GARY CRITSER D.O.
NPI 1154392892
Family Medicine in Fresno, CA
NPI Status: Active since January 31, 2006
Contact Information
540 E HERNDON AVE
SUITE 106
FRESNO, CA
ZIP 93720
Phone: (559) 226-7107
Fax: (559) 226-1432
- Individual
- Male
- Family Medicine
- Medicare Quality Reporting
About GARY CRITSER
This page provides the complete NPI Profile along with additional information for Gary Critser, a primary care provider established in Fresno, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1154392892 assigned on January 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 20A5798 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1154392892
- Provider Name
- GARY CRITSER D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 540 E HERNDON AVE SUITE 106 FRESNO, CA 93720
- Location Phone
- (559) 226-7107
- Location Fax
- (559) 226-1432
- Mailing Address
- 540 E HERNDON AVE SUITE 106 FRESNO, CA 93720
- Mailing Phone
- (559) 226-7107
- Mailing Fax
- (559) 226-1432
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-31-2006
- Last Update Date
- 01-28-2015
- Code Navigator
A primary care provider (PCP) like Gary Critser 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 .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 20A5798
- License State
- CA
- Taxonomy Description
- Family 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 020A57980 | OTHER (01) | CA | BLUE CROSS |
| 020A57982 | MEDICARE OSCAR/CERTIFICATION (06) | CA | |
| 020A57980 | OTHER (01) | CA | BLUE SHIELD |
| E25065 | MEDICARE UPIN (02) | CA |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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 |
|---|---|---|
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Implementation of practices/processes for developing regular individual care plans | Yes | N/A |
| Implementation of practices/processes, including a discussion on care, to develop regularly updated individual care plans for at-risk patients that are shared with the beneficiary or caregiver(s). Individual care plans should include consideration of a patient’s goals and priorities, as well as desired outcomes of care. | ||
Reviews for GARY CRITSER D.O.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154392892, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FRESNO, CA 93720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154392892, enumerated as an "individual" on January 31, 2006.
The provider is located at 540 E HERNDON AVE SUITE 106 FRESNO, CA 93720 and the phone number is (559) 226-7107.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
