ALISIA D. LEE PA-C NPI 1003008855
Physician Assistant in Exeter, CA
About ALISIA D. LEE PA-C
Alisia Lee is a primary care provider established in Exeter, California and her medical specialization is Physician Assistant. The NPI number of this provider is 1003008855 and was assigned on August 2007. The practitioner's primary taxonomy code is 363A00000X with license number PA19311 (CA). The provider is registered as an individual and her NPI record was last updated 10 years ago.
| NPI | 1003008855 |
| Provider Name | ALISIA D. LEE PA-C |
| Location Address | 1014 SAN JUAN AVE EXETER, CA 93221 |
| Location Phone | (559) 592-7300 |
| Mailing Address | 1014 SAN JUAN AVE EXETER, CA 93221 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 08-15-2007 |
| Last Update Date | 09-30-2013 |
A primary care provider (PCP) like Alisia Lee 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 Alisia Lee 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.7, 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.
Primary Taxonomy
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.
| Taxonomy Code | 363A00000X |
| Classification | Physician Assistant |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | PA19311 |
| License State | CA |
| 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1014 SAN JUAN AVE
EXETER, CA
ZIP 93221
Phone: (559) 592-7300
Fax: (559) 624-6590
Mailing Address
1014 SAN JUAN AVE
EXETER, CA
ZIP 93221
Phone: (559) 592-7300
Fax: (559) 624-6590
Location Map
PECOS Enrollment and Medicare Participation Status
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.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's 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.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 77.3 | |
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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 (PI) | 25% | N/A | |
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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. |
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| Improvement Activities | 15% | 40 | |
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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 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. |
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| Cost | 20% | N/A | |
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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. |
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| MIPS Final Score | - | 80.7 | |
| 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. | |||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 1003008855 | MEDICARE NSC (07) | CA |
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 | 0 | 0 | 3 | 0 | 0 | 8 | 8 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 16 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 1 + 6 + 8 + 1 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1003008855 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639138852 | ROBERTO GUGIG MD Individual | Pediatrics (Pediatric Gastroenterology) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7360 |
| 1710933858 | BRITTANI SNYDER FNP Individual | Nurse Practitioner (Family) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7360 |
| 1710934088 | DR. ANDY PHAN MD Individual | Pediatrics | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7371 |
| 1457548273 | JOAN HENNES Individual | Social Worker (Clinical) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7300 |
| 1861689689 | DENNIS O'BOSKY Individual | Counselor | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7300 |
| 1619152089 | PAMELA A HARDER Individual | Social Worker (Clinical) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7317 |
| 1811210511 | TAMMY PETROSSIAN RD, CSP, CNSD Individual | Dietitian, Registered (Nutrition, Pediatric) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7360 |
| 1053480046 | MS. VANESSA E GLAZE N.P Individual | Nurse Practitioner (Women's Health) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7353 |
| 1952754525 | HELEN RIOS NP Individual | Nurse Practitioner (Family) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7300 |
| 1891242491 | MARK NEEDHAM Individual | Social Worker (Clinical) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7300 |
| 1306090642 | MRS. ANA LILIA SOTO GRANT LCSW Individual | Social Worker (Clinical) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7300 |
| 1730216987 | DR. DESIREE VERONICA RODGERS M.D. Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7360 |
| 1043272172 | KAWEAH DELTA HEALTH CARE DISTRICT Organization | Clinic/Center (Rural Health) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 624-2000 |
| 1306573985 | MARIA G. MAGANA LOPEZ ASW Individual | Social Worker (Clinical) | 1014 SAN JUAN AVE EXETER, CA 93221 (559) 592-7300 |
Frequently Asked Questions
What is Alisia Lee PA-C NPI number?
The NPI number assigned to this healthcare provider is 1003008855, registered as an "individual" on August 15, 2007
Where is Alisia Lee PA-C located?
The provider is located at 1014 San Juan Ave Exeter, Ca 93221 and the phone number is (559) 592-7300
Which is Alisia Lee PA-C specialty?
The provider's speciality is Physician Assistant
What insurance does Alisia Lee PA-C accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Alisia Lee PA-C registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
How much is a visit to Alisia Lee PA-C?
Medicare beneficiaries should expect a typical cost of $93.25 with an average copayment of $23.31 for new patient appointments. Established patients should expect a typical charge of $76.09 and an average copayment of 19.02. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Alisia Lee PA-C was last updated on August 15, 2007. 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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