DR. DAVID A EVANS M.D.
NPI 1346243011
Otolaryngology - Pediatric Otolaryngology in Sacramento, CA
Quality Rating: 72.95 out of 100 score
NPI Status: Active since May 24, 2005
Contact Information
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA
ZIP 95815
Phone: (916) 736-3399
Fax: (916) 233-4171
- Individual
- Male
- Otolaryngology
- Pediatric Otolaryngology
- PECOS Enrolled
- Medicare Quality Reporting
About DAVID EVANS
This page provides the complete NPI Profile along with additional information for David Evans, a provider established in Sacramento, California with a medical specialization in Otolaryngology, focusing in pediatric otolaryngology . The healthcare provider is registered in the NPI registry with number 1346243011 assigned on May 2005. The practitioner's primary taxonomy code is 207YP0228X with license number G65618 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1346243011
- Provider Name
- DR. DAVID A EVANS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815
- Location Phone
- (916) 736-3399
- Location Fax
- (916) 233-4171
- Mailing Address
- 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815
- Mailing Phone
- (916) 736-3399
- Mailing Fax
- (916) 233-4171
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2005
- Last Update Date
- 12-10-2020
- Code Navigator
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
Otolaryngology Pediatric Otolaryngology
- Taxonomy Code
- 207YP0228X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G65618
- License State
- CA
- Taxonomy Description
- A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
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 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | G65618 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 040003544 | OTHER (01) | CA | RR MEDICARE PIN |
Medicare Participation & PECOS Enrollment Status
David Evans 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: Durable Medical Equipment (DME) 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
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)
1 DME suppliers used 13 Medicare Claims 72 Services Paid
DME-Other DME (DE001N)
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)
3 DME suppliers used 18 Medicare Claims 18 Services Paid
DME-Other DME (DE001N)
Headgear used with positive airway pressure device (HCPCS:A7035)
3 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Other DME (DE001N)
Tubing used with positive airway pressure device (HCPCS:A7037)
3 DME suppliers used 21 Medicare Claims 21 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
3 DME suppliers used 23 Medicare Claims 133 Services Paid
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.
Established patient office or other outpatient visit, 20-29 minutes
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
This 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 55 times for 30 patientsThis procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
This service was performed 45 times for 23 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 72.95, 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: 72.95 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: 76.87
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: 48.04
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: 48.04
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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. 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 | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 14% | 162 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Colorectal Cancer Screening | 52% | 292 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Documentation of Current Medications in the Medical Record | 87% | 2407 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| e-Prescribing | 99% | 784 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Medication Reconciliation | 97% | 287 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Participation in population health research | Yes | N/A |
| Participation in research that identifies interventions, tools or processes that can improve a targeted patient population. | ||
| Patient-Specific Education | 41% | 3189 |
| 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 | 31% | 249 |
| 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 | 91% | 622 |
| 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 | 8% | 1117 |
| 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 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 93% | 200 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 42% | 3189 |
| 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. | ||
| Regular training in care coordination | Yes | N/A |
| Implementation of regular care coordination training. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Tobacco use | Yes | N/A |
| Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence. | ||
Reviews for DR. DAVID A EVANS M.D.
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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 | 3 | 4 | 6 | 2 | 4 | 3 | 0 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 4 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 4 + 6 + 0 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1346243011 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356344022 | KEVIN X MCKENNAN MD Individual | Otolaryngology (Otology & Neurotology) | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3408 |
| 1609879386 | DR. RICHARD G AREEN MD Individual | Otolaryngology | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3408 |
| 1144333642 | DAVID GOLDFARB PA Individual | Physician Assistant | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1376703454 | DR. BRENT JASON BENSCOTER MD Individual | Otolaryngology (Otology & Neurotology) | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1568972941 | ANDREA N KNAPP AU.D Individual | Audiologist | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1962846949 | DR. CONOR WILLIAM MCLAUGHLIN MD Individual | Otolaryngology | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1962820993 | DR. ANNIKA MARGUERITE MEYER M.D. Individual | Otolaryngology (Otolaryngology/Facial Plastic Surgery) | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1194305631 | DR. ANNA PANA AUD Individual | Audiologist | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1093117392 | ALASIA FATE AU.D. Individual | Audiologist | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1922665694 | DR. ANGELA DOROTHY GERLACH AU.D. Individual | Audiologist | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1881198208 | DR. STEVEN HASDAY MD Individual | Otolaryngology | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1831694363 | DR. SARAH C SHEARER MD Individual | Otolaryngology | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1235901240 | RACHEL TERRON Individual | Audiologist | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1508285693 | DR. VARUN VARADARAJAN MD Individual | Otolaryngology (Otology & Neurotology) | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1306680020 | DR. CATHERINE NOEL NUNEZ AUD Individual | Audiologist | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
| 1306942529 | EVELYN KEATON N.P. Individual | Nurse Practitioner (Acute Care) | 1111 EXPOSITION BLVD BLDG 700 SACRAMENTO, CA 95815 (916) 736-3399 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346243011, enumerated in the NPI registry as an "individual" on May 24, 2005
The provider is located at 1111 Exposition Blvd Bldg 700 Sacramento, Ca 95815 and the phone number is (916) 736-3399
The provider's speciality is Otolaryngology with taxonomy code 207YP0228X with a focus in Pediatric Otolaryngology
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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: Durable Medical Equipment (DME) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes and Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing.
This NPI record was last updated on May 24, 2005. 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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