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DOROTHY E. HAIRSTON M.D.
NPI 1114973633
Hospitalist in National City, CA

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
94.54/100
CMS Quality Rating
2400 E 4TH ST, NATIONAL CITY, CA 91950(619) 472-4690 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dorothy E. Hairston M.d. NPPES

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

DOROTHY E. HAIRSTON M.D. (NPI 1114973633) is an individual hospitalist provider in National City, California, licensed in California (A78226) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1114973633
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDOROTHY E. HAIRSTONCredential: M.D.
Location Address2400 E 4TH STNational City, CA 91950-2026
Mailing Address10531 4s Commons Dr, 144San Diego, CA 92127-3517
Phone(619) 472-4690
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMay 26, 2006
Last NPPES UpdateMay 1, 2012
✔ NPI 1114973633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A78226
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
2400 E 4TH ST, National City, CA 91950
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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

Dorothy E. Hairston M.d. 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 ID5496789257
PECOS Enrollment IDI20050921000394
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 7

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.
983 services286 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.
292 services263 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.
221 services198 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.
123 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91950 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

94.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.54
Improvement Activities40
Cost74.42

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
9%226 patients1/55-star benchmark: 85%
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
22%203 patients2/55-star benchmark: 88%
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% · 196 patients
0%196 patients5/55-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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers27 claims56 services$5.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims21 services$1.08 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295
DME-Hospital Beds · category DB000N
1 supplier16 claims16 services$50.86 avg. paid by Medicare
Bed side rails, half length E0305
DME-Hospital Beds · category DB000N
1 supplier16 claims16 services$7.30 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 suppliers28 claims28 services$13.22 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier15 claims15 services$39.03 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.

ALLISON KORNBLATT M.D.
Emergency Medicine
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (917) 699-6856
ANTHONY DICARLO RN
Registered Nurse
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
MARIA G. PASCUA MS CCC-SLP
Speech-Language Pathologist
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 472-4577
ANTHONY R. FERKICH M.D.
Emergency Medicine
2400 E 4TH ST, EMERGENCY DEPARTMENT
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
EVELYN R. BLAZADO, M.D., INC.
Pathology (Anatomic Pathology & Clinical Pathology)
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
COLLEEN MARIE STALLMER CRNA
Nurse Anesthetist, Certified Registered
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
IMAGING MEDICAL ASSOCIATES, OF SAN DIEGO, INC.
Radiology (Diagnostic Radiology)
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
PRIME HEALTHCARE PARADISE VALLEY LLC
Psychiatric Unit
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321

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 Dorothy Hairston's NPI number?

The NPI number for Dorothy Hairston is 1114973633. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Dorothy Hairston located?

Dorothy Hairston practices at 2400 E 4th St, National City, CA 91950. The listed phone number is (619) 472-4690.

What is Dorothy Hairston's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Dorothy Hairston enrolled in Medicare?

Yes. Dorothy Hairston 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.

When was this NPI record last updated?

The NPPES record for Dorothy Hairston was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.