DR. MARICLEM PALADO LAO MD
NPI 1487624169
Family Medicine in San Bernardino, CA

Q: What is Mariclem Lao's NPI number?

The NPI number for Mariclem Lao is 1487624169. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Mariclem Lao's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mariclem Lao was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 25, 2006PECOS Enrolled

1700 NORTH WATERMAN AVENUE, SAN BERNARDINO, CA 92404(909) 883-8611(909) 886-1798 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Mariclem Palado Lao Md NPPES

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

DR. MARICLEM PALADO LAO MD (NPI 1487624169) is an individual family medicine provider in San Bernardino, California, licensed in California (A53653) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487624169

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARICLEM PALADO LAOCredential: MD

Location Address1700 NORTH WATERMAN AVENUESan Bernardino, CA 92404-5105

Mailing Address1700 North Waterman AvenueSan Bernardino, CA 92404-5105 · (909) 883-8611 · Fax (909) 886-1798

Phone(909) 883-8611

Fax(909) 886-1798

Sole ProprietorNo

Enumeration DateJanuary 25, 2006

Last NPPES UpdateMarch 11, 2008

✔ NPI 1487624169 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 · A53653

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.

1700 NORTH WATERMAN AVENUE, San Bernardino, CA 92404

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Other Identifiers 3

Medicaid00A536530CA

Medicare PIN00A536530CA

Medicare UPINF43905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mariclem Palado Lao Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Mariclem Lao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverside-San Bernardino County Indian Health, Inc.

6.8 mi

Federally Qualified Health Center (FQHC)

11980 MOUNT VERNON AVE
Grand Terrace, CA 92313

Reassigned Medicare billing, Texas enrollment
101 clinicians in this Medicare group

NPI 1174676670 (909) 864-1097

Redlands Family Practice Medical Group Inc.

7.1 mi

Family Medicine

1520 BARTON RD
Redlands, CA 92373

Reassigned Medicare billing, California enrollment
29 clinicians in this Medicare group

NPI 1942482021 (909) 793-3208

Beaver Medical Group P C

7.9 mi

Family Medicine

2 WEST FERN AVENUE
Redlands, CA 92373

Reassigned Medicare billing, California enrollment
635 clinicians in this Medicare group

NPI 1649503319 (909) 793-3311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

86%387 patients4/55-star benchmark: 92%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

28%6,295 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%5,031 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

20%1,038 patients1/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

98%1,189 patients4/55-star benchmark: 100%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

99%122 patients

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 4

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

DR. RONALD FLOYD BURTON MD

Internal Medicine

1700 NORTH WATERMAN AVENUE
SAN BERNARDINO, CA 92404

San Bernardino County (909) 883-8611

SAN BERNARDINO MEDICAL GROUP INC

Clinic/Center

1700 NORTH WATERMAN AVENUE
SAN BERNARDINO, CA 92404

San Bernardino County (909) 883-8611

DR. FAITH LEE-JACKSON MD

Family Medicine

1700 NORTH WATERMAN AVENUE
SAN BERNANDINO, CA 92404

San Bernardino County (909) 883-8611

DR. AARON SCOTT JORDAN MD

Internal Medicine (Cardiovascular Disease)

1700 NORTH WATERMAN AVENUE
SAN BERNARDINO, CA 92404

San Bernardino County (909) 883-8611

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 Mariclem Lao's NPI number?

The NPI number for Mariclem Lao is 1487624169. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Mariclem Lao located?

Mariclem Lao practices at 1700 North Waterman Avenue, San Bernardino, CA 92404. The listed phone number is (909) 883-8611.

What is Mariclem Lao's specialty?

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

Is Mariclem Lao enrolled in Medicare?

Yes. Mariclem Lao is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mariclem Lao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariclem Lao reassigns Medicare benefits to 3 organizations: Riverside-San Bernardino County Indian Health, Inc. (Grand Terrace, CA), Redlands Family Practice Medical Group Inc. (Redlands, CA) and Beaver Medical Group P C (Redlands, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariclem Lao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariclem Lao was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.