DR. RAYMOND C FERNANDEZ MD
NPI 1629039532
Internal Medicine in Laguna Hills, CA

Active since March 30, 2006PECOS Enrolled
83.27/100
CMS Quality Rating
24221 CALLE DE LA LOUISA, SUITE 200, LAGUNA HILLS, CA 92653(949) 465-8155(949) 465-8159 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Raymond C Fernandez Md NPPES

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

DR. RAYMOND C FERNANDEZ MD (NPI 1629039532) is an individual internal medicine provider in Laguna Hills, California, licensed in California (A042637) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629039532
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAYMOND C FERNANDEZCredential: MD
Location Address24221 CALLE DE LA LOUISA, SUITE 200Laguna Hills, CA 92653-7638
Mailing Address24221 Calle De La Louisa, Suite 400Laguna Hills, CA 92653-7638 · (949) 588-8700 · Fax (949) 465-8159
Fax(949) 465-8159
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateSeptember 28, 2011
NPI 1629039532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A042637
Definition

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.

24221 CALLE DE LA LOUISA, Laguna Hills, CA 92653

Other Identifiers 2

Medicare UPINA29616
Medicare ID-Type UnspecifiedWA42637CCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Raymond C Fernandez 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.

Areas of Expertise CMS Part B claims 36

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, 30-39 minutes 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.
835 services353 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
517 services339 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
455 services322 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
436 services320 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
372 services371 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
369 services363 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

83.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.91
Promoting Interoperability97
Improvement Activities40
Cost81.84

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
100%74 patients5/55-star benchmark: 100%
Breast Cancer Screening
2%192 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
4%182 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
56%433 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
66%312 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
78%2,436 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
16%769 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
42%967 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
7%714 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%924 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 68% · 882 patients
Patients screened: 70% · 882 patients
10%21 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%494 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 790 patients
Patients totalRate: 13% · 790 patients
9%790 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims30 services$6.77 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers11 claims76 services$5.52 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims950 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers16 claims525 services$0.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers31 claims34 services$14.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers46 claims46 services$60.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Internal Medicine (Gastroenterology)
24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653
Internal Medicine (Gastroenterology)
24221 CALLE DE LA LOUISA, SUITE 400
LAGUNA HILLS, CA 92653
Internal Medicine (Gastroenterology)
24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653
Internal Medicine
24221 CALLE DE LA LOUISA, SUITE 400
LAGUNA HILLS, CA 92653
Internal Medicine (Gastroenterology)
24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653
Internal Medicine (Endocrinology, Diabetes & Metabolism)
24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653
Internal Medicine
24221 CALLE DE LA LOUISA, SUITE 200
LAGUNA HILLS, CA 92653
Internal Medicine (Nephrology)
24221 CALLE DE LA LOUISA, SUITE 300
LAGUNA HILLS, CA 92653

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 Raymond Fernandez's NPI number?

The NPI number for Raymond Fernandez is 1629039532. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Raymond Fernandez located?

Raymond Fernandez practices at 24221 Calle De La Louisa Suite 200, Laguna Hills, CA 92653. The listed phone number is (949) 465-8155.

What is Raymond Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raymond Fernandez enrolled in Medicare?

Yes. Raymond Fernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raymond Fernandez was last updated on September 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.