DR. MARC-ALAN IWAHASHI M.D.,
NPI 1235123985
Family Medicine in Cupertino, CA

Q: What is Marc-alan Iwahashi's NPI number?

The NPI number for Marc-alan Iwahashi is 1235123985. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Marc-alan Iwahashi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment

83.56/100

CMS Quality Rating

20555 PROSPECT RD, SUITE A, CUPERTINO, CA 95014(408) 253-5811(408) 725-0583 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Marc-alan Iwahashi M.d., NPPES

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

DR. MARC-ALAN IWAHASHI M.D., (NPI 1235123985) is an individual family medicine provider in Cupertino, California, licensed in California (G68531) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1987).

NPPES Registry Identity

NPI1235123985

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARC-ALAN IWAHASHICredential: M.D.,

Location Address20555 PROSPECT RD, SUITE ACupertino, CA 95014-5212

Mailing Address20555 Prospect Rd, Suite ACupertino, CA 95014-5212 · (408) 253-5811 · Fax (408) 725-0583

Phone(408) 253-5811

Fax(408) 725-0583

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1987

Enumeration DateSeptember 8, 2005

Last NPPES UpdateJanuary 5, 2012

✔ NPI 1235123985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G68531

Definition

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.

20555 PROSPECT RD, Cupertino, CA 95014

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Other Identifiers 4

Other770256595CA · Tax Id Number

Medicare UPINE78887CA

Medicare ID-Type Unspecified00G685310CA · Medicare Provider Number

Medicaid00G685310CA

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. Marc-alan Iwahashi 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 ID8527238021

PECOS Enrollment IDI20110818000625

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 10

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 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.

187 services138 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

155 services155 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.

113 services98 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421

This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.

30 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This 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.

24 services24 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95014 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

83.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.75

Promoting Interoperability

100

Improvement Activities

Cost

61.45

Referred Medical Equipment & Supplies CMS DME claims 5

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

13 suppliers54 claims113 services$4.44 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers11 claims11 services$41.13 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier19 claims19 services$11.38 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers15 claims15 services$6.54 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

2 suppliers12 claims12 services$198.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JOSHUA BRYON SORIANO

Student in an Organized Health Care Education/Training Program