DR. MONICA SUE EIGELBERGER M.D.
NPI 1316036387
Specialist in Walnut Creek, CA

Q: What is Monica Eigelberger's NPI number?

The NPI number for Monica Eigelberger is 1316036387. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Monica Eigelberger's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment

99.32/100

CMS Quality Rating

130 LA CASA VIA, BUILDING 3, SUITE 211, WALNUT CREEK, CA 94598(925) 933-0984(925) 933-0986 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Monica Sue Eigelberger M.d. NPPES

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

DR. MONICA SUE EIGELBERGER M.D. (NPI 1316036387) is an individual specialist in Walnut Creek, California, licensed in California (A68921) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (1997).

NPPES Registry Identity

NPI1316036387

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. MONICA SUE EIGELBERGERCredential: M.D.

Location Address130 LA CASA VIA, BUILDING 3, SUITE 211Walnut Creek, CA 94598-3045

Mailing Address130 La Casa Via, Building 3, Suite 211Walnut Creek, CA 94598-3045 · (925) 933-0984 · Fax (925) 933-0986

Phone(925) 933-0984

Fax(925) 933-0986

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1997

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316036387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A68921

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

130 LA CASA VIA, Walnut Creek, CA 94598

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Other Identifiers 1

Medicare UPINI14716CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Monica Sue Eigelberger 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 ID4688649197

PECOS Enrollment IDI20040828000213

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.

Medicare Billing Reassignments

Medicare enrollment records show Monica Eigelberger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

John Muir Trauma Physicians Billing Service

0.1 mi

Hospitalist

1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598

Reassigned Medicare billing, California enrollment
810 clinicians in this Medicare group

NPI 1093864837 (925) 947-5331

John Muir Physician Network

1.2 mi

General Practice

1450 TREAT BLVD, SUITE 300
Walnut Creek, CA 94597

Reassigned Medicare billing, California enrollment
650 clinicians in this Medicare group

NPI 1841407665 (925) 296-9872

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

178 services167 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

73 services67 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

71 services71 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

46 services45 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

45 services45 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.

35 services35 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

35 services33 patients

Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm 14001

This procedure involves treating a wound on the body by moving skin from one area to another. The transferred skin, ranging from 10.1-30.0 sq cm, helps cover and heal the wound. It's a common way to promote healing for large or deep wounds.

17 services17 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

15 services15 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

15 services15 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

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

13 services13 patients

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.

99.32/100

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

Individually scored

Quality

99.09

Promoting Interoperability

100

Improvement Activities

Cost

98.66

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

27%73 patients

Breast Cancer Screening

97%343 patients5/55-star benchmark: 93%

Cervical Cancer Screening

70%348 patients3/55-star benchmark: 98%

Colorectal Cancer Screening

69%489 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

77%242 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

36%45 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

13%45 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%978 patients4/55-star benchmark: 100%

e-Prescribing

100%64 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

75%366 patients4/55-star benchmark: 100%

HIV Screening

28%430 patients2/55-star benchmark: 60%

Oncology: Medical and Radiation - Pain Intensity Quantified

6%50 patients1/55-star benchmark: 100%

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

50%745 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

77%554 patients4/55-star benchmark: 97%

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

Patients screened: 90% · 320 patients

87%320 patients

Provide Patients Electronic Access to Their Health Information

100%724 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

73%232 patients3/55-star benchmark: 91%

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000

DME-Orthotic Devices · category DF000N

3 suppliers13 claims31 services$40.03 avg. paid by Medicare

Breast prosthesis, silicone or equal, without integral adhesive L8030

DME-Orthotic Devices · category DF000N

2 suppliers11 claims14 services$306.41 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 20

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

DR. NATHAN DAVID SCHULTZ M.D.

Allergy & Immunology

130 LA CASA VIA, BLDG 2, STE 209
WALNUT CREEK, CA 94598

Contra Costa County (925) 935-6252

MS. ANGELA CHRISTIAN N.P.

Nurse Practitioner

130 LA CASA VIA, SUITE 209
WALNUT CREEK, CA 94598

Contra Costa County (925) 935-6252

BARBARA IRENE KARPEL MD

Allergy & Immunology

130 LA CASA VIA, BLDG 2 STE 209
WALNUT CREEK, CA 94598

Contra Costa County (925) 930-6252

HUGH RICHARD WINIG M.D.

Psychiatry & Neurology (Psychiatry)

130 LA CASA VIA, #213
WALNUT CREEK, CA 94598

Contra Costa County (925) 938-4114

DR. MICHAEL STEPHEN BAKER M.D.

Surgery

130 LA CASA VIA, BUILDING 3, SUITE 211
WALNUT CREEK, CA 94598

Contra Costa County (925) 933-0984

DR. JAMAL JULIAN ZAKA M. D.

Internal Medicine (Pulmonary Disease)

130 LA CASA VIA, #208
WALNUT CREEK, CA 94598

Contra Costa County (925) 944-0166

DR. IRENE JIA-SHIN LO M.D.

Surgery

130 LA CASA VIA, BUILDING 3, SUITE 211
WALNUT CREEK, CA 94598

Contra Costa County (925) 933-0984

JOSEPH A. MELE, III, M.D., INC.

Plastic Surgery

130 LA CASA VIA, BUILDING 2, SUITE 206
WALNUT CREEK, CA 94598

Contra Costa County (925) 943-6353

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 Monica Eigelberger's NPI number?

The NPI number for Monica Eigelberger is 1316036387. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Monica Eigelberger located?

Monica Eigelberger practices at 130 La Casa Via Building 3, Suite 211, Walnut Creek, CA 94598. The listed phone number is (925) 933-0984.

What is Monica Eigelberger's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Monica Eigelberger enrolled in Medicare?

Yes. Monica Eigelberger 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.

Which organizations bill Medicare for Monica Eigelberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Eigelberger reassigns Medicare benefits to 2 organizations: John Muir Trauma Physicians Billing Service (Walnut Creek, CA) and John Muir Physician Network (Walnut Creek, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Eigelberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Monica Eigelberger was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.