DR. EGINIA FRANCO M.D.
NPI 1467804930
Family Medicine in Playa Vista, CA

Active since July 08, 2016PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
12746 W JEFFERSON BLVD STE 2000, PLAYA VISTA, CA 90094(424) 315-2220(424) 315-2221 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2022, Nov 13, 2020, Nov 5, 2019 (3 updates tracked since 2019).

About Dr. Eginia Franco M.d. NPPES

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

DR. EGINIA FRANCO M.D. (NPI 1467804930) is an individual family medicine provider in Playa Vista, California, licensed in California (A169409) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467804930
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EGINIA FRANCOCredential: M.D.
Location Address12746 W JEFFERSON BLVD STE 2000Playa Vista, CA 90094-2776
Mailing Address12746 W Jefferson Blvd Fl 2Playa Vista, CA 90094-2885 · (424) 315-2220
Fax(424) 315-2221
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 8, 2016
Last NPPES UpdateDecember 20, 20223 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
NPI 1467804930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · A169409 Licensed in PA · MT211982
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.
12746 W JEFFERSON BLVD STE 2000, Playa Vista, CA 90094

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. Eginia Franco 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 ID6800179193
PECOS Enrollment IDI20200824002875
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 17

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.
265 services193 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.
176 services133 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.
77 services74 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
72 services28 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
64 services61 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
61 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90094 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
Nurse Practitioner (Family)
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
Family Medicine (Adult Medicine)
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
Nurse Practitioner (Family)
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
Nurse Practitioner (Family)
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094

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 Eginia Franco's NPI number?

The NPI number for Eginia Franco is 1467804930. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Eginia Franco located?

Eginia Franco practices at 12746 W Jefferson Blvd Ste 2000, Playa Vista, CA 90094. The listed phone number is (424) 315-2220.

What is Eginia Franco's specialty?

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

Is Eginia Franco enrolled in Medicare?

Yes. Eginia Franco 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 Eginia Franco was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.