DR. JOHN ANDREW FAGAN MD NPI 1306904628

NPI Details

DR. John Andrew Fagan, MD is a family medicine in Rancho Cucamonga, CA with 39 years of experience. The provider is 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. DR. John Andrew Fagan, MD NPI is 1306904628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

10787 LAUREL ST
RANCHO CUCAMONGA, CA
ZIP 91730-828
Phone: (909) 982-7741
Fax: (909) 931-9568

The NPI 1306904628 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D1006944 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection, denosumab, 1 mg (HCPCS:J0897)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Transitional care management services for problem of high complexity (HCPCS:99496)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Pneumococcal vaccine, 23-valent (HCPCS:90732)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Removal of impacted ear wax (HCPCS:69210)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Established patient home visit, typically 1 hour (HCPCS:99350)
• Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)

The enumeration date for this NPI number is 12/6/2006 and was last updated on 3/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.