NPIMap

Coastal Family Dermatology PC

A Medicare group practice based in San Luis Obispo, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3678899051), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678899051The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20150302001308 CA Part B Supplier - Clinic/Group Practice 1174927073

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
91.02 of 100Reported as group, on the record of 5 clinicians in this group
Quality
93.49
Promoting interoperability
82
Improvement activities
40

Clinicians 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (8).

Sources for this page