HONG ZHAO M.D. NPI 1568696896

Internal Medicine (Hematology & Oncology) in Salinas, CA

NPI 1568696896 Individual Female Years of Experience 25 Internal Medicine Hematology & Oncology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About HONG ZHAO

Hong Zhao is an internal medicine provider established in Salinas, California and her medical specialization is internal medicine (hematology & oncology) with more than 25 years of experience. The NPI number of Hong Zhao is 1568696896 and was assigned on May 2009. The practitioner's primary taxonomy code is 207RH0003X with license number A117995 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

An internist like Hong Zhao M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Hong Zhao is enrolled in PECOS and is eligible to order or refer healthcare 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

Hong Zhao 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 she has hospital affiliations with Salinas Valley Memorial Hospital, Southern Monterey County Memorial Hospital and Hazel Hawkins Memorial Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan, consultation of the prescription drug monitoring program, documentation of current medications in the medical record, immunization registry reporting, medication reconciliation, onc direct review attestation, pain assessment and follow-up, patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, pneumococcal vaccination status for older adults, preventive care and screening: influenza immunization, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access and security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1568696896

Provider Name HONG ZHAO M.D.
Provider Location Address505 E ROMIE LN STE A SALINAS, CA 93901
Provider Mailing Address505 E ROMIE LN STE A SALINAS, CA 93901
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1997
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-14-2009
Last Update Date05-22-2018


Primary Taxonomy

Taxonomy Code207RH0003X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHematology & Oncology
License No.A117995
License StateCA
Taxonomy DescriptionAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

HONG ZHAO M.D.
505 E ROMIE LN STE A
SALINAS, CA
ZIP 93901
Phone: (831) 755-1701
Fax: (831) 424-3027

Get Directions


Mailing Address

HONG ZHAO M.D.
505 E ROMIE LN STE A
SALINAS, CA
ZIP 93901
Phone: (831) 755-1701
Fax: (831) 424-3027



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4981821337
PECOS Enrollment IDI20140808001470
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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.

  • 81Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour (HCPCS:96367)
  • 58Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 55Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
  • 17Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)

Quality Reporting

The following quality measures meets 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 Rate Number of Patients
Care Plan 17% 326
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Documentation of Current Medications in the Medical Record 74% 3538
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. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Medication Reconciliation 71% 267
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Pain Assessment and Follow-Up 42% 3538
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
Patient-Specific Education 6% 850
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 90% 336
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Influenza Immunization 37% 578
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 59% 22
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99% 579
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98% 579
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 45% 850
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 certain information.

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. Hong Zhao is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SALINAS VALLEY MEMORIAL HOSPITAL450 EAST ROMIE LANE
SALINAS, CA 93901
(831) 757-4333Acute Care Hospitals50334
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL300 CANAL STREET
KING CITY, CA 93930
(831) 385-6000Critical Access Hospitals51336
HAZEL HAWKINS MEMORIAL HOSPITAL911 SUNSET DRIVE
HOLLISTER, CA 95023
(831) 637-5711Critical Access Hospitals51337

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineMT195183PANo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013150911LOS PALOS ONCOLOGY AND HEMATOLOGY
Organization
Internal Medicine (Hematology & Oncology)505 E ROMIE LN STE A
SALINAS, CA 93901
(831) 755-1701
1093158347SVMHS CLINICS
Organization
Clinic/Center (Multi-Specialty)505 E ROMIE LN STE A
SALINAS, CA 93901
(831) 755-1701
1235647728 CAROLYN DAWN GOODMAN NP-C
Individual
Nurse Practitioner (Family)505 E ROMIE LN STE A
SALINAS, CA 93901
(831) 755-1701
1730605486 JENNA CASEY ALLERS PA
Individual
Physician Assistant505 E ROMIE LN STE A
SALINAS, CA 93901
(831) 755-1701
1689119596 SARA ECORO NZANG ARNP, MSN,FNP
Individual
Nurse Practitioner505 E ROMIE LN STE A
SALINAS, CA 93901
(831) 755-1701

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.