Providence Medical Foundation

A Medicare group practice based in Fullerton, CA: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 8921993205), with 1,896 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921993205The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
2
Group size
1,461 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
149In 37 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040216001346 CA Part B Supplier - Clinic/Group Practice 1871607762
O20131004000194 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1386937225

NPIs in this group 12

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
57.38 of 100Reported as group, on the record of 2 clinicians in this group
Quality
29.61
Promoting interoperability
100
Improvement activities
0
Cost
73.22
Final score
96.26 of 100Reported as apm, on the record of 28 clinicians in this group
Quality
84.3
Promoting interoperability
100
Improvement activities
40

Clinicians 1,896

Page 1 of 19

Clinicians who reassign their Medicare benefits to this group (1,891) or whom Care Compare lists as members (1,460).

Sources for this page