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DR. CARLO JERICHO S MAGTIBAY MD
NPI 1063795623
Internal Medicine in Daly City, CA

Active since September 21, 2011PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1900 SULLIVAN AVE, LOWER LEVEL, DALY CITY, CA 94015(415) 680-4135 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, Jul 21, 2022, Jul 27, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Carlo Jericho S Magtibay Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARLO JERICHO S MAGTIBAY MD (NPI 1063795623) is an individual internal medicine provider in Daly City, California, licensed in California (A115260) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1063795623
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARLO JERICHO S MAGTIBAYCredential: MD
Location Address1900 SULLIVAN AVE, LOWER LEVELDaly City, CA 94015
Mailing Address1900 Sullivan Ave, Lower LevelDaly City, CA 94015 · (415) 680-4135
Phone(415) 680-4135
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 21, 2011
Last NPPES UpdateSeptember 6, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1063795623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A115260
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1900 SULLIVAN AVE, Daly City, CA 94015
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Secondary Practice Location 1

Location 1150 55th StBrooklyn, NY 11220-2508 · Phone (718) 630-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlo Jericho S Magtibay Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769658673
PECOS Enrollment IDI20200220000812
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
320 services135 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
120 services118 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$67.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUI MING YANG MD
Internal Medicine
1900 SULLIVAN AVE, LOWER LEVEL
DALY CITY, CA 94015
San Mateo County (415) 680-4135
AHMC SETON MEDICAL CENTER LLC
General Acute Care Hospital
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
DR. MARY FINNEGAN M.D.
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP
Radiology (Radiation Oncology)
1900 SULLIVAN AVE, RADIATION ONCOLOGY DEPT
DALY CITY, CA 94015
San Mateo County (209) 342-2300
SETON EMERGENCY PHYSICIANS INC
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
ADELE MAKOW M.D
Emergency Medicine
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (415) 992-4000
TERESITA ARDONA ENRIQUEZ FNP
Nurse Practitioner (Family)
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 992-4000
STEPHEN PARK M.D.
Internal Medicine (Pulmonary Disease)
1900 SULLIVAN AVE
DALY CITY, CA 94015
San Mateo County (650) 991-0600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlo Magtibay's NPI number?

The NPI number for Carlo Magtibay is 1063795623. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Carlo Magtibay located?

Carlo Magtibay practices at 1900 Sullivan Ave Lower Level, Daly City, CA 94015. The listed phone number is (415) 680-4135.

What is Carlo Magtibay's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlo Magtibay enrolled in Medicare?

Yes. Carlo Magtibay is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Carlo Magtibay affiliated with any hospitals?

According to CMS data, Carlo Magtibay is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Carlo Magtibay was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.