MISS JACQUELINE NITA FAHEY M.D.
NPI 1174967178
Obstetrics & Gynecology in Los Angeles, CA

Active since April 20, 2013PECOS EnrolledAccepts Medicare Assignment
77.34/100
CMS Quality Rating
200 UCLA MEDICAL PLZ STE 430, LOS ANGELES, CA 90095(310) 794-7274(310) 794-7436 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Jacqueline Nita Fahey M.d. NPPES

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

MISS JACQUELINE NITA FAHEY M.D. (NPI 1174967178) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in California (A148664) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of California, Davis School Of Medicine (2015).

NPPES Registry Identity

NPI1174967178
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMISS JACQUELINE NITA FAHEYCredential: M.D.
Location Address200 UCLA MEDICAL PLZ STE 430Los Angeles, CA 90095
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 794-7436
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2015
Enumeration DateApril 20, 2013
Last NPPES UpdateOctober 7, 2019
NPI 1174967178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A148664
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

200 UCLA MEDICAL PLZ STE 430, Los Angeles, CA 90095

Secondary Practice Location 1

Location 1Ucla Ob Gyn 757 Westwood Plz, Room B-711Los Angeles, CA 90095-0001 · Phone (310) 825-9945

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

Miss Jacqueline Nita Fahey 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 ID4082967823
PECOS Enrollment IDI20190621001096
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

77.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.55
Promoting Interoperability100
Improvement Activities40
Cost39.93

Other Providers at the Same Location NPPES 18

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

Advanced Practice Midwife
200 UCLA MEDICAL PLZ STE 430
LOS ANGELES, CA 90095
Obstetrics & Gynecology (Gynecologic Oncology)
200 UCLA MEDICAL PLZ STE 430
LOS ANGELES, CA 90095
Obstetrics & Gynecology
200 UCLA MEDICAL PLZ STE 430
LOS ANGELES, CA 90095
Social Worker (Clinical)
200 UCLA MEDICAL PLZ STE 430
LOS ANGELES, CA 90095
Obstetrics & Gynecology (Maternal & Fetal Medicine)
200 UCLA MEDICAL PLZ STE 430
LOS ANGELES, CA 90095
Obstetrics & Gynecology
200 UCLA MEDICAL PLZ STE 430
LOS ANGELES, CA 90095
Obstetrics & Gynecology
200 UCLA MEDICAL PLZ STE 430
LOS ANGELES, CA 90095
Obstetrics & Gynecology
200 UCLA MEDICAL PLZ STE 430
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174967178, enumerated as an "individual" on April 20, 2013.

The provider is located at 200 UCLA MEDICAL PLZ STE 430 LOS ANGELES, CA 90095 and the phone number is (310) 794-7274.

Obstetrics & Gynecology with taxonomy code 207V00000X.