Mark E Kieckbusch

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NPI Number Detailed Information

Provider Information:

Name:	Mark E Kieckbusch
Gender:	M
Provider License Number If Given:	M6070

NPI Information:

NPI:	1215981410
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/20/2006
Last Update Date:	12/11/2007

Provider Business Mailing Address:

Address:	PO BOX 9589 Boise, ID 83707
Phone Number:	2084728104
Fax Number:	2083441926

Provider Business Practice Location Address:

Address:	190 E BANNOCK ST Boise, ID 83712
Phone Number:	2083812367
Fax Number:	2083814762

Provider Taxonomy:

Primary:	207ZP0102X
Secondary (if any):	207ZH0000X
State:	ID

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About Mark E Kieckbusch

Mark E Kieckbusch ( MARK E KIECKBUSCH ) is A Pathology Physician in Boise, ID. The NPI Number for Mark E Kieckbusch is 1215981410.

The current location address for Mark E Kieckbusch is 190 E BANNOCK ST Boise, ID 83712 and the contact number is 2084728104 and fax number is 2083441926. The mailing address for Mark E Kieckbusch is PO BOX 9589 Boise, ID 83707- 2083812367 (mailing address contact number - 2084728104).

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mark E Kieckbusch ?

Answer: The NPI Number for Mark E Kieckbusch is 1215981410

Where is Mark E Kieckbusch located?

Answer: Mark E Kieckbusch is located at 190 E BANNOCK ST Boise, ID 83712.

What is the specialty for Mark E Kieckbusch ?

Answer: The Specialty of Mark E Kieckbusch is A Pathology Physician.

Are there any online reviews for Mark E Kieckbusch ?

Answer: Not yet!

Are there any other health care providers in Boise, ID?

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 Mark E Kieckbusch

Number of HCPCS	32
Number of Medicare Beneficiaries	413
Number of Services	1492
Total Submitted Charge Amount	120351
Total Medicare Allowed Amount	59208.73
Total Medicare Payment Amount	46487.45
Total Medicare Standardized Payment Amount	47454.91
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	32
Number of Medicare Beneficiaries With Medical	413
Number of Medical Services	1492
Total Medical Submitted Charge Amount	120351
Total Medical Medicare Allowed Amount	59208.73
Total Medical Medicare Payment Amount	46487.45
Total Medical Medicare Standardized Payment Amount	47454.91
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65	28
Number of Beneficiaries Age 65 to 74	219
Number of Beneficiaries Age 75 to 84	119
Number of Beneficiaries Age Greater 84	47
Number of Female Beneficiaries	230
Number of Male Beneficiaries	183
Number of Non-Hispanic White Beneficiaries	378
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	16
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	46
Number of Beneficiaries With Medicare Only Entitlement	367
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.13
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.07
Percent (%) of Beneficiaries Identified With Asthma	0.08
Percent (%) of Beneficiaries Identified With Cancer	0.26
Percent (%) of Beneficiaries Identified With Heart Failure	0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.4
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.13
Percent (%) of Beneficiaries Identified With Depression	0.27
Percent (%) of Beneficiaries Identified With Diabetes	0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.52
Percent (%) of Beneficiaries Identified With Hypertension	0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.32
Percent (%) of Beneficiaries Identified With Osteoporosis	0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.44
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.04
Average HCC Risk Score of Beneficiaries	1.6823

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