DR. CANDICE LOVELACE D.O.
NPI 1215248307
Internal Medicine in Visalia, CA

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
5400 W HILLSDALE AVE, VISALIA, CA 93291(559) 738-7599(559) 739-0278 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Candice Lovelace D.o. NPPES

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

DR. CANDICE LOVELACE D.O. (NPI 1215248307) is an individual internal medicine provider in Visalia, California, licensed in Georgia (4130) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1215248307
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CANDICE LOVELACECredential: D.O.
Location Address5400 W HILLSDALE AVEVisalia, CA 93291-8222
Mailing Address5400 W Hillsdale AveVisalia, CA 93291-8222 · (559) 738-7599 · Fax (559) 739-0278
Fax(559) 739-0278
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2010
Enumeration DateJune 23, 2010
Last NPPES UpdateOctober 3, 2016
NPI 1215248307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 4130
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5400 W HILLSDALE AVE, Visalia, CA 93291

Other Identifiers 1

Medicare PINCA173270CA

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

Dr. Candice Lovelace D.o. 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 ID8729228762
PECOS Enrollment IDI20151007000792
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 13

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,501 services17 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.
1,226 services576 patients
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.
347 services254 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
125 services123 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
125 services123 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
118 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 27

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
18 suppliers75 claims191 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers32 claims54 services$1.08 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers71 claims71 services$31.60 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers19 claims19 services$72.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers19 claims40 services$28.87 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers31 claims156 services$15.50 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.

Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Internal Medicine
5400 W HILLSDALE AVE
VISALIA, CA 93291
Orthopaedic Surgery
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Nurse Practitioner
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Podiatrist
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291

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 Candice Lovelace's NPI number?

The NPI number for Candice Lovelace is 1215248307. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Candice Lovelace located?

Candice Lovelace practices at 5400 W Hillsdale Ave, Visalia, CA 93291. The listed phone number is (559) 738-7599.

What is Candice Lovelace's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Candice Lovelace enrolled in Medicare?

Yes. Candice Lovelace 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 Candice Lovelace was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.