LORIANNA FLETCHER MD, FACC
NPI 1497715023
Internal Medicine - Cardiovascular Disease in San Luis Obispo, CA

Q: What is Lorianna Fletcher's NPI number?

The NPI number for Lorianna Fletcher is 1497715023. It was assigned to this individual provider in the NPPES registry on March 27, 2006. The provider is also known as Lorianna Pallai.

Q: What is Lorianna Fletcher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Lorianna Fletcher 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.

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment

83/100

CMS Quality Rating

1941 JOHNSON AVE, # 101, SAN LUIS OBISPO, CA 93401(805) 782-8844(805) 782-8859 Get Directions Write a Review

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

On this page

About Lorianna Fletcher Md, Facc NPPES

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

LORIANNA FLETCHER MD, FACC (NPI 1497715023) is an individual cardiovascular disease provider in San Luis Obispo, California, licensed in California (A54052) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Tulane University School Of Medicine (1991).

NPPES Registry Identity

NPI1497715023

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameLORIANNA FLETCHERCredential: MD, FACC

Location Address1941 JOHNSON AVE, # 101San Luis Obispo, CA 93401-4154

Mailing Address1941 Johnson Ave, Suite 101San Luis Obispo, CA 93401-4154 · (805) 782-8844 · Fax (805) 782-8859

Phone(805) 782-8844

Fax(805) 782-8859

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 1991

Enumeration DateMarch 27, 2006

Last NPPES UpdateOctober 14, 2024

NPPES CertifiedOctober 14, 2024

✔ NPI 1497715023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · A54052

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License A54052 (CA)

1941 JOHNSON AVE, San Luis Obispo, CA 93401

Open in Google Maps ↗

Other Names 1

Former Name (1)Lorianna Pallai

Secondary Practice Locations 3

Location 1295 Posada Ln Ste ATempleton, CA 93465-4055 · Phone (805) 782-8844 · Fax (805) 549-6987

Location 21941 Johnson Ave Ste 102San Luis Obispo, CA 93401-4174 · Phone (805) 782-8844 · Fax (805) 549-6986

Location 3850 Fair Oaks Ave Ste 100Arroyo Grande, CA 93420-3929 · Phone (805) 782-8844 · Fax (805) 549-6988

Other Identifiers 3

Medicaid00A540520CA

Other060048765CA · Railroad Medicare

OtherZZZ28458ZCA · Blue Shield

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

Lorianna Fletcher 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 ID3577524131

PECOS Enrollment IDI20041117001233

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 40

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.

1,649 services1,370 patients

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.

1,036 services864 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.

439 services421 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.

335 services136 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

318 services81 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.

310 services61 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

306 services301 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

291 services280 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

281 services143 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

257 services15 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.

213 services174 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

174 services168 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

170 services166 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

142 services142 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

127 services127 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

119 services106 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

110 services45 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

109 services107 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

101 services101 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

101 services41 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

94 services93 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

93 services92 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

85 services49 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

82 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

70 services69 patients

Injection, perflutren lipid microspheres, per ml Q9957

Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.

51 services27 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

29 services29 patients

Programming of multiple lead implantable defibrillator system 93284

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

26 services21 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

26 services24 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.

24 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

18 services17 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

17 services16 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

17 services16 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

16 services15 patients

Programming of dual lead implantable defibrillator system 93283

Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.

15 services12 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

14 services14 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

11 services11 patients

Ultrasound of heart blood flow, valves and chambers 93320

11 services11 patients

Injection, aminophyllin, up to 250 mg J0280

An aminophyllin injection is a treatment often used for severe asthma or other lung conditions. It helps to relax and open air passages in the lungs, making it easier to breathe. Up to 250 mg can be administered in one dose.

11 services11 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

$74.24 typical visit price

range $19.70 – $146.55

Typical copayment $18.56 (range $4.92 – $36.63)

Most-billed visit code 99213

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.

83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

79.74

Promoting Interoperability

Improvement Activities

Cost

64.44

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

40%53 patients2/55-star benchmark: 87%

Controlling High Blood Pressure

66%1,162 patients3/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

92%39 patients4/55-star benchmark: 99%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

88%118 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%3,427 patients4/55-star benchmark: 100%

e-Prescribing

94%1,052 patients2/55-star benchmark: 100%

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

28%2,224 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%977 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 1,243 patients

0%1,243 patients

Provide Patients Electronic Access to Their Health Information

81%1,091 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

90%964 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,904 patients

Patients totalRate: 0% · 1,904 patients

0%1,904 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.

CREATING HARMONY WOMEN'S HEALTHCARE INC

Obstetrics & Gynecology

1941 JOHNSON AVE, SUITE #202
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 548-0033

DR. VIVIAN STORRER MD

Obstetrics & Gynecology

1941 JOHNSON AVE, SUITE 301
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 739-3474

MICHAEL A FAMULARO MD, FACC

Internal Medicine (Interventional Cardiology)

1941 JOHNSON AVE, # 101
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 782-8844

SANDRA FLORINE RODRIGUEZ C.N.M.

Advanced Practice Midwife

1941 JOHNSON AVE, SUITE 202
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 548-0033

ANDREA HARDISON TACKETT MD, FACC

Internal Medicine (Cardiovascular Disease)

1941 JOHNSON AVE, STE 101
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 782-8844

DAVID M PURO MD, FACC

Internal Medicine (Cardiovascular Disease)

1941 JOHNSON AVE, STE 101
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 782-8844

ROBERT J DORIA MD, FACC

Internal Medicine (Interventional Cardiology)

1941 JOHNSON AVE, # 101
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 782-8844

MARK J SADA MD, FACC

Internal Medicine (Interventional Cardiology)

1941 JOHNSON AVE, STE 101
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 782-8844

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 Lorianna Fletcher's NPI number?

The NPI number for Lorianna Fletcher is 1497715023. It was assigned to this individual provider in the NPPES registry on March 27, 2006. The provider is also known as Lorianna Pallai.

Where is Lorianna Fletcher located?

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

What is Lorianna Fletcher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Lorianna Fletcher enrolled in Medicare?

Yes. Lorianna Fletcher 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 Lorianna Fletcher 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.