FERNANDO PALACIOS M.D.
NPI 1629383534
Family Medicine in Wildomar, CA
Quality Rating: 59.11 out of 100 score
NPI Status: Active since August 16, 2010
Contact Information
36485 INLAND VALLEY DR
WILDOMAR, CA
ZIP 92595
Phone: (323) 945-9345
- Individual
- Male
- Family Medicine
- Medicare Quality Reporting
About FERNANDO PALACIOS
This page provides the complete NPI Profile along with additional information for Fernando Palacios, a primary care provider established in Wildomar, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1629383534 assigned on August 2010. The practitioner's primary taxonomy code is 207Q00000X with license number 145668 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1629383534
- Provider Name
- FERNANDO PALACIOS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 36485 INLAND VALLEY DR WILDOMAR, CA 92595
- Location Phone
- (323) 945-9345
- Mailing Address
- 36485 INLAND VALLEY DR WILDOMAR, CA 92595
- Mailing Phone
- (323) 945-9345
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-16-2010
- Last Update Date
- 07-21-2022
- Code Navigator
A primary care provider (PCP) like Fernando Palacios 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 145668
- License State
- CA
- Taxonomy Description
- Family 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.
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 | 145668 (CA) |
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.
Follow-up hospital inpatient care per day, typically 35 minutes
Hospital discharge day management, more than 30 minutes
Initial hospital inpatient care per day, typically 70 minutes
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 71 times for 52 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 16 times for 16 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 74 times for 69 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 59.11, 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: 59.11 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: 28.56
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: 68.32
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: 68.32
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 |
|---|---|---|
| Advance Care Planning | Yes | N/A |
| Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning. | ||
| Colorectal Cancer Screening | 4% | 54 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| 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. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Participation in CAHPS or other supplemental questionnaire | Yes | N/A |
| Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 41 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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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 | 6 | 2 | 9 | 3 | 8 | 3 | 5 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 6 | 8 | 6 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 6 + 8 + 6 + 5 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1629383534 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1063477461 | MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC. Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (760) 731-3334 |
| 1083729891 | LISA M BORNMANN P.A.-C Individual | Physician Assistant | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1790890465 | BRENT JACOBSEN D.O Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1265547087 | JOSEPH S DEMATTIA P.A.-C Individual | Physician Assistant | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1861507626 | BRET E GINTHER M.D. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1134234818 | STEVEN S KIM M.D. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1851518385 | TERRY GLENN CARTELL P.T. Individual | Physical Therapist | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 696-2604 |
| 1356586432 | JOHN L. OAKLEY, PHD., M.D., INC. Organization | Anesthesiology | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1881867125 | ZEKE FOSTER Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1902013576 | DR. EDWIN F LOPEZ M.D., F.A.C.E.P. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 667-1111 |
| 1104976661 | DR. STEPHEN HOMAN D.O. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1194768663 | JULIE MARIE SHRYOCK ELIAS P.A. Individual | Physician Assistant | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 304-7187 |
| 1417357310 | GREGORY O'NEIL SANDERS RRT/CRT Individual | Respiratory Therapist, Registered (General Care) | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1912012600 | JENNINE MARIE WHITE BORCHERT P.A.-C. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1427317460 | ILYA YAKHNENKO MD Individual | Hospitalist | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1932644143 | LYNDA TRUONG PA-C Individual | Physician Assistant | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1053779140 | CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION Organization | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (469) 401-2386 |
| 1508131764 | GALEN INPATIENT PHYSICIANS INC Organization | Internal Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1861836207 | TRANG NGUYEN D.O. Individual | Internal Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 304-7187 |
| 1376801332 | CHRISTOPHER C TOENSING M.D. Individual | Radiology (Diagnostic Radiology) | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629383534, enumerated in the NPI registry as an "individual" on August 16, 2010
The provider is located at 36485 Inland Valley Dr Wildomar, Ca 92595 and the phone number is (323) 945-9345
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes and Initial hospital inpatient care per day, typically 70 minutes.
This NPI record was last updated on August 16, 2010. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.