DR. FERNANDO IBARRA MD NPI 1013082726
Internal Medicine - Gastroenterology in Monterey Park, CA

About DR. FERNANDO IBARRA MD

Fernando Ibarra is an internist established in Monterey Park, California and his medical specialization is Internal Medicine with a focus in gastroenterology with more than 44 years of experience. The NPI number of Fernando Ibarra is 1013082726 and was assigned on November 2006. The practitioner's primary taxonomy code is 207RG0100X with license number A38493 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1013082726
Provider NameDR. FERNANDO IBARRA MD
Location Address850 S ATLANTIC BLVD SUITE # 101 MONTEREY PARK, CA 91754
Location Phone(626) 284-1350
Mailing Address850 S ATLANTIC BLVD SUITE # 101 MONTEREY PARK, CA 91754
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1979
Is Sole Proprietor?Yes
Enumeration Date11-21-2006
Last Update Date05-01-2019

An internist like Dr. Fernando Ibarra 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.Fernando Ibarra 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.

Fernando Ibarra 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 White Memorial Medical Center, Beverly Hospital and Monterey Park Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, 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 following quality measures were reported for this provider: chronic care and preventative care management for empaneled patients, engagement of new medicaid patients and follow-up, evidenced-based techniques to promote self-management into usual care and use of decision support and standardized treatment protocols.

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 Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.A38493
License StateCA
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

DR. FERNANDO IBARRA MD
850 S ATLANTIC BLVD
SUITE # 101
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 284-1350
Fax: (626) 284-2454

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Mailing Address

DR. FERNANDO IBARRA MD
850 S ATLANTIC BLVD
SUITE # 101
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 284-1350
Fax: (626) 284-2454


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 ID9739148214
PECOS Enrollment IDI20150409001583
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 91754 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% N/A
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% N/A
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% N/A
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% N/A
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 - 30
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.

Quality Reporting

The following quality measures meet 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 Number of Patients
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Engagement of New Medicaid Patients and Follow-upYesN/A
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.
Evidenced-based techniques to promote self-management into usual careYesN/A
Incorporate evidence-based techniques to promote self-management into usual care, using techniques such as goal setting with structured follow-up, Teach Back, action planning or motivational interviewing.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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.

  • 235Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 114Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • 50Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • 46Biopsy of large bowel using an endoscope (HCPCS:45380)
  • 33Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)

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. Fernando Ibarra is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
WHITE MEMORIAL MEDICAL CENTER1720 E CESAR AVENUE
LOS ANGELES, CA 90033
(323) 268-5000Acute Care Hospitals50103
BEVERLY HOSPITAL309 W BEVERLY BLVD
MONTEBELLO, CA 90640
(323) 726-1222Acute Care Hospitals50350
MONTEREY PARK HOSPITAL900 S ATLANTIC BLVD
MONTEREY PARK, CA 91754
(626) 570-9000Acute Care Hospitals50736

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.
1013082726
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308474
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 4 + 7 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013082726 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225039092 CALVIN ENG M.D.
Individual
Ophthalmology850 S ATLANTIC BLVD SUITE 301
MONTEREY PARK, CA 91754
(626) 289-8260
1225073562KHIEM PV NGUYEN MD CARDIOLOGY ASSOCIATES MEDICAL GROUP INC
Organization
Specialist850 S ATLANTIC BLVD SUITE 305
MONTEREY PARK, CA 91754
(626) 282-5541
1699703991PLAZA SURGICAL MEDICAL CENTER
Organization
Clinic/Center (Ambulatory Surgical)850 S ATLANTIC BLVD SUITE 201
MONTEREY PARK, CA 91754
(626) 289-2894
1427165638DR. ALLAN MARK EFFRON M.D.
Individual
Internal Medicine (Gastroenterology)850 S ATLANTIC BLVD SUITE #101
MONTEREY PARK, CA 91754
(626) 284-1350
1124101084DR. EVELYN PEREZ OD
Individual
Optometrist850 S ATLANTIC BLVD SUITE 301
MONTEREY PARK, CA 91754
(626) 289-7699
1811059371 DOMINIC YAU WAI CHU MD
Individual
Urology850 S ATLANTIC BLVD #300
MONTEREY PARK, CA 91754
(626) 458-0281
1568609683MARTHA PECK ANESTHESIA NURSING INC
Organization
Nurse Anesthetist, Certified Registered850 S ATLANTIC BLVD STE 201
MONTEREY PARK, CA 91754
(310) 937-2780
1578790234M.A. MEDICAL GROUP, INC
Organization
Family Medicine850 S ATLANTIC BLVD SUITE 102
MONTEREY PARK, CA 91754
(626) 607-0333
1730493198SERGIO A. FUENZALIDA MD INC.
Organization
Psychiatry & Neurology (Addiction Medicine)850 S ATLANTIC BLVD SUITE 103
MONTEREY PARK, CA 91754
(626) 576-7481
1629358916DOCTOR'S LAB, LLC
Organization
Clinical Medical Laboratory850 S ATLANTIC BLVD SUITE 305
MONTEREY PARK, CA 91754
(626) 284-2881
1750588034DR. ANNE MY NGUYEN M.D.
Individual
Ophthalmology850 S ATLANTIC BLVD SUITE 301
MONTEREY PARK, CA 91754
(626) 289-7699
1326380643 JAQUELYN LORENZO MACARAEG NP
Individual
Nurse Practitioner (Adult Health)850 S ATLANTIC BLVD SUITE 305
MONTEREY PARK, CA 91754
(310) 550-6886
1962566653MR. KUANG J HUANG MD
Individual
Psychiatry & Neurology (Psychiatry)850 S ATLANTIC BLVD #304
MONTEREY PARK, CA 91754
(626) 284-6408
1427435395 NAZARICA RICAFRENTE
Individual
Nurse Practitioner (Family)850 S ATLANTIC BLVD SUITE 101
MONTEREY PARK, CA 91754
(626) 284-1350
1205064722DR. DAVID BARBA M.D.
Individual
Orthopaedic Surgery850 S ATLANTIC BLVD SUITE #201
MONTEREY PARK, CA 91754
(626) 289-0178
1851587141MRS. ALLISON ANNE STAVARIDIS CRNA
Individual
Nurse Anesthetist, Certified Registered850 S ATLANTIC BLVD STE 201
MONTEREY PARK, CA 91754
(626) 289-2894
1083083653ALLISON STAVARIDIS CRNA INC
Organization
Anesthesiology850 S ATLANTIC BLVD STE 201
MONTEREY PARK, CA 91754
(626) 289-2894
1235524836YANIRA PEREZ MD INC
Organization
General Practice850 S ATLANTIC BLVD STE 305
MONTEREY PARK, CA 91754
(626) 570-6920
1831342195 JAMES JABER M.D.
Individual
Otolaryngology850 S ATLANTIC BLVD STE 305
MONTEREY PARK, CA 91754
(310) 514-2640
1912180969FERNANDO IBARRA M D INC
Organization
Internal Medicine (Gastroenterology)850 S ATLANTIC BLVD STE # 101
MONTEREY PARK, CA 91754
(626) 284-1350

Frequently Asked Questions

What is Dr. Fernando Ibarra MD NPI number?

The NPI number assigned to Dr. Fernando Ibarra MD is 1013082726, registered as an "individual" on November 21, 2006

Where is Dr. Fernando Ibarra MD located?

The provider is located at 850 S Atlantic Blvd Suite # 101 Monterey Park, Ca 91754 and the phone number is (626) 284-1350

Which is Dr. Fernando Ibarra MD specialty?

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

How many years of experience does Dr. Fernando Ibarra MD have?

The provider has more than 44 years of experience.

Is Dr. Fernando Ibarra 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 Dr. Fernando Ibarra 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.

What are some of the services provided by Dr. Fernando Ibarra MD?

The most common procedures or services performed by this practitioner are: Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope, Diagnostic examination of large bowel using an endoscope, Removal of polyps or growths of large bowel using an endoscope, Biopsy of large bowel using an endoscope and Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope.

Is Dr. Fernando Ibarra MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: WHITE MEMORIAL MEDICAL CENTER, BEVERLY HOSPITAL and MONTEREY PARK HOSPITAL. 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 Dr. Fernando Ibarra MD was last updated on November 21, 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]