PAUL RAMIREZ M.D.
NPI 1073726923
General Practice in Gardnerville, NV
Quality Rating: 100 out of 100 score
NPI Status: Active since May 08, 2007
Contact Information
1559 WATASHEAMU RD
GARDNERVILLE, NV
ZIP 89460
Phone: (775) 265-4215
- Individual
- Male
- Years of Experience 21
- General Practice
- Accepts Medicare Approved Payment
- PECOS Enrolled
About PAUL RAMIREZ
This page provides the complete NPI Profile along with additional information for Paul Ramirez, a primary care provider established in Gardnerville, Nevada with a medical specialization in General Practice and more than 21 years of experience. He graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2005. The healthcare provider is registered in the NPI registry with number 1073726923 assigned on May 2007. The practitioner's primary taxonomy code is 208D00000X with license number ME111652 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1073726923
- Provider Name
- PAUL RAMIREZ M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1559 WATASHEAMU RD GARDNERVILLE, NV 89460
- Location Phone
- (775) 265-4215
- Mailing Address
- 1057 PEBBLE BEACH CT MINDEN, NV 89423
- Mailing Phone
- (786) 618-0918
- Medical School Name
- UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-08-2007
- Last Update Date
- 09-24-2018
- Code Navigator
A primary care provider (PCP) like Paul Ramirez 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
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME111652
- License State
- FL
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 036125225 (IL) |
2 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 01069141A (IN) |
Medicare Participation & PECOS Enrollment Status
Paul Ramirez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Paul Ramirez is enrolled in PECOS and is eligible to order or refer health care 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8426310996
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20180321000331
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Blood glucose (sugar) test performed by hand-held instrument
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Hemoglobin a1c level
Injection of drug or substance under skin or into muscle
Insertion of needle into vein for collection of blood sample
Telephone medical discussion with physician, 21-30 minutes
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
This service was performed 45 times for 29 patientsThis 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.
This service was performed 25 times for 14 patientsThis 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.
This service was performed 57 times for 44 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 148 times for 67 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 43 times for 28 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 23 times for 12 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 77 times for 54 patientsThis service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 22 times for 14 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 100 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 98.34
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 98.34
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Paul Ramirez is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
CARSON TAHOE REGIONAL MEDICAL CENTER | 1600 MEDICAL PARKWAY CARSON CITY, NV 89703 | (775) 445-8000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 7 | 3 | 7 | 2 | 6 | 9 | 2 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 14 | 3 | 14 | 2 | 12 | 9 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 4 + 3 + 1 + 4 + 2 + 1 + 2 + 9 + 4 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1073726923 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1699709634 | MICHAELE BACOCH R.PH Individual | Pharmacist | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1760416028 | CARLA DAWN CARROLL M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1407986623 | MRS. LISA MARIE KEATING PHD Individual | Psychologist | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1114124922 | MS. JOSEPHINE JAMES Individual | Licensed Practical Nurse | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1336346857 | MS. ALICE EIDE-MASON Individual | Registered Nurse (General Practice) | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1043419773 | MS. JOANNE MARIE LENARES Individual | Technician, Pathology (Phlebotomy) | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1326230707 | MS. CHRISTINE D ATINE Individual | Social Worker | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1861637415 | WASHOE TRIBE OF NEVADA AND CALIFORNIA Organization | Durable Medical Equipment & Medical Supplies | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1205125218 | MS. KELLIE ANN BUTTERWORTH RDH Individual | Dental Hygienist | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1063766418 | MS. REBECCA FINCH RPH Individual | Pharmacist | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1518204064 | MS. RACHAEL ORLANDO R.N. Individual | Registered Nurse | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1477895308 | CYNTHIA OCEGUERA Individual | Technician, Health Information | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1003239310 | MYKALENE MILLER Individual | Pharmacy Technician | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1447273438 | WASHOE TRIBE OF NEVADA AND CALIFORNIA Organization | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1992193379 | JENNIFER JONES Individual | Registered Nurse | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1114303757 | MS. VERONICA BOHANAN-CRAWFORD Individual | Registered Nurse | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1659747715 | ROSELLA MOE Individual | Registered Nurse | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-4215 |
1316394000 | MR. ROBERT MAI R. PH. Individual | Pharmacist | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-8622 |
1013365501 | MR. BRYAN SELCER RN Individual | Registered Nurse | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-8622 |
1013465707 | MRS. SHERYL OSBORN Individual | Registered Nurse | 1559 WATASHEAMU RD GARDNERVILLE, NV 89460 (775) 265-8621 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073726923, enumerated in the NPI registry as an "individual" on May 08, 2007
The provider is located at 1559 Watasheamu Rd Gardnerville, Nv 89460 and the phone number is (775) 265-4215
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider has more than 21 years of experience. He graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2005.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , coordinates care and seeks improvement of health outcomes.
The most common procedures or services performed by this practitioner are: Blood glucose (sugar) test performed by hand-held instrument, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Hemoglobin a1c level, Injection of drug or substance under skin or into muscle, Insertion of needle into vein for collection of blood sample and Telephone medical discussion with physician, 21-30 minutes.
The practitioner is affiliated to the following hospital(s): CARSON TAHOE REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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