ZACHARY ERNSTBERGER
NPI 1295266179
Family Medicine - Adult Medicine in Playa Vista, CA


Quality Rating: 96.44 out of 100 score

NPI Status: Active since March 23, 2017

Contact Information

12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA
ZIP 90094
Phone: (424) 315-2220

Get Directions Reviews

  • Individual
  • Male
  • Family Medicine
  • Adult Medicine

About ZACHARY ERNSTBERGER

Zachary Ernstberger is a primary care provider established in Playa Vista, California and his medical specialization is Family Medicine with a focus in adult medicine . The healthcare provider is registered in the NPI registry with number 1295266179 assigned on March 2017. The practitioner's primary taxonomy code is 207QA0505X with license number A159105 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1295266179
Provider Name
ZACHARY ERNSTBERGER
Gender
Male
Entity Type
Individual
Location Address
12746 W JEFFERSON BLVD STE 2000 PLAYA VISTA, CA 90094
Location Phone
(424) 315-2220
Mailing Address
12746 W JEFFERSON BLVD FL 2 PLAYA VISTA, CA 90094
Is Sole Proprietor?
Yes
Enumeration Date
03-23-2017
Last Update Date
07-20-2020
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A primary care provider (PCP) like Zachary Ernstberger sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.44, 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.

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

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
License No.
A159105
License State
CA
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Location Map

Secondary Locations

  • 757 Westwood Plaza, Family Medicine
    Los Angeles, CA 90095
    (310) 319-4711

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)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Overall MIPS Quality Performance

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.

  • Final Score: 96.44 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.

  • Quality Score: 93.52

    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.

  • 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.

Reviews for ZACHARY ERNSTBERGER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295266179
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221854612114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 4 + 6 + 1 + 2 + 1 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1295266179 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467804930DR. EGINIA FRANCO M.D.
Individual
Family Medicine12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
(424) 315-2220
1184172918 ERIN MCGINLEY N.P.
Individual
Nurse Practitioner (Family)12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
(424) 315-2220
1205478328 KELLY CHRISTINE BIRK FNP-BC
Individual
Nurse Practitioner (Family)12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
(424) 315-2220
1932879301 APRIL MARIE CALANGI NP
Individual
Nurse Practitioner (Family)12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
(424) 315-2220
1942541834 KATHRYN SHAMEKLIS ZEPEDA FNP
Individual
Nurse Practitioner (Family)12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
(424) 315-2220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295266179, enumerated in the NPI registry as an "individual" on March 23, 2017

The provider is located at 12746 W Jefferson Blvd Ste 2000 Playa Vista, Ca 90094 and the phone number is (424) 315-2220

The provider's speciality is Family Medicine with taxonomy code 207QA0505X with a focus in Adult Medicine

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

This NPI record was last updated on March 23, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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