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DR. ALFONSO VELASCO M.D.
NPI 1396740536
Family Medicine in Fresno, CA

Active since June 15, 2005PECOS Enrolled
85.78/100
CMS Quality Rating
4011 N FRESNO ST, STE 101, FRESNO, CA 93726(559) 227-6691(559) 227-3765 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alfonso Velasco M.d. NPPES

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

DR. ALFONSO VELASCO M.D. (NPI 1396740536) is an individual family medicine provider in Fresno, California, licensed in California (A29360) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396740536
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALFONSO VELASCOCredential: M.D.
Location Address4011 N FRESNO ST, STE 101Fresno, CA 93726-4028
Mailing Address4011 N Fresno St, Ste 101Fresno, CA 93726-4028 · (559) 227-6691 · Fax (559) 227-3765
Phone(559) 227-6691
Fax(559) 227-3765
Sole ProprietorYes
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 24, 2014
✔ NPI 1396740536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A29360
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4011 N FRESNO ST, Fresno, CA 93726
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Other Identifiers 3

Medicare ID-Type Unspecified00A293600CA
Medicare UPINE91224CA
Medicaid00A293600CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alfonso Velasco M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.
213 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93726 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers48 claims141 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers21 claims39 services$1.08 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims390 services$4.60 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims2,925 services$0.27 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims780 services$0.64 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$2.70 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 4

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

MR. LUIS CASTANEDA P.T.
Physical Therapist
4011 N FRESNO ST, SUITE 103
FRESNO, CA 93726
Fresno County (559) 284-8882
DR. CATHERINE A WILLE M.D.
Family Medicine
4011 N FRESNO ST, STE 101
FRESNO, CA 93726
Fresno County (559) 227-6691
KRIS ELIZABETH RAMIREZ P.T.
Physical Medicine & Rehabilitation
4011 N FRESNO ST, 103
FRESNO, CA 93726
Fresno County (559) 227-4440
MRS. KIMBERLEA S SWARTHOUT HAMILTON PHYSICAL THERAPIST
Physical Therapist
4011 N FRESNO ST, SUITE 103
FRESNO, CA 93726
Fresno County (559) 227-4440

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 Alfonso Velasco's NPI number?

The NPI number for Alfonso Velasco is 1396740536. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Alfonso Velasco located?

Alfonso Velasco practices at 4011 N Fresno St Ste 101, Fresno, CA 93726. The listed phone number is (559) 227-6691.

What is Alfonso Velasco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alfonso Velasco enrolled in Medicare?

Yes. Alfonso Velasco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alfonso Velasco was last updated on February 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.