DR. ELIOT S LIGHT MD NPI 1942382577

Family Medicine in Pacific Grove, CA

NPI 1942382577 Individual Male Years of Experience 42 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About ELIOT LIGHT

Eliot Light is a primary care provider established in Pacific Grove, California and his medical specialization is family medicine with more than 42 years of experience. He graduated from University Of California, Irvine, California College Of Medicine in 1980. The NPI number of Eliot Light is 1942382577 and was assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number C40086 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

A primary care provider (PCP) like Dr. Eliot S Light Md 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

Eliot Light 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

Eliot Light 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 Community Hospital Of The Monterey Peninsula and Salinas Valley Memorial Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: advance care planning, anticoagulant management improvements, breast cancer screening, care transition documentation practice improvements, cdc training on cdc's guideline for prescribing opioids for chronic pain, cervical cancer screening, colorectal cancer screening, completion of training and receipt of approved waiver for provision opioid medication-assisted treatments, consultation of the prescription drug monitoring program, depression screening, diabetes screening, diabetes: eye exam, diabetes: medical attention for nephropathy, engagement of community for health status improvement, engagement of patients through implementation of improvements in patient portal, engagement of patients, family, and caregivers in developing a plan of care, e-prescribing, evidenced-based techniques to promote self-management into usual care, falls: screening for future fall risk, glycemic management services, glycemic referring services, glycemic screening services, implementation of condition-specific chronic disease self-management support programs, implementation of episodic care management practice improvements, implementation of fall screening and assessment programs, implementation of formal quality improvement methods, practice changes, or other practice improvement processes, implementation of improvements that contribute to more timely communication of test results, implementation of medication management practice improvements, implementation of practices/processes for developing regular individual care plans, implementation of use of specialist reports back to referring clinician or group to close referral loop, invasive procedure or surgery anticoagulation medication management, leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changes, mdd prevention and treatment interventions, onc direct review attestation, onc-acb surveillance attestation (optional), participation in a qcdr, that promotes use of processes and tools that engage patients for adherence to treatment plan., patient-specific education, pneumococcal vaccination status for older adults, practice improvements for bilateral exchange of patient information, practice improvements that engage community resources to support patient health goals, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, primary care physician and behavioral health bilateral electronic exchange of information for shared patients, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, regular review practices in place on targeted patient population needs, regular training in care coordination, secure messaging, security risk analysis, tobacco use, unhealthy alcohol use, unhealthy alcohol use for patients with co-occurring conditions of mental health and substance abuse and ambulatory care patients, use of certified ehr to capture patient reported outcomes and use of decision support and standardized treatment protocols. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1942382577

Provider NameDR. ELIOT S LIGHT MD
Provider Location Address621 FOREST AVE PACIFIC GROVE, CA 93950
Provider Mailing Address621 FOREST AVE PACIFIC GROVE, CA 93950
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year1980
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-20-2006
Last Update Date09-30-2020


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.C40086
License StateCA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. ELIOT S LIGHT MD
621 FOREST AVE
PACIFIC GROVE, CA
ZIP 93950
Phone: (831) 649-1011
Fax: (831) 373-8201

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Mailing Address

DR. ELIOT S LIGHT MD
621 FOREST AVE
PACIFIC GROVE, CA
ZIP 93950
Phone: (831) 649-1011
Fax: (831) 373-8201



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 ID3072644137
PECOS Enrollment IDI20100706000678
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.

  • 35Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 26Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 20Administration of influenza virus vaccine (HCPCS:G0008)
  • 19Urinalysis, manual test (HCPCS:81002)
  • 12Removal of impact ear wax, one ear (HCPCS:69210)
  • 11Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

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
Breast Cancer Screening 22% 108
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Cervical Cancer Screening 22% 77
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years
Colorectal Cancer Screening 31% 298
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam 12% 52
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
Diabetes: Medical Attention for Nephropathy 58% 52
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
e-Prescribing 89% 2355
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Screening for Future Fall Risk 9% 238
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Patient-Specific Education 37% 479
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 28% 238
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 35% 463
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Influenza Immunization 26% 363
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
Provide Patient Access 89% 479
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.
Secure Messaging 78% 479
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.

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. Eliot Light is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA23625 W R HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311Acute Care Hospitals50145
SALINAS VALLEY MEMORIAL HOSPITAL450 EAST ROMIE LANE
SALINAS, CA 93901
(831) 757-4333Acute Care Hospitals50334

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
00G400860MEDICAID (05)CA
00G400860OTHER (01)CA
770046058OTHER (01)

Other Providers at the same location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528084456 JAMES S MORAN PH.D.
Individual
Clinical Neuropsychologist621 FOREST AVE STE 2C
PACIFIC GROVE, CA 93950
(831) 373-1499
1881614626DR. BILL ZIKA PH.D.
Individual
Psychologist (Clinical)621 FOREST AVE SUITE 3
PACIFIC GROVE, CA 93950
(831) 595-0410
1528082344MS. BARRIE ELIZABETH O'BRIEN MFT
Individual
Marriage & Family Therapist621 FOREST AVE STE. 3-B
PACIFIC GROVE, CA 93950
(831) 646-8042
1508966193MS. EILEEN NAZZARO MFT
Individual
Marriage & Family Therapist621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 643-1736
1730262189DR. DANIEL STUART ROBBINS PHD
Individual
Psychologist (Clinical)621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 372-2900
1174680763MS. JANE ANN GINGERICH L,C.S.W.
Individual
Social Worker (Clinical)621 FOREST AVE SUITE 3-D
PACIFIC GROVE, CA 93950
(831) 373-5123
1760510127 HEATHER L CRIMSON MFT
Individual
Marriage & Family Therapist621 FOREST AVE SUITE 4C
PACIFIC GROVE, CA 93950
(831) 236-8518
1588789424MRS. JULIE KATHLEEN MCCLUNG M.F.T.
Individual
Marriage & Family Therapist621 FOREST AVE SUITE 3B
PACIFIC GROVE, CA 93950
(831) 649-0199
1710194667 LYNNE CONLON
Individual
Psychologist (Clinical)621 FOREST AVE SUITE 3
PACIFIC GROVE, CA 93950
(831) 647-0805
1588868012DR. NICOLE ASSELBORN M.D.
Individual
Psychiatry & Neurology (Psychiatry)621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 642-9878
1386828432DR. MARTHA ELIZABETH GLEASON PHD
Individual
Psychologist621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 375-0728
1710232996PACIFIC GROVE FAMILY MEDICINE, INC.
Organization
Family Medicine621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 649-1011
1891960712 ERIN ANNE GOLEC PA
Individual
Physician Assistant621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 649-1011
1548381569 ANDREA FULLER MFT
Individual
Marriage & Family Therapist621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 236-5930
1821146606 SIANG L. LO DO
Individual
Family Medicine621 FOREST AVE
PACIFIC GROVE, CA 93950
(831) 649-1011

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.