ROBERT J DORIA MD, FACC
NPI 1376521005
Internal Medicine - Interventional Cardiology in San Luis Obispo, CA

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
82.96/100
CMS Quality Rating
1941 JOHNSON AVE, # 101, SAN LUIS OBISPO, CA 93401(805) 782-8844(833) 613-2634 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert J Doria Md, Facc NPPES

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

ROBERT J DORIA MD, FACC (NPI 1376521005) is an individual interventional cardiology provider in San Luis Obispo, California, licensed in California (G54180) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of George Washington University School Of Medicine (1972).

NPPES Registry Identity

NPI1376521005
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameROBERT J DORIACredential: MD, FACC
Location Address1941 JOHNSON AVE, # 101San Luis Obispo, CA 93401-4154
Mailing Address1941 Johnson Ave, # 101San Luis Obispo, CA 93401-4154 · (805) 782-8844 · Fax (833) 613-2634
Fax(833) 613-2634
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1972
Enumeration DateJanuary 3, 2006
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1376521005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CA · G54180
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License G54180 (CA)
1941 JOHNSON AVE, San Luis Obispo, CA 93401

Secondary Practice Locations 3

Location 1850 Fair Oaks Ave Ste 100Arroyo Grande, CA 93420-3929 · Phone (805) 782-8844 · Fax (805) 549-6988
Location 2295 Posada Ln Ste ATempleton, CA 93465-4055 · Phone (805) 782-8844 · Fax (805) 549-6987
Location 31941 Johnson Ave Ste 102San Luis Obispo, CA 93401-4174 · Phone (805) 782-8844 · Fax (805) 549-6986

Other Identifiers 3

Medicaid00G541800CA
OtherZZZ28458ZCA · Blue Shield
Other110039995CA · Rr Medicare

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

Robert J Doria Md, Facc 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 ID244291896
PECOS Enrollment IDI20090110000006
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 42

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,027 services748 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.
577 services489 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
528 services225 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
499 services93 patients
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.
478 services423 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
382 services346 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

82.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.93
Promoting Interoperability98
Improvement Activities40
Cost67.95

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
19%63 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
64%600 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
93%30 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
60%124 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%1,979 patients4/55-star benchmark: 100%
e-Prescribing
87%790 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%1,297 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%762 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 657 patients
0%657 patients
Provide Patients Electronic Access to Their Health Information
82%604 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
94%766 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,102 patients
Patients totalRate: 0% · 1,102 patients
0%1,102 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 16

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

Obstetrics & Gynecology
1941 JOHNSON AVE, SUITE #202
SAN LUIS OBISPO, CA 93401
Obstetrics & Gynecology
1941 JOHNSON AVE, SUITE 301
SAN LUIS OBISPO, CA 93401
Internal Medicine (Interventional Cardiology)
1941 JOHNSON AVE, # 101
SAN LUIS OBISPO, CA 93401
Advanced Practice Midwife
1941 JOHNSON AVE, SUITE 202
SAN LUIS OBISPO, CA 93401
Internal Medicine (Cardiovascular Disease)
1941 JOHNSON AVE, STE 101
SAN LUIS OBISPO, CA 93401
Internal Medicine (Cardiovascular Disease)
1941 JOHNSON AVE, STE 101
SAN LUIS OBISPO, CA 93401
Internal Medicine (Cardiovascular Disease)
1941 JOHNSON AVE, # 101
SAN LUIS OBISPO, CA 93401
Internal Medicine (Interventional Cardiology)
1941 JOHNSON AVE, STE 101
SAN LUIS OBISPO, CA 93401

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 Robert Doria's NPI number?

The NPI number for Robert Doria is 1376521005. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Robert Doria located?

Robert Doria practices at 1941 Johnson Ave # 101, San Luis Obispo, CA 93401. The listed phone number is (805) 782-8844.

What is Robert Doria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Robert Doria enrolled in Medicare?

Yes. Robert Doria 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 Robert Doria was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.