KAROLJOHN SIMPAUCO DELARA NURSE PRACTITIONER
NPI 1306478896
Nurse Practitioner - Family in Chula Vista, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since February 12, 2020PECOS EnrolledAccepts Medicare Assignment

9.45/100

CMS Quality Rating

1692 FLEISHBEIN ST, CHULA VISTA, CA 91913(850) 292-7234(619) 404-4113 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2023, Mar 6, 2022, Mar 17, 2021 and 1 more (4 updates tracked since 2020).

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About Karoljohn Simpauco Delara Nurse Practitioner NPPES

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

KAROLJOHN SIMPAUCO DELARA NURSE PRACTITIONER (NPI 1306478896) is an individual family provider in Chula Vista, California, licensed in California (95013929) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306478896

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKAROLJOHN SIMPAUCO DELARACredential: NURSE PRACTITIONER

Location Address1692 FLEISHBEIN STChula Vista, CA 91913-4332

Mailing Address1692 Fleishbein StreetChula Vista, CA 91913-2931 · (850) 292-7234 · Fax (619) 404-4113

Phone(850) 292-7234

Fax(619) 404-4113

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 12, 2020

Last NPPES UpdateOctober 31, 20244 updates tracked since enumeration

NPPES CertifiedOctober 31, 2024

✔ NPI 1306478896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95013929

1692 FLEISHBEIN ST, Chula Vista, CA 91913

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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

Karoljohn Simpauco Delara Nurse Practitioner 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 ID5890114789

PECOS Enrollment IDI20200925001444

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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

408 services102 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

107 services26 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

58 services25 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

43 services41 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

30 services27 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91913 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

9.45/100

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

Individually scored

Quality

Improvement Activities

Cost

31.5

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637

DME-Orthotic Devices · category DF007N

2 suppliers14 claims14 services$988.11 avg. paid by Medicare

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1832

DME-Orthotic Devices · category DF011N

1 supplier13 claims16 services$570.78 avg. paid by Medicare

Addition to lower extremity orthosis, suspension sleeve L2397

DME-Orthotic Devices · category DF000N

1 supplier14 claims18 services$103.66 avg. paid by Medicare

Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$734.46 avg. paid by Medicare

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