DR. ALNER MIGUEL QUINONEZ M.D. NPI 1003006552

Family Medicine in Fort Meade, FL

NPI 1003006552 Individual Male Years of Experience 19 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About ALNER QUINONEZ

Alner Quinonez is a primary care provider established in Fort Meade, Florida and his medical specialization is family medicine with more than 19 years of experience. The NPI number of Alner Quinonez is 1003006552 and was assigned on July 2007. The practitioner's primary taxonomy code is 207Q00000X with license number ME104019 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

A primary care provider (PCP) like Dr. Alner Miguel Quinonez M.d. 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

Alner Quinonez is enrolled in PECOS and is eligible to order or refer healthcare 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

Alner Quinonez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Winter Haven Hospital, Bartow Regional Medical Center and Adventhealth Wauchula.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: colorectal cancer screening, medication reconciliation post-discharge, medication reconciliation post-discharge, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: screening for depression and follow-up plan and urinary incontinence: assessment of presence or absence of urinary incontinence in women aged 65 years and older. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003006552

Provider NameDR. ALNER MIGUEL QUINONEZ M.D.
Provider Location Address25 N LANIER AVE FORT MEADE, FL 33841
Provider Mailing Address25 N LANIER AVE FORT MEADE, FL 33841
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-31-2007
Last Update Date07-22-2009


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.ME104019
License StateFL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. ALNER MIGUEL QUINONEZ M.D.
25 N LANIER AVE
FORT MEADE, FL
ZIP 33841
Phone: (863) 285-7171
Fax: (863) 285-6701

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Mailing Address

DR. ALNER MIGUEL QUINONEZ M.D.
25 N LANIER AVE
FORT MEADE, FL
ZIP 33841
Phone: (863) 285-7171
Fax: (863) 285-6701



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6204973142
PECOS Enrollment IDI20091026000094
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 285Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 127Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 107Administration of influenza virus vaccine (HCPCS:G0008)
  • 40Urinalysis, manual test (HCPCS:81002)
  • 34Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • 29Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 26Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 21Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 17Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Colorectal Cancer Screening 100% 99
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Medication Reconciliation Post-Discharge 100% 21
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing practitioner, registered nurse, or clinical pharmacist providing on-going care for whom the discharge medication list was reconciled with the current medication list in the outpatient medical record. This measure is reported as three rates stratified by age group: - Submission Criteria 1: 18-64 years of age - Submission Criteria 2: 65 years and older - Total Rate: All patients 18 years of age and older
Medication Reconciliation Post-Discharge 100% 32
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing practitioner, registered nurse, or clinical pharmacist providing on-going care for whom the discharge medication list was reconciled with the current medication list in the outpatient medical record. This measure is reported as three rates stratified by age group: - Submission Criteria 1: 18-64 years of age - Submission Criteria 2: 65 years and older - Total Rate: All patients 18 years of age and older
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 176
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 100% 161
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 100% 68
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Alner Quinonez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
WINTER HAVEN HOSPITAL200 AVE F NE
WINTER HAVEN, FL 33881
(863) 293-1121Acute Care Hospitals100052
BARTOW REGIONAL MEDICAL CENTER2200 OSPREY BLVD
BARTOW, FL 33831
(863) 533-8111Acute Care Hospitals100121
ADVENTHEALTH WAUCHULA735 S 5TH AVE
WAUCHULA, FL 33873
(863) 773-3101Critical Access Hospitals101300

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164614186DR. MARCELA ARGUEDAS M.D.
Individual
Family Medicine25 N LANIER AVE
FORT MEADE, FL 33841
(863) 285-7171
1649409079ALNER MIGUEL QUINONEZ, M.D., P.A.
Organization
Family Medicine25 N LANIER AVE
FORT MEADE, FL 33841
(863) 285-7171

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.