Jerome M Privitera (NPI# 1639173628, PAC ID# 2769442540) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1639173628 |
| PAC ID by PECOS | 2769442540 |
| Professional Enrollment ID | I20110325000473 |
| Full Name | Jerome M Privitera |
| Address |
6270 N Ridge Rd Madison OH 44057-2567 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360098 | LAKE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 6270 N Ridge Rd, Madison, OH 44057-2567 | ||
| 9485 Mentor Ave, Suite 200, Mentor, OH 44060-8723 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 92% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 59% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 3% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 16% | |
| MIPS_EC_047_overall | Care Plan | 79% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 14% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 15% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 64% |
| Street Address |
6270 N RIDGE RD |
| City | MADISON |
| State | OH |
| Zip | 44057-2567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Kessler Jr. | Family Medicine | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Anthony J Castrovinci | Dermatology | 6270 N Ridge Rd, Madison, OH 44057-2567 | |
| Tina Koval | Nurse Practitioner | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Jessica Lee Cook | Family Medicine | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Razieh Mohseni | Internal Medicine | 6270 N Ridge Rd, Madison, OH 44057-2567 | |
| Sarah E Gerhardstein | Family Medicine | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Julia Ann Heng | Family Medicine | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Jerry Clevon Bell | Family Medicine | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| George Thomas | Family Practice | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorit A Cohen | Clinical Social Worker | Psycho Social Therapies,ltd | 6831 Chapel Rd, Madison, OH 44057-2255 |
| Megan Yvonne Boogaart | Nurse Practitioner | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Erin M Marrott | Nurse Practitioner | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Brooke M Perlik | Physician Assistant | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Nichole Eileen Bishop | Physician Assistant | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Jennie M Spencer | Physician Assistant | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Katy Elizabeth Eichas | Physician Assistant | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Mark Verdun | Orthopedic Surgery | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Kristina L Vaji | Nurse Practitioner | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Meggan E Dwyer | Nurse Practitioner | The Cleveland Clinic Foundation | 2999 Mcmackin Rd, Madison, OH 44057-2330 |
| Find all physicians in zip 44057 | |||
| City | MADISON |
| Zip Code | 44057 |
| Specialty | PODIATRY |
| City + Specialty | MADISON + PODIATRY |
Please comment or provide details below to improve the information on Jerome M Privitera.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.