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Jacqueline Deffenbaugh

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NPI Number Detailed Information

Provider Information:

Name: Jacqueline Deffenbaugh
Gender: F
Provider License Number If Given: 209002146

NPI Information:

NPI: 1174535306
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/13/2006

Last Update Date: 3/31/2010

Provider Business Mailing Address:

Address: 2304 STERN DR
Bloomington, IL 61704
Phone Number: 3096630411
Fax Number: 3096622018

Provider Business Practice Location Address:

Address: 2304 STERN DR
Bloomington, IL 61704
Phone Number: 3096630411
Fax Number: 3096622018

Provider Taxonomy:

Primary: 363LW0102X
Secondary (if any):
State: IL

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About Jacqueline Deffenbaugh

Jacqueline Deffenbaugh ( JACQUELINE DEFFENBAUGH ) is Definition Nurse Practitioner Physician in Bloomington, IL. The NPI Number for Jacqueline Deffenbaugh is 1174535306.
The current location address for Jacqueline Deffenbaugh is 2304 STERN DR Bloomington, IL 61704 and the contact number is 3096630411 and fax number is 3096622018. The mailing address for Jacqueline Deffenbaugh is 2304 STERN DR Bloomington, IL 61704- 3096630411 (mailing address contact number - 3096630411).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Jacqueline Deffenbaugh ?


Answer: The NPI Number for Jacqueline Deffenbaugh is 1174535306

Where is Jacqueline Deffenbaugh located?


Answer: Jacqueline Deffenbaugh is located at 2304 STERN DR Bloomington, IL 61704.

What is the specialty for Jacqueline Deffenbaugh ?


Answer: The Specialty of Jacqueline Deffenbaugh is Definition Nurse Practitioner Physician.

Are there any online reviews for Jacqueline Deffenbaugh ?


Answer: Not yet!

Are there any other health care providers in Bloomington, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jacqueline Deffenbaugh

Number of HCPCS 12
Number of Medicare Beneficiaries 176
Number of Services 265
Total Submitted Charge Amount 39501.6
Total Medicare Allowed Amount 17490.11
Total Medicare Payment Amount 12308.17
Total Medicare Standardized Payment Amount 12577.16
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 12
Number of Medicare Beneficiaries With Medical 176
Number of Medical Services 265
Total Medical Submitted Charge Amount 39501.6
Total Medical Medicare Allowed Amount 17490.11
Total Medical Medicare Payment Amount 12308.17
Total Medical Medicare Standardized Payment Amount 12577.16
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 142
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 176
Number of Male Beneficiaries 0
Number of Non-Hispanic White Beneficiaries 165
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.16
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.16
Percent (%) of Beneficiaries Identified With Diabetes 0.12
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.47
Percent (%) of Beneficiaries Identified With Hypertension 0.44
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.13
Percent (%) of Beneficiaries Identified With Osteoporosis 0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.5786

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 563
Number of Standardized 30-Day Fills 1227.9666667
Aggregate Cost Paid for All Claims 53529.32
Number of Day's Supply for All Claims 35454
Number of Medicare Beneficiaries 126
Number of Claims, Including Refills, for Beneficiaries Age 65+ 521
Including Refills, for Beneficiaries Age 65+ 1153.5666667
Beneficiaries Age 65+ 51398.22
Number of Day's Supply for All Claims for Beneficaries Age 65+ 33452
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 462
Aggregate Cost Paid for Generic Drugs 22359.33
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 235
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 32032.83
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 328
Aggregate Cost Paid for Claims Filled by 21496.49
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 16
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 701.25
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 547
by Low-Income Subsidy 52828.07
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 17
Aggregate Cost Paid for Antibiotic Drugs 233.3
Antibiotic Claims 15
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 69.365079365
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 126
Number of Male Beneficiaries 0
Number of Non-Hispanic White 116
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.5981818783

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Jacqueline Deffenbaugh in Other Directories

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