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DR. MARGARET L ENGLAND MD
NPI 1225146426
Internal Medicine - Endocrinology, Diabetes & Metabolism in Santa Maria, CA

Active since August 28, 2006PECOS Enrolled
8.93/100
CMS Quality Rating
1300 E CYPRESS ST STE C2, SANTA MARIA, CA 93454(805) 349-8972(058) 691-2398 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Margaret L England Md NPPES

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

DR. MARGARET L ENGLAND MD (NPI 1225146426) is an individual endocrinology, diabetes & metabolism provider in Santa Maria, California, licensed in California (G048443) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1225146426
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MARGARET L ENGLANDCredential: MD
Location Address1300 E CYPRESS ST STE C2Santa Maria, CA 93454-4734
Mailing Address1300 E Cypress St, C2Santa Maria, CA 93454 · (805) 498-9723 · Fax (058) 691-2398
Phone(805) 349-8972
Fax(058) 691-2398
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateAugust 28, 2006
Last NPPES UpdateAugust 10, 2021
NPPES CertifiedAugust 10, 2021
✔ NPI 1225146426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · G048443
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1300 E CYPRESS ST STE C2, Santa Maria, CA 93454
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Margaret L England Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810948726
PECOS Enrollment IDI20050208001086
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 9

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.

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.
307 services197 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
296 services70 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
236 services57 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
146 services72 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.
137 services106 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
134 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

8.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost29.78

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers19 claims240 services$17.43 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers18 claims575 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers23 claims56 services$6.02 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers29 claims29 services$307.72 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
2 suppliers14 claims1,440 services$7.22 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers437 claims437 services$184.63 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 2

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

DR. MICHAEL K LAI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1300 E CYPRESS ST STE C2
SANTA MARIA, CA 93454
Santa Barbara County (805) 349-8972
MICHAEL K. LAI, M.D., INC
Specialist
1300 E CYPRESS ST STE C2
SANTA MARIA, CA 93454
Santa Barbara County (805) 349-8972

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 Margaret England's NPI number?

The NPI number for Margaret England is 1225146426. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Margaret England located?

Margaret England practices at 1300 E Cypress St Ste C2, Santa Maria, CA 93454. The listed phone number is (805) 349-8972.

What is Margaret England's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Margaret England enrolled in Medicare?

Yes. Margaret England is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Margaret England was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.