Free National NPI Number Registry

Carolyn S Fairfax

Home > Carolyn S Fairfax

 

NPI Number Detailed Information

Provider Information:

Name: Carolyn S Fairfax
Gender: F
Provider License Number If Given: MD16107

NPI Information:

NPI: 1407839384
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 11/23/2005

Last Update Date: 6/7/2021

Reputation Report:

Provider Business Mailing Address:

Address: 9605 GRAND RONDE RD
Grand Ronde, OR 97347
Phone Number: 5038792002
Fax Number: 5033704237

Provider Business Practice Location Address:

Address: 9605 GRAND RONDE RD
Grand Ronde, OR 97347
Phone Number: 5038792002
Fax Number: 5038792071

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: OR

Top Doctors in OR

 

About Carolyn S Fairfax

Carolyn S Fairfax ( CAROLYN S FAIRFAX ) is Family Family Medicine Physician in Grand Ronde, OR. The NPI Number for Carolyn S Fairfax is 1407839384.
The current location address for Carolyn S Fairfax is 9605 GRAND RONDE RD Grand Ronde, OR 97347 and the contact number is 5038792002 and fax number is 5033704237. The mailing address for Carolyn S Fairfax is 9605 GRAND RONDE RD Grand Ronde, OR 97347- 5038792002 (mailing address contact number - 5038792002).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Carolyn S Fairfax ?


Answer: The NPI Number for Carolyn S Fairfax is 1407839384

Where is Carolyn S Fairfax located?


Answer: Carolyn S Fairfax is located at 9605 GRAND RONDE RD Grand Ronde, OR 97347.

What is the specialty for Carolyn S Fairfax ?


Answer: The Specialty of Carolyn S Fairfax is Family Family Medicine Physician.

Are there any online reviews for Carolyn S Fairfax ?


Answer: Yes! Check It Now.

Are there any other health care providers in Grand Ronde, OR?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Carolyn S Fairfax

Number of HCPCS 70
Number of Medicare Beneficiaries 538
Number of Services 1416
Total Submitted Charge Amount 117011.35
Total Medicare Allowed Amount 52883.41
Total Medicare Payment Amount 42700.77
Total Medicare Standardized Payment Amount 44002.11
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 22
Number of Drug Services 27
Total Drug Submitted Charge Amount 1401.35
Total Drug Medicare Allowed Amount 1296.62
Total Drug Medicare Payment Amount 1294.56
Total Drug Medicare Standardized Payment Amount 1268.72
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 64
Number of Medicare Beneficiaries With Medical 538
Number of Medical Services 1389
Total Medical Submitted Charge Amount 115610
Total Medical Medicare Allowed Amount 51586.79
Total Medical Medicare Payment Amount 41406.21
Total Medical Medicare Standardized Payment Amount 42733.39
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 57
Number of Beneficiaries Age 65 to 74 300
Number of Beneficiaries Age 75 to 84 138
Number of Beneficiaries Age Greater 84 43
Number of Female Beneficiaries 308
Number of Male Beneficiaries 230
Number of Non-Hispanic White Beneficiaries 364
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 11
Number of American Indian/Alaska Native Beneficiaries 151
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 65
Number of Beneficiaries With Medicare Only Entitlement 473
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.02
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.04
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.04
Percent (%) of Beneficiaries Identified With Heart Failure 0.08
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.15
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.07
Percent (%) of Beneficiaries Identified With Depression 0.13
Percent (%) of Beneficiaries Identified With Diabetes 0.21
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.23
Percent (%) of Beneficiaries Identified With Hypertension 0.37
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.14
Percent (%) of Beneficiaries Identified With Osteoporosis 0.04
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.2
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.8677

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1477
Number of Standardized 30-Day Fills 2615.6
Aggregate Cost Paid for All Claims 106073.94
Number of Day's Supply for All Claims 75659
Number of Medicare Beneficiaries 77
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1206
Including Refills, for Beneficiaries Age 65+ 2250
Beneficiaries Age 65+ 89624.64
Number of Day's Supply for All Claims for Beneficaries Age 65+ 65210
Number of Medicare Beneficiaries Age 65+ 61
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 240
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1224
Aggregate Cost Paid for Generic Drugs 21783.74
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 13
Aggregate Cost Paid for Other Drugs 1135.17
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 725
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 30861.43
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 752
Aggregate Cost Paid for Claims Filled by 75212.51
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 993
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 73722.36
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 484
by Low-Income Subsidy 32351.58
Total Claims of Opioid Drugs, Including 32
Aggregate Cost Paid for Opioid Drugs 154.74
Opioid Claims 12
Opioid_Tot_Clms divided by the Tot_Clms 2.1665538253
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 68.701298701
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 41
Number of Beneficiaries Age 75 to 84 17
Number of Female Beneficiaries 54
Number of Male Beneficiaries 23
Number of Non-Hispanic White 47
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 27
Number of Beneficiaries with Race Not
Only Entitlement 36
Average Hierarchical Condition Category 1.1654947417

More Providers in grand-ronde , or

carolyn S fairfax in Other Directories

Provider don't have other directory link yet.