DR. CARLOS GARCIA MAKABALI M.D.
NPI 1104893072
Internal Medicine - Pulmonary Disease in Montebello, CA
Active since March 01, 2006PECOS Enrolled
101 E BEVERLY BLVD, SUITE 307, MONTEBELLO, CA 90640(323) 888-2548(323) 888-1741 Get Directions Write a Review
About Dr. Carlos Garcia Makabali M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLOS GARCIA MAKABALI M.D. (NPI 1104893072) is an individual pulmonary disease provider in Montebello, California, licensed in California (A31712) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1104893072
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CARLOS GARCIA MAKABALICredential: M.D.
Location Address101 E BEVERLY BLVD, SUITE 307Montebello, CA 90640-4300
Mailing Address101 E Beverly Blvd, Suite 307Montebello, CA 90640-4300 · (323) 888-2548 · Fax (323) 888-1741
Phone(323) 888-2548
Fax(323) 888-1741
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateJuly 27, 2012
✔ NPI 1104893072 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A31712
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A31712 (CA)
101 E BEVERLY BLVD, Montebello, CA 90640
Other Identifiers 3
Medicare ID-Type UnspecifiedW481CA · Medicare Group Number
Medicare ID-Type Unspecified00A317120CA · Medi-cal Provider Number
Medicare UPINE28291CA
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Dr. Carlos Garcia Makabali M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 2
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.
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90640 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.
Reported Quality Measures
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%786 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%37 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%167 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
54%249 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
58%373 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
68%228 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 233 patients
95%233 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%167 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%167 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 249 patients
2%249 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Referred Medical Equipment & Supplies CMS DME claims 11
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims67 services$1.67 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$11.12 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers40 claims40 services$775.97 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier13 claims13 services$869.65 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers22 claims22 services$3.40 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$23.57 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.
Internal Medicine (Cardiovascular Disease)
101 E BEVERLY BLVD, SUITE # 406
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
Pediatrics
101 E BEVERLY BLVD, SUITE 306
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
Internal Medicine (Nephrology)
101 E BEVERLY BLVD, SUITE #304
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
Internal Medicine
101 E BEVERLY BLVD, STE. 401
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
Exclusive Provider Organization
101 E BEVERLY BLVD, 404
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
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 Carlos Makabali's NPI number?
The NPI number for Carlos Makabali is 1104893072. It was assigned to this individual provider in the NPPES registry on March 1, 2006.
Where is Carlos Makabali located?
Carlos Makabali practices at 101 E Beverly Blvd Suite 307, Montebello, CA 90640. The listed phone number is (323) 888-2548.
What is Carlos Makabali's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Carlos Makabali enrolled in Medicare?
Yes. Carlos Makabali is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Carlos Makabali was last updated on July 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.
