DOUGLAS JUAREZ M.D. NPI 1700854007

Pathology (Anatomic Pathology & Clinical Pathology) in Brawley, CA

NPI 1700854007 Individual Male Years of Experience 41 Pathology Anatomic Pathology & Clinical Pathology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About DOUGLAS JUAREZ

Douglas Juarez is a provider established in Brawley, California and his medical specialization is pathology (anatomic pathology & clinical pathology) with more than 41 years of experience. The NPI number of Douglas Juarez is 1700854007 and was assigned on March 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number A51964 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Douglas Juarez 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

Douglas Juarez 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 he has hospital affiliations with El Centro Regional Medical Center and Pioneers Memorial Healthcare District.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: implementation of practices/processes for developing regular individual care plans and implementation of use of specialist reports back to referring clinician or group to close referral loop. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1700854007

Provider Name DOUGLAS JUAREZ M.D.
Provider Location Address207 W LEGION RD BRAWLEY, CA 92227
Provider Mailing AddressPO BOX 2311 CHATSWORTH, CA 91313
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1981
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-10-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207ZP0102X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationAnatomic Pathology & Clinical Pathology
License No.A51964
License StateCA
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Business Address

DOUGLAS JUAREZ M.D.
207 W LEGION RD
BRAWLEY, CA
ZIP 92227
Phone: (760) 351-3432
Fax: (760) 351-3383

Get Directions


Mailing Address

DOUGLAS JUAREZ M.D.
PO BOX 2311
CHATSWORTH, CA
ZIP 91313
Phone: (818) 718-9500
Fax: (818) 718-9507



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 ID7911987532
PECOS Enrollment IDI20040723000710
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.

  • 1539Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • 291Special stained specimen slides to examine tissue (HCPCS:88341)
  • 217Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • 123Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • 94Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)

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

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. Douglas Juarez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
EL CENTRO REGIONAL MEDICAL CENTER1415 ROSS AVENUE
EL CENTRO, CA 92243
(760) 339-7100Acute Care Hospitals50045
PIONEERS MEMORIAL HEALTHCARE DISTRICT207 WEST LEGION ROAD
BRAWLEY, CA 92227
(760) 351-3333Acute Care Hospitals50342

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
WA519641MEDICARE ID-TYPE UNSPECIFIED (04)CA
F70464MEDICARE UPIN (02)CA
00A519640MEDICAID (05)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336155605 JAMES A NELSON M.D
Individual
Emergency Medicine207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3333
1932217486 VINCENT CHIU M.D.
Individual
Anesthesiology207 W LEGION RD
BRAWLEY, CA 92227
(951) 929-6260
1497865364 MICHAEL HAROLD BISHOP D.O.
Individual
Emergency Medicine207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3333
1821109851 MICHAEL DEAN BERGER M.D.
Individual
Emergency Medicine207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3333
1669575643 NATHAN THOMAS WATSON M.D.
Individual
Emergency Medicine207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3333
1235233610DR. YOUNG SIK LEE M.D.
Individual
Emergency Medicine207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3333
1851593370 KEVIN LARKIN
Individual
Physician Assistant207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3333
1982851390BRENT A. BUTCHER, MD, INC.
Organization
Emergency Medicine (Undersea and Hyperbaric Medicine)207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-4848
1578897690HOSPITALIST MEDICINE PHYSICIANS OF IMPERIAL COUNTY, INC..
Organization
Internal Medicine207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3333
1255639175VINCENT CHIU MD INC
Organization
Anesthesiology207 W LEGION RD
BRAWLEY, CA 92227
(951) 929-6260
1124300959MISS AUTUMN LECI FORNASERO M.S. PA-C
Individual
Physician Assistant (Medical)207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3333
1205172491MR. CHRISTOPHER LESLIE THOMPSON PA-C
Individual
Physician Assistant207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3333
1801239629 BRANDI-ELLEN GOULDING MSPT MBA
Individual
Physical Therapist207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3288
1902240179MR. DANIEL PETER MCCARTHY PA-C
Individual
Physician Assistant207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3409
1689019200 ANOOSHIRVAN BOZORGMEHR DO
Individual
Family Medicine207 W LEGION RD
BRAWLEY, CA 92227
(615) 377-5600
1073519443PIONEERS MEMORIAL HEALTHCARE DISTRICT
Organization
General Acute Care Hospital207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3590
1598784738 HELEN H. YEN M.D.
Individual
Pathology (Anatomic Pathology)207 W LEGION RD DEPT OF PATHOLOGY
BRAWLEY, CA 92227
(760) 351-3432
1962663286 JAIME ANTHONE ENGLEA LARRA DO
Individual
Anesthesiology207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3288
1922495142 AMIE CRUMP PA-C
Individual
Physician Assistant (Medical)207 W LEGION RD
BRAWLEY, CA 92227
(706) 401-3000
1942216957 CARLOS PALOMARES CRNA
Individual
Nurse Anesthetist, Certified Registered207 W LEGION RD
BRAWLEY, CA 92227
(760) 351-3288

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.