NATHAN WILLIAMS
NPI 1548345473
Family Medicine - Adult Medicine in Thermal, CA
NPI Status: Active since October 26, 2006
Contact Information
66735 MARTINEZ ST
THERMAL, CA
ZIP 92274
Phone: (800) 717-4476
- Individual
- Male
- Family Medicine
- Adult Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About NATHAN WILLIAMS
This page provides the complete NPI Profile along with additional information for Nathan Williams, a primary care provider established in Thermal, California with a medical specialization in Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1548345473 assigned on October 2006. The practitioner's primary taxonomy code is 207QA0505X with license number A79720 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1548345473
- Provider Name
- NATHAN WILLIAMS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 66735 MARTINEZ ST THERMAL, CA 92274
- Location Phone
- (800) 717-4476
- Mailing Address
- 12197 WHITE ROCK DR RANCHO CUCAMONGA, CA 91739
- Mailing Phone
- (909) 899-7442
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-26-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Nathan Williams sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - 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.
- Classification
Family Medicine Adult Medicine
- Taxonomy Code
- 207QA0505X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A79720
- License State
- CA
- Taxonomy Description
- The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H94231 | MEDICARE UPIN (02) | CA |
Medicare Participation & PECOS Enrollment Status
Nathan Williams 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.
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 providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Colonoscopy
Established patient office or other outpatient visit, 20-29 minutes
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 30-44 minutes
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
This service was performed for 1-10 patientsThis 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.
This service was performed 25 times for 19 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 92274 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.88
- Minimum New Patient Price $59.6
- Maximum New Patient Price $179.42
- Average New Patient Copayment $22.97
- Minimum New Patient Copayment $14.9
- Maximum New Patient Copayment $44.85
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $104.64
- Minimum Established Patient Price $19.37
- Maximum Established Patient Price $146.42
- Average Established Patient Copayment $26.16
- Minimum Established Patient Copayment $4.84
- Maximum Established Patient Copayment $36.6
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 48% | 29 |
| Cervical Cancer Screening | 37% | 46 |
| Colorectal Cancer Screening | 25% | 64 |
| Controlling High Blood Pressure | 58% | 31 |
| Diabetes: Eye Exam | 0% | 32 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 19% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 32 |
| Documentation of Current Medications in the Medical Record | 73% | 229 |
| Falls: Screening for Future Fall Risk | 0% | 30 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 35% | 131 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 29% | 114 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 30% | 142 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 40% | 57 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 42% | 57 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 53% | 53 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 36 |
| Use of High-Risk Medications in Older Adults | 11% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 36 |
| Use of High-Risk Medications in Older Adults | 11% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 36 |
Reviews for NATHAN WILLIAMS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1548345473, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548345473, enumerated as an "individual" on October 26, 2006.
The provider is located at 66735 MARTINEZ ST THERMAL, CA 92274 and the phone number is (800) 717-4476.
Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
