JERRY M FABRIKANT D.P.M.
NPI 1689622177
Podiatrist - Foot & Ankle Surgery in La Mesa, CA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5565 GROSSMONT CENTER DR, BLDG 3 # 353, LA MESA, CA 91942(619) 465-3443(619) 466-7311 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry M Fabrikant D.p.m. NPPES

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

JERRY M FABRIKANT D.P.M. (NPI 1689622177) is an individual foot & ankle surgery provider in La Mesa, California, licensed in California (000E23120) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1978).

NPPES Registry Identity

NPI1689622177
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJERRY M FABRIKANTCredential: D.P.M.
Location Address5565 GROSSMONT CENTER DR, BLDG 3 # 353La Mesa, CA 91942-3007
Mailing Address5565 Grossmont Center Dr, Bldg 3 #353La Mesa, CA 91942-3007 · (619) 465-3443 · Fax (619) 466-7311
Fax(619) 466-7311
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1978
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 17, 2009
NPI 1689622177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · 000E23120
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 000E23120 (CA)
5565 GROSSMONT CENTER DR, La Mesa, CA 91942

Other Identifiers 1

Medicare NSC0367040001CA

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

Jerry M Fabrikant D.p.m. 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 ID4981789310
PECOS Enrollment IDI20080310000701
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 12

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 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.
1,547 services412 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.
148 services53 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This 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.
112 services112 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
98 services67 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.
67 services62 patients
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.
62 services37 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.64
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%590 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%340 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
100%340 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,040 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,060 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers22 claims2,280 services$0.10 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims540 services$20.29 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier27 claims1,119 services$2.06 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
2 suppliers28 claims2,100 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers24 claims3,840 services$0.37 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 20

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

Otolaryngology
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 101
LA MESA, CA 91942
Surgery
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
Otolaryngology
5565 GROSSMONT CENTER DR, SUITE# 352
LA MESA, CA 91942
Physical Therapist
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
Dentist (Prosthodontics)
5565 GROSSMONT CENTER DR, SUITE 110-1
LA MESA, CA 91942
Internal Medicine (Infectious Disease)
5565 GROSSMONT CENTER DR, STE 211
LA MESA, CA 91942
Dentist (General Practice)
5565 GROSSMONT CENTER DR, SUITE 356
LA MESA, CA 91942
Podiatrist (Foot Surgery)
5565 GROSSMONT CENTER DR, SUITE 152
LA MESA, CA 91942

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 Jerry Fabrikant's NPI number?

The NPI number for Jerry Fabrikant is 1689622177. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Jerry Fabrikant located?

Jerry Fabrikant practices at 5565 Grossmont Center Dr Bldg 3 # 353, La Mesa, CA 91942. The listed phone number is (619) 465-3443.

What is Jerry Fabrikant's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jerry Fabrikant enrolled in Medicare?

Yes. Jerry Fabrikant 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 Jerry Fabrikant was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.