MS. HOLLY MARIE SPANGGORD M.D.
NPI 1346234465
Ophthalmology in Laguna Hills, CA
About Ms. Holly Marie Spanggord M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. HOLLY MARIE SPANGGORD M.D. (NPI 1346234465) is an individual ophthalmology provider in Laguna Hills, California, licensed in California (A77935) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Other Identifiers 1
Accepted Insurance
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
Ms. Holly Marie Spanggord 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.
Areas of Expertise CMS Part B claims 16
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 44% | 479 |
| Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery | 80% | 110 |
| Diabetes: Eye Exam | 99% | 377 |
| Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 0% | 73 |
| Documentation of Current Medications in the Medical Record | 85% | 6114 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 92% | 1529 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 53% | 47 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93% | 1529 |
| Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 81% | 545 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 67% | 110 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 3168 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 3168 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 3168 |
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346234465, enumerated as an "individual" on September 02, 2005.
The provider is located at 24022 CALLE DE LA PLATA SUITE 305 LAGUNA HILLS, CA 92653 and the phone number is (949) 588-2020.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.
