ALLEN M EVANS M.D.
NPI 1285694422
Otolaryngology in Fresno, CA

Q: What is Allen Evans's NPI number?

The NPI number for Allen Evans is 1285694422. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Q: What is Allen Evans's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Allen Evans was last updated on June 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1351 E SPRUCE AVE, FRESNO, CA 93720(559) 432-3303(559) 432-1468 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Allen M Evans M.d. NPPES

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

ALLEN M EVANS M.D. (NPI 1285694422) is an individual otolaryngology provider in Fresno, California, licensed in California (G73994) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1982).

NPPES Registry Identity

NPI1285694422

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameALLEN M EVANSCredential: M.D.

Location Address1351 E SPRUCE AVEFresno, CA 93720

Mailing Address1351 E Spruce AveFresno, CA 93720-3342 · (559) 432-3303 · Fax (559) 432-1468

Phone(559) 432-3303

Fax(559) 432-1468

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1982

Enumeration DateMarch 23, 2006

Last NPPES UpdateJune 5, 2018

✔ NPI 1285694422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in CA · G73994

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1351 E SPRUCE AVE, Fresno, CA 93720

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Other Identifiers 2

Other040014990CA · Railroad Medicare

Medicaid00G739940CA

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

Allen M Evans 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 ID7810068871

PECOS Enrollment IDI20080618000476

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.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

729 services106 patients

Treatment of swallowing and feeding disorder 92526

Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.

418 services92 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.

369 services242 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.

177 services146 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.

100 services100 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

86 services60 patients

Analysis of voice and resonance production 92524

Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.

32 services32 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

21 services20 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

19 services16 patients

Evaluation and recording of swallowing using an endoscope 92612

This procedure, known as endoscopic evaluation of swallowing, involves using a thin, flexible tube with a camera (endoscope) to view your throat and evaluate your swallowing. It helps identify any issues that may be causing difficulty in swallowing.

19 services19 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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.

75/100

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

Scored as part of a group practice

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

71%24 patients4/55-star benchmark: 95%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

96%1,431 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%1,175 patients5/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

68%4,255 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

20%1,610 patients1/55-star benchmark: 97%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

2%586 patients1/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

86%1,300 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 11% · 53 patients

Patients tobacco: 87% · 427 patients

100%427 patients5/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

50%1,610 patients3/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

1%1,610 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 16

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

RICHARD A WEINBERG M.D.

Otolaryngology