ROBERT ALLAN HAVARD JR. MD
NPI 1225002694
Internal Medicine - Medical Oncology in Visalia, CA
Quality Rating: 97.06 out of 100 score
NPI Status: Active since February 14, 2006
Contact Information
4945 W CYPRESS AVE
STE C
VISALIA, CA
ZIP 93277
Phone: (559) 624-3000
Fax: (559) 635-4006
- Individual
- Male
- Internal Medicine
- Medical Oncology
- PECOS Enrolled
- Medicare Quality Reporting
About ROBERT HAVARD
This page provides the complete NPI Profile along with additional information for Robert Havard, an internist established in Visalia, California with a medical specialization in Internal Medicine, focusing in medical oncology . The healthcare provider is registered in the NPI registry with number 1225002694 assigned on February 2006. The practitioner's primary taxonomy code is 207RX0202X with license number 92313 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1225002694
- Provider Name
- ROBERT ALLAN HAVARD JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4945 W CYPRESS AVE STE C VISALIA, CA 93277
- Location Phone
- (559) 624-3000
- Location Fax
- (559) 635-4006
- Mailing Address
- 4945 W CYPRESS AVE STE C VISALIA, CA 93277
- Mailing Phone
- (559) 624-3000
- Mailing Fax
- (559) 635-4006
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-14-2006
- Last Update Date
- 03-07-2023
- Code Navigator
An internist like Robert Havard is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Medical Oncology
- Taxonomy Code
- 207RX0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 92313
- License State
- CA
- Taxonomy Description
- An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RH0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 92313 (CA) |
Medicare Participation & PECOS Enrollment Status
Robert Havard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)
3 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
3 DME suppliers used 11 Medicare Claims 66 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 16 Medicare Claims 16 Services Paid
Unknown
Treatment-Treatment - Miscellaneous (RX029N)
Capecitabine, oral, 150 mg (HCPCS:J8520)
1 DME suppliers used 15 Medicare Claims 560 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Capecitabine, oral, 500 mg (HCPCS:J8521)
1 DME suppliers used 21 Medicare Claims 1986 Services Paid
Treatment-Treatment - Miscellaneous (RX000N)
Temozolomide, oral, 5 mg (HCPCS:J8700)
1 DME suppliers used 15 Medicare Claims 3942 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)
2 DME suppliers used 36 Medicare Claims 36 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)
1 DME suppliers used 17 Medicare Claims 20 Services Paid
Orthotic Devices
DME-Orthotic Devices (DF000N)
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type (HCPCS:L8000)
2 DME suppliers used 15 Medicare Claims 50 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of additional new drug or substance into vein using push technique
Administration of additional new drug or substance into vein, 1 hour or less
Administration of chemotherapy into vein using push technique
Administration of chemotherapy into vein, 1 hour or less
Administration of chemotherapy into vein, each additional hour
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
Administration of influenza virus vaccine
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle
Biopsy and aspiration of bone marrow sample for diagnosis
Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Drawing of blood for a medical problem
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Influenza vaccine, quadrivalent derived from cell cultures
Infusion into a vein for hydration, 31-60 minutes
Infusion into a vein for hydration, each additional hour
Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour
Infusion, normal saline solution , 1000 cc
Infusion, normal saline solution, sterile (500 ml = 1 unit)
Initial hospital inpatient care per day, typically 70 minutes
Injection of additional new drug or substance into vein
Injection of drug or substance into vein
Injection of drug or substance under skin or into muscle
Injection, carboplatin, 50 mg
Injection, denosumab, 1 mg
Injection, dexamethasone sodium phosphate, 1 mg
Injection, diphenhydramine hcl, up to 50 mg
Injection, epoetin alfa, (for non-esrd use), 1000 units
Injection, ferric carboxymaltose, 1 mg
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram
Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
Injection, fluorouracil, 500 mg
Injection, fosaprepitant, 1 mg
Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg
Injection, granisetron hydrochloride, 100 mcg
Injection, heparin sodium, (heparin lock flush), per 10 units
Injection, leucovorin calcium, per 50 mg
Injection, magnesium sulfate, per 500 mg
Injection, oxaliplatin, 0.5 mg
Injection, paclitaxel, 1 mg
Injection, palonosetron hcl, 25 mcg
Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo), 0.5 mg
Injection, pembrolizumab, 1 mg
Injection, triptorelin pamoate, 3.75 mg
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
Injection, zoledronic acid, 1 mg
Insertion of needle into vein for collection of blood sample
Irrigation of implanted venous access drug delivery device
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
Unclassified drugs
This procedure involves injecting a new medication or substance directly into your vein using a method called the 'push' technique. It's a quick way to deliver medication into your bloodstream for fast-acting relief or treatment.
This service was performed 72 times for 14 patientsThis procedure involves introducing a new drug or substance into your vein, typically via an IV drip. It lasts for an hour or less. This method allows the substance to quickly reach your bloodstream, ensuring rapid and effective treatment.
This service was performed 268 times for 54 patientsChemotherapy, a cancer treatment, can be administered directly into your vein using the push technique. This involves a healthcare professional slowly injecting the drug into your vein through a syringe. It's a quick method, usually taking only a few minutes.
This service was performed 167 times for 16 patientsChemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
This service was performed 1,031 times for 148 patientsChemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.
This service was performed 275 times for 55 patientsThis procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.
This service was performed 97 times for 21 patientsThe 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.
This service was performed 14 times for 12 patientsThis procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
This service was performed 117 times for 13 patientsA bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
This service was performed 13 times for 13 patientsChemotherapy is a treatment method that uses drugs to destroy cancer cells. In the office, a pump is used to start an intravenous infusion of these drugs. The infusion can then be continued at home or another setting, like a rest home.
This service was performed 70 times for 17 patientsA Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
This service was performed 1,529 times for 463 patientsDrawing blood is a simple procedure where a needle is inserted into a vein, usually in your arm, to collect a small sample. This sample helps in diagnosing any medical issues you may have. You might feel a small prick, but overall, it's a quick and safe process.
This service was performed 100 times for 26 patientsThis 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.
This service was performed 335 times for 180 patientsThis 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.
This service was performed 2,418 times for 702 patientsThis 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.
This service was performed 21 times for 20 patientsFollow-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.
This service was performed 24 times for 19 patientsFollow-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.
This service was performed 104 times for 50 patientsThe quadrivalent influenza vaccine, derived from cell cultures, is a flu shot that protects against four different flu viruses. It's made in labs using cell cultures instead of eggs, making it a good option for those with egg allergies. It's a crucial tool in preventing the flu.
This service was performed 14 times for 12 patientsThis is a procedure where a sterile solution is administered into your vein to help restore body fluid balance. It typically lasts between 31-60 minutes. It's a safe, common treatment for dehydration or to deliver medication.
This service was performed 69 times for 22 patientsThis procedure involves delivering fluids directly into your vein to keep your body hydrated. It is typically done when oral hydration is insufficient. Each additional hour means more fluid is infused to ensure adequate hydration.
This service was performed 68 times for 20 patientsAn infusion into a vein is a method of delivering medication, nutrients, or fluids directly into your bloodstream. If it's concurrent with another infusion, it means two different solutions are given at the same time. This can be for treatment, prevention, or diagnostic purposes.
This service was performed 66 times for 17 patientsThis is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
This service was performed 202 times for 51 patientsThis procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.
This service was performed 422 times for 83 patientsThis procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
This service was performed 70 times for 12 patientsAn infusion of normal saline solution, 1000 cc, is a common medical procedure. It involves introducing a saltwater solution into your bloodstream via an intravenous (IV) line. This helps to hydrate your body, correct electrolyte imbalances, and deliver medications if needed.
This service was performed 77 times for 21 patientsAn infusion of a normal saline solution is a common medical procedure. Sterile saline (salt water) is administered into your bloodstream via a drip. This helps to maintain fluid balance in your body, especially when you're unable to drink enough liquids.
This service was performed 23 times for 12 patientsInitial 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.
This service was performed 24 times for 24 patientsThis procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.
This service was performed 1,145 times for 127 patientsThis procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.
This service was performed 19 times for 16 patientsThis 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.
This service was performed 865 times for 129 patientsCarboplatin is a chemotherapy drug used to treat various types of cancer by slowing or stopping the growth of cancer cells. The 50 mg injection is administered into a vein by a healthcare professional. Side effects may occur.
This service was performed 841 times for 25 patientsDenosumab 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.
This service was performed 7,201 times for 24 patientsDexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
This service was performed 6,371 times for 92 patientsDiphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.
This service was performed 243 times for 55 patientsEpoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
This service was performed 8,960 times for 20 patientsFerric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
This service was performed 29,250 times for 22 patientsFilgrastim-aafi (Nivestym) is a biosimilar injection used to stimulate the growth of white blood cells, which help the body fight off infections. It's often given to patients with low white blood cell counts due to cancer treatments or other conditions.
This service was performed 30,600 times for 12 patientsFilgrastim-sndz, also known as Zarxio, is a biosimilar medicine administered via injection. It's designed to stimulate the growth of white blood cells, which play a crucial role in your body's defense against infections. This can be particularly beneficial if your white blood cell count is low due to certain treatments or conditions.
This service was performed 38,520 times for 14 patientsFluorouracil is a chemotherapy drug, given as an injection to treat various types of cancer. The 500 mg dose helps to stop cancer cells from growing and multiplying. You might feel some side effects, but these are typically manageable.
This service was performed 702 times for 19 patientsFosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
This service was performed 12,150 times for 21 patientsThis is a combined medication injection used to prevent nausea and vomiting often associated with chemotherapy. Fosnetupitant blocks substance P/neurokinin 1, reducing the urge to vomit. Palonosetron prevents a chemical action in the brain that may cause nausea and vomiting.
This service was performed 78 times for 16 patientsGemcitabine hydrochloride is a medication given via injection to treat certain types of cancer. The 200 mg dose is administered by a healthcare professional. The drug works by slowing or stopping the growth of cancer cells in the body. It's important to follow your doctor's instructions while receiving this treatment.
This service was performed 753 times for 16 patientsGranisetron hydrochloride is an anti-nausea medication given by injection. It helps prevent nausea and vomiting often caused by cancer treatments like chemotherapy. Its dosage is measured in micrograms (mcg).
This service was performed 4,091 times for 34 patientsHeparin sodium injection, often referred to as a heparin lock flush, is a procedure used to prevent blood clots in the veins. It involves injecting a small amount of heparin, a blood-thinning medication, into an intravenous (IV) line to keep it open and prevent blockages.
This service was performed 21,690 times for 88 patientsLeucovorin calcium is an injection given to enhance the effectiveness of certain cancer treatments or to reduce the harmful effects of some medications. The dose is determined by your doctor and is typically administered in a healthcare setting.
This service was performed 1,099 times for 18 patientsMagnesium sulfate injection, per 500 mg, is a medication administered to manage certain health conditions. It aids in controlling seizures in conditions like eclampsia and in managing severe asthma attacks. It's also used to prevent premature labor in pregnant women.
This service was performed 178 times for 12 patientsOxaliplatin is a chemotherapy drug that is administered via injection. It works by stopping cancer cells from growing and dividing, which helps in the treatment of certain types of cancer. The dosage is 0.5 mg, and it's important to follow your doctor's instructions for this treatment.
This service was performed 24,600 times for 14 patientsPaclitaxel is a medication administered via injection to treat various types of cancer. It works by inhibiting cell division, thus preventing cancer cells from growing and multiplying. Each dose is tailored to the patient's body size.
This service was performed 15,480 times for 19 patientsPalonosetron HCL is an injection used to prevent nausea and vomiting caused by chemotherapy. It works by blocking a natural substance (serotonin) in the body that can cause vomiting. This helps improve your comfort during cancer treatment.
This service was performed 2,950 times for 64 patientsPegfilgrastim-bmez (Ziextenzo) is a medicine given via injection. It's a biosimilar, meaning it's very similar to a biological medicine already approved. It helps boost white blood cells, aiding your body to fight infections after treatments that can lower these cells, like chemotherapy.
This service was performed 300 times for 11 patientsPembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
This service was performed 33,800 times for 27 patientsTriptorelin pamoate 3.75 mg is a medication administered via injection. It helps regulate certain hormone levels in your body, managing various health conditions. It's important to follow your doctor's instructions for this treatment.
This service was performed 98 times for 15 patientsThis is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
This service was performed 76 times for 20 patientsZoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.
This service was performed 283 times for 23 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 1,479 times for 536 patientsIrrigation of an implanted venous access drug delivery device is a procedure to clean or unblock the device. This device is implanted under your skin to allow easy, frequent, and long-term access to your veins for medication delivery. The process involves flushing the device with a sterile solution to ensure it works properly.
This service was performed 118 times for 44 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 31 times for 31 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 121 times for 121 patientsUnclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.
This service was performed 415 times for 65 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 93277 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $176.6
- Minimum New Patient Price $58.87
- Maximum New Patient Price $176.6
- Average New Patient Copayment $44.15
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.36
- Minimum Established Patient Price $19.28
- Maximum Established Patient Price $144.6
- Average Established Patient Copayment $25.84
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.15
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.06, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 97.06 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 91.56
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 90% | 1027 |
| Appropriate Treatment for Patients with Stage I (T1c) - III HER2 Positive Breast Cancer | 88% | 33 |
| Closing the Referral Loop: Receipt of Specialist Report | 63% | 71 |
| Controlling High Blood Pressure | 67% | 61 |
| Documentation of Current Medications in the Medical Record | 71% | 8239 |
| Oncology: Advance Care Planning in Metastatic Cancer Patients | 36% | 160 |
| Oncology: Hepatitis B Serology Testing and Prophylactic Treatment Prior to Receiving Anti-CD20 Targeting Drugs | 20% | 20 |
| Oncology: Medical and Radiation - Pain Intensity Quantified | 94% | 2306 |
| Oncology: Medical and Radiation - Plan of Care for Pain | 99% | 770 |
| Oncology: Patient-Reported Pain Improvement | 37% | 409 |
| Oncology: Supportive Care Drug Utilization in Last 14 Days of Life | 3% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 29 |
| Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score better) | 10% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 29 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 20% | 1669 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 0% | 1682 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 72% | 1143 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 66 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 77% | 1143 |
| Provide Patients Electronic Access to Their Health Information | 98% | 970 |
| Use of High-Risk Medications in Older Adults | 3% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 1067 |
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NPI 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 1225002694, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
VISALIA, CA 93277
VISALIA, CA 93277
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225002694, enumerated as an "individual" on February 14, 2006.
The provider is located at 4945 W CYPRESS AVE STE C VISALIA, CA 93277 and the phone number is (559) 624-3000.
Internal Medicine with taxonomy code 207RX0202X and a focus in Medical Oncology.