTE 22 BUILDING 13, SUITE 1302 BRANCHBURG, NJ 08876 (908) 526-0700 |
1336438571 | BRIALLY, LLC Organization | Home Health | 3322 ROUTE 22 SUITE 808 BRANCHBURG, NJ 08876 (908) 255-4330 |
1356609770 | MRS. SHARON DIANE ANUARIO L.C.S.W. Individual | Social Worker (Clinical) | 3322 ROUTE 22 BLD 4 SUITE 412 BRANCHBURG, NJ 08876 (908) 581-5751 |
1174879183 | PATRICK F SAULINO MD LLC Organization | Internal Medicine (Cardiovascular Disease) | 3322 ROUTE 22 BUILDING 5 SUITE 505 BRANCHBURG, NJ 08876 (908) 231-0041 |
1912245507 | KIM A. SOMMER L.L.C. Organization | Chiropractor | 3322 ROUTE 22 SUITE 605 BRANCHBURG, NJ 08876 (908) 575-7400 |
1245628312 | SEAN SHOEMAKER Individual | Registered Nurse | 3322 ROUTE 22 SUITE 102 BRANCHBURG, NJ 08876 (908) 252-0242 |
1174956593 | JEREMY L COHEN DPT Individual | Physical Therapist | 3322 ROUTE 22 BRANCHBURG, NJ 08876 (908) 252-0242 |
1275705972 | ARLENE ESPARAGOZA BALUBAYAN MD MPH Individual | Pediatrics | 3322 ROUTE 22 BUILDING 10, SUITE 1002 BRANCHBURG, NJ 08876 (908) 725-5530 |
1093195562 | BRANCHBURG ORAL, MAXILLOFACIAL AND IMPLANT SURGERY, LLC Organization | Dentist (Oral and Maxillofacial Surgery) | 3322 ROUTE 22 SUITE 1207-1208 BRANCHBURG, NJ 08876 (908) 218-0300 |
1033227459 | RAMON REGO MD Individual | Internal Medicine | 3322 ROUTE 22 BLDG #1 BRANCHBURG, NJ 08876 (908) 704-0100 |
1871838110 | MRS. NATASHA ELLEN PETERMAN APN Individual | Nurse Practitioner (Women's Health) | 3322 ROUTE 22 BUILDING 13, SUITE 1302 BRANCHBURG, NJ 08876 (908) 526-0700 |
1851345029 | MARGARET ANDRIN MD Individual | Obstetrics & Gynecology | 3322 ROUTE 22 SUITE 1302 BRANCHBURG, NJ 08876 (908) 526-0700 |
1558895003 | GWEN S. BLOOM LCSW LLC Organization | Social Worker (Clinical) | 3322 ROUTE 22 SUITE 428 BRANCHBURG, NJ 08876 (732) 501-5917 |
1932673514 | A.W. HOLDINGS, LLC Organization | Day Training, Developmentally Disabled Services | 3322 ROUTE 22 BRANCHBURG, NJ 08876 (908) 829-3553 |
1043282551 | DR. PATRICK F SAULINO MD Individual | Internal Medicine (Cardiovascular Disease) | 3322 ROUTE 22 SUITE 505 BRANCHBURG, NJ 08876 (908) 231-0041 |
1083470710 | BRIAN BOYLE Individual | Counselor (Addiction (Substance Use Disorder)) | 3322 ROUTE 22 BRANCHBURG, NJ 08876 (848) 334-0502 |
1801644976 | JESSICA M KLUGE LSW Individual | Social Worker | 3322 ROUTE 22 BRANCHBURG, NJ 08876 (848) 334-0501 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861736241, enumerated in the NPI registry as an "individual" on November 25, 2012
The provider is located at 3322 Route 22 Branchburg, Nj 08876 and the phone number is (908) 704-0100
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 14 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $98.09 with an average copayment of $24.52 for new patient appointments. Established patients should expect a typical charge of $79.09 and an average copayment of 19.77. 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: Critical care, first 30-74 minutes, Electrocardiogram (ecg) 1 to 3 leads with review by physician only, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Initial hospital observation care per day, typically 70 minutes.
The practitioner is affiliated to the following hospital(s): ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on November 25, 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].
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