TRACY UYENTRANG NGUYEN-OGHALAI MD NPI 1013078229
Internal Medicine - Rheumatology in La Canada, CA

About TRACY UYENTRANG NGUYEN-OGHALAI MD

Tracy Nguyen-oghalai is an internist established in La Canada, California and her medical specialization is Internal Medicine with a focus in rheumatology with more than 30 years of experience. She graduated from University Of Tennessee, Hsc, College Of Medicine in 1993. The NPI number of Tracy Nguyen-oghalai is 1013078229 and was assigned on December 2006. The practitioner's primary taxonomy code is 207RR0500X with license number G86114 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1013078229
Provider Name TRACY UYENTRANG NGUYEN-OGHALAI MD
Location Address1751 FOOTHILL BLVD LA CANADA, CA 91011
Location Phone(323) 442-9700
Mailing AddressPO BOX 31309 LOS ANGELES, CA 90031
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Enumeration Date12-12-2006
Last Update Date09-03-2020

An internist like Tracy Uyentrang Nguyen-oghalai Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Tracy Nguyen-oghalai 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.

Tracy Nguyen-oghalai 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 she has hospital affiliations with Lac+usc Medical Center, Usc Verdugo Hills Hospital and Keck Hospital Of Usc.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 83.6, 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $36.95 for a new patient copayment and $28.72 for an established patient copayment.



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 Code207RR0500X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationRheumatology
License No.G86114
License StateCA
Taxonomy DescriptionAn internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Business Address

TRACY UYENTRANG NGUYEN-OGHALAI MD
1751 FOOTHILL BLVD
LA CANADA, CA
ZIP 91011
Phone: (323) 442-9700
Fax: (713) 457-4200

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Mailing Address

TRACY UYENTRANG NGUYEN-OGHALAI MD
PO BOX 31309
LOS ANGELES, CA
ZIP 90031
Phone: (323) 442-9700


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
PECOS PAC ID1355332933
PECOS Enrollment IDI20170906003939
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 91011 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$65.18 $194.87 $147.83
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.29 $48.71 $36.95
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.89 $159.82 $114.88
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.22 $39.95 $28.72

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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% 81.4
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.
Promoting Interoperability (PI) 25% 71
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.
Improvement Activities 15% 40
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.
Cost 20% 71.8
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.
MIPS Final Score - 83.6
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.

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. Tracy Nguyen-oghalai is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LAC+USC MEDICAL CENTER1200 N STATE ST, ROOM C2K100
LOS ANGELES, CA 90033
(323) 226-2800Acute Care Hospitals50373
USC VERDUGO HILLS HOSPITAL1812 VERDUGO BLVD
GLENDALE, CA 91209
(818) 790-7100Acute Care Hospitals50124
KECK HOSPITAL OF USC1500 SAN PABLO STREET
LOS ANGELES, CA 90033
(323) 442-8656Acute Care Hospitals50696

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.
1013078229
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071624
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 6 + 2 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1013078229 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194739433FOOTHILL PLAZA MEDICAL GROUP
Organization
Family Medicine1751 FOOTHILL BLVD 3
LA CANADA, CA 91011
(818) 790-9990
1548279383 JULIA CASSETTA M.D.
Individual
Internal Medicine1751 FOOTHILL BLVD
LA CANADA, CA 91011
(818) 951-2171
1538771415 LAURA KAUFFMAN MS, RDN
Individual
Dietitian, Registered1751 FOOTHILL BLVD
LA CANADA, CA 91011
(818) 952-2171

Frequently Asked Questions

What is Tracy Nguyen-oghalai MD NPI number?

The NPI number assigned to Tracy Nguyen-oghalai MD is 1013078229, registered as an "individual" on December 12, 2006

Where is Tracy Nguyen-oghalai MD located?

The provider is located at 1751 Foothill Blvd La Canada, Ca 91011 and the phone number is (323) 442-9700

Which is Tracy Nguyen-oghalai MD specialty?

The provider's speciality is Internal Medicine with a focus in Rheumatology

How many years of experience does Tracy Nguyen-oghalai MD have?

The provider has more than 30 years of experience. She graduated from University Of Tennessee, Hsc, College Of Medicine in 1993.

Is Tracy Nguyen-oghalai MD registered in PECOS?

Yes, as of November 14, 2022 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 Tracy Nguyen-oghalai MD?

Medicare beneficiaries should expect a typical cost of $147.83 with an average copayment of $36.95 for new patient appointments. Established patients should expect a typical charge of $114.88 and an average copayment of 28.72. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Tracy Nguyen-oghalai MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: LAC+USC MEDICAL CENTER, USC VERDUGO HILLS HOSPITAL and KECK HOSPITAL OF USC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Tracy Nguyen-oghalai MD was last updated on December 12, 2006. 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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