Geoffrey W Horn
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.


Address: 15630 18th Ave, Clearlake, CA 95422-9336
Phone: 7079946486

Geoffrey W Horn (NPI# 1013117977, PAC ID# 5395875934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1013117977
PAC ID by PECOS 5395875934
Professional Enrollment ID I20110819000170
Full Name Geoffrey W Horn
Organization Legal Name ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
Address 15630 18th Ave
Clearlake
CA 95422-9336
Phone Number 7079946486
Gender M
Graduation Year 2004
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 3072421197
Number of Group Practice Members 14
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
051317 ADVENTIST HEALTH CLEARLAKE
051310 ADVENTIST HEALTH HOWARD MEMORIAL
050301 ADVENTIST HEALTH UKIAH VALLEY

Other Locations

Address Phone Organization
15630 18th Ave, Clearlake, CA 95422-9336 7079946486 ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
275 Hospital Dr, Ukiah, CA 95482-4531 7074623111 UKIAH ADVENTIST HOSPITAL
1 Marcela Dr, Willits, CA 95490-5769 7074596801 WILLITS HOSPITAL INC
3 Marcela Dr, Suite D, Willits, CA 95490-5769 7074594220 WILLITS HOSPITAL INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 91%
MIPS_EC_147_overall Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy 67%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 37%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 96%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%

Organization Information

Organization Legal Name ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
Physicians 14

Physicians with the same organization

Name Specialty Organization Address
David D House Family Medicine Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Hassan Sheikh Moghaddas General Surgery Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Lou Veroljub Ivanovic Cardiovascular Disease (cardiology) Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Jeong S Park Cardiovascular Disease (cardiology) Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Alaina N Fields General Practice Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Marc R Shapiro Internal Medicine Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Whie Oh Cardiovascular Disease (cardiology) Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Corey M Warner Internal Medicine Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Tracy M Hazelton Physician Assistant Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Kevin E Cahill General Surgery Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336

Office Location

Street Address 15630 18TH AVE
City CLEARLAKE
State CA
Zip 95422-9336

Physicians in the same location

Name Specialty Organization Address
John E Rampulla Emergency Medicine Acute Medical Providers Inc 15630 18th Ave, Clearlake, CA 95422-9336
David D House Family Medicine Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
David J Gonzales Family Medicine Rural Physicians Group PC 15630 18th Ave, Clearlake, CA 95422-9336
Dan L Field Emergency Medicine Acute Medical Providers Inc 15630 18th Ave, Clearlake, CA 95422-9336
Robert Howard Ford Ii Certified Registered Nurse Anesthetist (crna) Paramount Anesthesia Associates Inc 15630 18th Ave, Clearlake, CA 95422-9336
Hassan Sheikh Moghaddas General Surgery Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Brian Chang Emergency Medicine Acute Medical Providers Inc 15630 18th Ave, Clearlake, CA 95422-9336
Lou Veroljub Ivanovic Cardiovascular Disease (cardiology) Adventist Health Clearlake Hospital Inc. 15630 18th Ave, Clearlake, CA 95422-9336
Michael Reinberg Emergency Medicine Acute Medical Providers Inc 15630 18th Ave, Clearlake, CA 95422-9336
Jennifer H Dowalter Internal Medicine 15630 18th Ave, Clearlake, CA 95422-9336
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Eric E Kim Internal Medicine 4456 Manzanita Ave, C, Clearlake, CA 95422-7937
Raymond D Jennings Internal Medicine Adventist Health Physicians Network 15230 Lakeshore Dr, Clearlake, CA 95422-8107
Martin Paukert Plastic and Reconstructive Surgery Adventist Health Physicians Network 15230 Lakeshore Dr, Clearlake, CA 95422-8107
Christopher P Lombardo Otolaryngology Adventist Health Physicians Network 15230 Lakeshore Dr, Clearlake, CA 95422-8107
Michael Rudolph Cosenza Podiatry Adventist Health Physicians Network 15230 Lakeshore Dr, Clearlake, CA 95422-8107
Andrew B Chung Ophthalmology Adventist Health Physicians Network 15230 Lakeshore Dr, Clearlake, CA 95422-8107
Ian D Macagy Obstetrics/gynecology Adventist Health Physicians Network 15230 Lakeshore Dr, Clearlake, CA 95422-8107
Jenny L Senff Nurse Practitioner Adventist Health Physicians Network 15230 Lakeshore Dr, Clearlake, CA 95422-8107
Kimberly Fordham Family Practice Adventist Health Physicians Network 15230 Lakeshore Dr, Clearlake, CA 95422-8107
Joanne Rode Physician Assistant 7000 B S Ctr Dr, Unit A, Clearlake, CA 95422-8131
Find all physicians in zip 95422

Competitor

Search similar physicians

City CLEARLAKE
Zip Code 95422
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty CLEARLAKE + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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