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

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: July 26, 2026.

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
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

Other Identifiers 1

Medicare UPINI14716CA

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

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.

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

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
Quality99.09
Promoting Interoperability100
Improvement Activities40
Cost98.66

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.

Allergy & Immunology
130 LA CASA VIA, BLDG 2, STE 209
WALNUT CREEK, CA 94598
Nurse Practitioner
130 LA CASA VIA, SUITE 209
WALNUT CREEK, CA 94598
Allergy & Immunology
130 LA CASA VIA, BLDG 2 STE 209
WALNUT CREEK, CA 94598
Psychiatry & Neurology (Psychiatry)
130 LA CASA VIA, #213
WALNUT CREEK, CA 94598
Surgery
130 LA CASA VIA, BUILDING 3, SUITE 211
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
130 LA CASA VIA, #208
WALNUT CREEK, CA 94598
Surgery
130 LA CASA VIA, BUILDING 3, SUITE 211
WALNUT CREEK, CA 94598
Allergy & Immunology
130 LA CASA VIA, BLDG 2, #209
WALNUT CREEK, CA 94598

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.

When was this NPI record last updated?

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