MR. DAVID WAYNE CARDONA MD
NPI 1265466759
Family Medicine in Fresno, CA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
26.05/100
CMS Quality Rating
1300 N FRESNO ST, SUITE #220, FRESNO, CA 93703(559) 495-6758(559) 495-6788 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2019, May 29, 2019 (2 updates tracked since 2019).

About Mr. David Wayne Cardona Md NPPES

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

MR. DAVID WAYNE CARDONA MD (NPI 1265466759) is an individual family medicine provider in Fresno, California, licensed in California (G69949) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of University Of California, Geffen School Of Medicine (1989).

NPPES Registry Identity

NPI1265466759
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. DAVID WAYNE CARDONACredential: MD
Location Address1300 N FRESNO ST, SUITE #220Fresno, CA 93703-3843
Mailing Address1300 N Fresno St, Ste 220Fresno, CA 93703-3843 · (559) 495-6745 · Fax (559) 495-6705
Fax(559) 495-6788
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1989
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 31, 20192 updates tracked since enumeration
NPI 1265466759 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 · G69949
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.
1300 N FRESNO ST, Fresno, CA 93703

Secondary Practice Location 1

Location 11204 W Shaw Ave # 102Fresno, CA 93711-3706 · Phone (559) 681-1947

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

Mr. David Wayne Cardona Md 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 ID7618984238
PECOS Enrollment IDI20060307000480
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 12

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.
1,681 services373 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.
98 services97 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.
79 services78 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.
74 services18 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
69 services37 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
68 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93703 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
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.

26.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost86.83

Referred Medical Equipment & Supplies CMS DME claims 15

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
28 suppliers112 claims281 services$5.71 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
29 suppliers76 claims108 services$0.98 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$31.32 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers16 claims16 services$68.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers16 claims48 services$26.27 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 7

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

Family Medicine
1300 N FRESNO ST, SUITE #220
FRESNO, CA 93703
Pediatrics
1300 N FRESNO ST
FRESNO, CA 93703
Physician Assistant (Medical)
1300 N FRESNO ST
FRESNO, CA 93703
Family Medicine
1300 N FRESNO ST, SUITE #220
FRESNO, CA 93703
Clinical Medical Laboratory
1300 N FRESNO ST, UNIVERSAL BIOMEDICAL RESEARCH LABORATORY
FRESNO, CA 93703
Pharmacy (Community/Retail Pharmacy)
1300 N FRESNO ST
FRESNO, CA 93703
Pediatrics
1300 N FRESNO ST
FRESNO, CA 93703

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 David Cardona's NPI number?

The NPI number for David Cardona is 1265466759. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is David Cardona located?

David Cardona practices at 1300 N Fresno St Suite #220, Fresno, CA 93703. The listed phone number is (559) 495-6758.

What is David Cardona's specialty?

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

Is David Cardona enrolled in Medicare?

Yes. David Cardona 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 David Cardona was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.