JOHN STEVEN POLLARD MD NPI 1407897192
Pathology - Anatomic Pathology & Clinical Pathology in Clovis, CA
About JOHN STEVEN POLLARD MD
John Pollard is a provider established in Clovis, California and his medical specialization is Pathology with a focus in anatomic pathology & clinical pathology with more than 25 years of experience. He graduated from University Of Texas Medical School At Houston in 1999. The NPI number of this provider is 1407897192 and was assigned on June 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number A92587 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
| NPI | 1407897192 |
| Provider Name | JOHN STEVEN POLLARD MD |
| Location Address | 305 PARK CREEK DR CLOVIS, CA 93611 |
| Location Phone | (559) 326-2815 |
| Mailing Address | PO BOX 2130 CLOVIS, CA 93613 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1999 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-10-2006 |
| Last Update Date | 12-23-2010 |
John Pollard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
John Pollard is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Community Regional Medical Center, Clovis Community Medical Center and Madera Community Hospital.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 78.75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: implementation of improvements that contribute to more timely communication of test results and implementation of use of specialist reports back to referring clinician or group to close referral loop.
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.75 for a new patient copayment and $26.97 for an established patient copayment.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207ZP0102X |
| Classification | Pathology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Anatomic Pathology & Clinical Pathology |
| License No. | A92587 |
| License State | CA |
| Taxonomy Description | A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Business Address
305 PARK CREEK DR
CLOVIS, CA
ZIP 93611
Phone: (559) 326-2815
Fax: (559) 326-2801
Mailing Address
PO BOX 2130
CLOVIS, CA
ZIP 93613
Phone: (559) 326-2815
Fax: (559) 326-2801
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3375546138 |
| PECOS Enrollment ID | I20060816000301 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 93611 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $60.86 | $183.39 | $139.01 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.21 | $45.84 | $34.75 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $19.29 | $150.36 | $107.91 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.82 | $37.59 | $26.97 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 75 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 78.75 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 594Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- 199Special stained specimen slides to examine tissue (HCPCS:88341)
- 159Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
- 71Tissue or cell analysis by immunologic technique (HCPCS:88342)
- 64Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
- 52Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Pollard is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| COMMUNITY REGIONAL MEDICAL CENTER | 2823 FRESNO STREET FRESNO, CA 93721 | (559) 459-6000 | Acute Care Hospitals | 50060 | |
| CLOVIS COMMUNITY MEDICAL CENTER | 2755 HERNDON AVE CLOVIS, CA 93611 | (559) 324-4000 | Acute Care Hospitals | 50492 | |
| MADERA COMMUNITY HOSPITAL | 1250 E ALMOND AVE MADERA, CA 93637 | (559) 675-5555 | Acute Care Hospitals | 50568 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 8 | 9 | 7 | 1 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 16 | 9 | 14 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 6 + 9 + 1 + 4 + 1 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1407897192 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184661027 | ROBERT M FUTORAN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1699712430 | GORDON DWIGHT HONDA MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1629015466 | MICHAEL WEILERT MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1144261710 | PAUL H ATMAJIAN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1467493437 | CLARKE T HARDING MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1093756231 | BAORONG CHEN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1609817873 | DAVID LOWELL SLATER MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1639110471 | WILLIAM CHARLES PITTS MD Individual | Pathology (Anatomic Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1477595395 | REUBEN SYLVESTER DOGGETT MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1962444836 | STEPHEN MICHAEL AVALOS MD Individual | Pathology (Anatomic Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1851558035 | TRICIA L PUA MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2800 |
| 1417120502 | DR. NIKOLAJ P LAGWINSKI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2815 |
| 1982858395 | DR. CALVIN KUAN JUNG CHEN D.O. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2800 |
| 1144344003 | DANIEL G.K. PHILLIPS M.D. Individual | Pathology (Anatomic Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2800 |
| 1134333511 | STEVAN KNEZEVICH Individual | Pathology (Dermatopathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2800 |
| 1144277633 | PATHOLOGY ASSOCIATES Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2800 |
| 1699161729 | SIERRA PATHOLOGY LABORATORY INC Organization | Clinical Medical Laboratory | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2801 |
| 1376987941 | DR. ROBERTO ALVARO ALLAM TAGUIBAO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 305 PARK CREEK DR CLOVIS, CA 93611 (559) 326-2800 |
Frequently Asked Questions
What is John Pollard MD NPI number?
The NPI number assigned to this healthcare provider is 1407897192, registered as an "individual" on June 10, 2006
Where is the provider located?
The provider is located at 305 Park Creek Dr Clovis, Ca 93611 and the phone number is (559) 326-2815
What is the provider specialty code?
The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
How many years of experience does John Pollard MD have?
The provider has more than 25 years of experience. He graduated from University Of Texas Medical School At Houston in 1999.
Is John Pollard MD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to John Pollard MD?
Medicare beneficiaries should expect a typical cost of $139.01 with an average copayment of $34.75 for new patient appointments. Established patients should expect a typical charge of $107.91 and an average copayment of 26.97. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by John Pollard MD?
The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity, Special stained specimen slides to examine tissue, Special stained specimen slides to examine tissue including interpretation and report, Tissue or cell analysis by immunologic technique, Pathology examination of tissue using a microscope, moderately high complexity and Pathology examination of tissue using a microscope, moderately low complexity.
Is John Pollard MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: COMMUNITY REGIONAL MEDICAL CENTER, CLOVIS COMMUNITY MEDICAL CENTER and MADERA COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on June 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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