DR. MICHAEL JOHN ORLICH MD NPI 1073692943
Family Medicine in Weimar, CA

About DR. MICHAEL JOHN ORLICH MD

Michael Orlich is a primary care provider established in Weimar, California and his medical specialization is Family Medicine with more than 22 years of experience. He graduated from University Of Michigan Medical School in 2001. The NPI number of Michael Orlich is 1073692943 and was assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number A89013 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1073692943
Provider NameDR. MICHAEL JOHN ORLICH MD
Location Address20601 WEST PAOLI LANE WEIMAR, CA 95736
Location Phone(530) 637-4111
Mailing Address24785 STEWART ST 111 LOMA LINDA, CA 92350
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year2001
Is Sole Proprietor?No
Enumeration Date11-03-2006
Last Update Date10-15-2015

A primary care provider (PCP) like Dr. Michael John Orlich Md 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 Michael Orlich 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.

Michael Orlich 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 Loma Linda University Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.2, 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: colorectal cancer screening and preventive care and screening: screening for depression and follow-up plan.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.56 for a new patient copayment and $27.26 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 Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.A89013
License StateCA
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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. MICHAEL JOHN ORLICH MD
20601 WEST PAOLI LANE
WEIMAR, CA
ZIP 95736
Phone: (530) 637-4111
Fax: (530) 637-4443

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Mailing Address

DR. MICHAEL JOHN ORLICH MD
24785 STEWART ST 111
LOMA LINDA, CA
ZIP 92350
Phone: (909) 558-4594
Fax: (909) 558-4838


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 ID4082676267
PECOS Enrollment IDI20041029000915
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 95736 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.52 $185.29 $94.24
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.38 $46.32 $23.56
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
$19.52 $151.94 $109.06
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.88 $37.98 $27.26

* 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% 100
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% 74.3
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% 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 - 97.2
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
Colorectal Cancer Screening 100% 20
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 100% 32
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

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
I19740MEDICARE UPIN (02)
00A890130MEDICARE PIN (08)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.
1073692943
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143129498
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 2 + 9 + 4 + 9 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1073692943 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083793947DR. CLARENCE SINN FOOK ING MD
Individual
Ophthalmology20601 WEST PAOLI LANE
WEIMAR, CA 95736
(530) 637-4111
1700118700DR. DAVID JOSEPH DEROSE MD
Individual
Internal Medicine20601 WEST PAOLI LANE
WEIMAR, CA 95736
(530) 637-4111
1356688329BENJAMIN TIFFANY
Organization
Massage Therapist20601 WEST PAOLI LANE
WEIMAR, CA 95736
(231) 342-8483
1588072698NEWSTART MEDICAL GROUP INC
Organization
Clinic/Center (Rural Health)20601 WEST PAOLI LANE
WEIMAR, CA 95736
(530) 296-4417
1710446133 SAMANTHA ABBADE NP
Individual
Nurse Practitioner (Family)20601 WEST PAOLI LANE
WEIMAR, CA 95736
(530) 296-4417
1245380229 GRACE REIKO LOSSEV
Individual
Physical Therapist20601 WEST PAOLI LANE
WEIMAR, CA 95736
(530) 422-7906
1508927344NEWSTART MEDICAL CLINIC
Organization
Family Medicine20601 WEST PAOLI LANE
WEIMAR, CA 95736
(530) 637-4111

Frequently Asked Questions

What is Dr. Michael Orlich MD NPI number?

The NPI number assigned to Dr. Michael Orlich MD is 1073692943, registered as an "individual" on November 03, 2006

Where is Dr. Michael Orlich MD located?

The provider is located at 20601 West Paoli Lane Weimar, Ca 95736 and the phone number is (530) 637-4111

Which is Dr. Michael Orlich MD specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Michael Orlich MD have?

The provider has more than 22 years of experience. He graduated from University Of Michigan Medical School in 2001.

What insurance does Dr. Michael Orlich MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Michael Orlich 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. Michael Orlich MD?

Medicare beneficiaries should expect a typical cost of $94.24 with an average copayment of $23.56 for new patient appointments. Established patients should expect a typical charge of $109.06 and an average copayment of 27.26. 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 Dr. Michael Orlich MD was last updated on November 03, 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]