Tanner Cavanaugh

Home > Tanner Cavanaugh

NPI Number Detailed Information

Provider Information:

Name:	Tanner Cavanaugh
Gender:	M
Provider License Number If Given:	74381

NPI Information:

NPI:	1811394976
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/4/2014
Last Update Date:	5/17/2021

Provider Business Mailing Address:

Address:	PO BOX 130 Owyhee, NV 89832
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address:	3105 MCHENRY AVE STE 101 Modesto, CA 95350
Phone Number:	2095752700
Fax Number:

Provider Taxonomy:

Primary:	146N00000X
Secondary (if any):	363AM0700X
State:	CA

Top Doctors in CA

About Tanner Cavanaugh

Tanner Cavanaugh ( TANNER CAVANAUGH ) is A Emergency Medical Technician, Basic Physician in Modesto, CA. The NPI Number for Tanner Cavanaugh is 1811394976.

The current location address for Tanner Cavanaugh is 3105 MCHENRY AVE STE 101 Modesto, CA 95350 and the contact number is and fax number is . The mailing address for Tanner Cavanaugh is PO BOX 130 Owyhee, NV 89832- 2095752700 (mailing address contact number - ).

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Provider Business Location on Map

FAQs:

What is the NPI Number for Tanner Cavanaugh ?

Answer: The NPI Number for Tanner Cavanaugh is 1811394976

Where is Tanner Cavanaugh located?

Answer: Tanner Cavanaugh is located at 3105 MCHENRY AVE STE 101 Modesto, CA 95350.

What is the specialty for Tanner Cavanaugh ?

Answer: The Specialty of Tanner Cavanaugh is A Emergency Medical Technician, Basic Physician.

Are there any online reviews for Tanner Cavanaugh ?

Answer: Not yet!

Are there any other health care providers in Modesto, CA?

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 Tanner Cavanaugh

Number of HCPCS	62
Number of Medicare Beneficiaries	267
Number of Services	2079
Total Submitted Charge Amount	502746.46
Total Medicare Allowed Amount	160310.45
Total Medicare Payment Amount	126759.99
Total Medicare Standardized Payment Amount	119792.68
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	1
Number of Medicare Beneficiaries With Drug Services	16
Number of Drug Services	40
Total Drug Submitted Charge Amount	121.54
Total Drug Medicare Allowed Amount	48.65
Total Drug Medicare Payment Amount	38.84
Total Drug Medicare Standardized Payment Amount	38.04
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	61
Number of Medicare Beneficiaries With Medical	267
Number of Medical Services	2039
Total Medical Submitted Charge Amount	502624.92
Total Medical Medicare Allowed Amount	160261.8
Total Medical Medicare Payment Amount	126721.15
Total Medical Medicare Standardized Payment Amount	119754.64
Average Age of Beneficiaries	71
Number of Beneficiaries Age Less 65	42
Number of Beneficiaries Age 65 to 74	134
Number of Beneficiaries Age 75 to 84	73
Number of Beneficiaries Age Greater 84	18
Number of Female Beneficiaries	121
Number of Male Beneficiaries	146
Number of Non-Hispanic White Beneficiaries	222
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	27
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	89
Number of Beneficiaries With Medicare Only Entitlement	178
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.07
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.07
Percent (%) of Beneficiaries Identified With Asthma	0.06
Percent (%) of Beneficiaries Identified With Cancer	0.09
Percent (%) of Beneficiaries Identified With Heart Failure	0.09
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.27
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.09
Percent (%) of Beneficiaries Identified With Depression	0.19
Percent (%) of Beneficiaries Identified With Diabetes	0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.56
Percent (%) of Beneficiaries Identified With Hypertension	0.58
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.26
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.04
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0878

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	Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	744
Number of Standardized 30-Day Fills	756.5
Aggregate Cost Paid for All Claims	123750.08
Number of Day's Supply for All Claims	16551
Number of Medicare Beneficiaries	241
Number of Claims, Including Refills, for Beneficiaries Age 65+	538
Including Refills, for Beneficiaries Age 65+	550.16666667
Beneficiaries Age 65+	96259.45
Number of Day's Supply for All Claims for Beneficaries Age 65+	12067
Number of Medicare Beneficiaries Age 65+	200
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	46
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	698
Aggregate Cost Paid for Generic Drugs	30438.81
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	296
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	17086.35
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	448
Aggregate Cost Paid for Claims Filled by	106663.73
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	416
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	106876.2
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	328
by Low-Income Subsidy	16873.88
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
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
Total Claims of Antibiotic Drugs, Including	61
Aggregate Cost Paid for Antibiotic Drugs	706.27
Antibiotic Claims	43
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	71.190871369
Number of Beneficiaries Age Less Than 65	41
Number of Beneficiaries Age 65 to 74	113
Number of Beneficiaries Age 75 to 84	68
Number of Female Beneficiaries	114
Number of Male Beneficiaries	127
Number of Non-Hispanic White	179
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	46
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	161
Average Hierarchical Condition Category	1.1943078746

More Providers in Modesto , CA

Brandon L Tullis
Podiatrist
NPI Number: 1568410348
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Kenneth C Hua
Internal Medicine Physician
NPI Number: 1609824382
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Rodolfo Ventura Agbunag
Vascular Surgery Physician
NPI Number: 1316995111
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504788

Bettina P Harner
Neurological Surgery Physician
NPI Number: 1043268857
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Tomasz D Gutowski
Surgery Physician
NPI Number: 1710935127
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504788

Gregory Tyrone Page
Anesthesiology Physician
NPI Number: 1356399760
Address: 1421 OAKDALE RD STANISLAUS SURGICAL HOSPITAL Modesto, CA 95355 , Phone: 2095722700

Youhana T Jacobs
Internal Medicine Physician
NPI Number: 1396793717
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Randy A Fralick
Diagnostic Radiology Physician
NPI Number: 1194773523
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Manjit Singh Dhillon
Critical Care Medicine (Internal Medicine) Physician
NPI Number: 1487602819
Address: 700 17TH ST Modesto, CA 95354 , Phone: 2095226100

William J Huckaby
Psychologist
NPI Number: 1841248283
Address: 500 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Andrew P Ho
Hospitalist Physician
NPI Number: 1518915859
Address: 200 E HACKETT RD Modesto, CA 95358 , Phone: 2096392970

Kevin Tae Il Whang
Body Imaging Physician
NPI Number: 1063460301
Address: 1524 MCHENRY AVE Modesto, CA 95350 , Phone: 2095774444

Gaspar M Nazareno
Gastroenterology Physician
NPI Number: 1326096603
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504750

Denise Wofford
Medical Physician Assistant
NPI Number: 1265480768
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095241211

Michael R. Klieger
Diagnostic Radiology Physician
NPI Number: 1114975588
Address: 1524 MCHENRY AVE SUITE 100 Modesto, CA 95350 , Phone: 2095716622

Michael B Purnell
Orthopaedic Surgery Physician
NPI Number: 1982652459
Address: 1335 COFFEE RD #100 Modesto, CA 95355 , Phone: 2095244438

Pamela Ann Cushenberry Starks
Family Medicine Physician
NPI Number: 1801844105
Address: 3612 DALE RD Modesto, CA 95356 , Phone: 2095220146

John A Latham
Ophthalmology Physician
NPI Number: 1952359259
Address: 1011 SYLVAN AVE SUITE # C Modesto, CA 95350 , Phone: 2095504780

William J Holmes
Orthopaedic Surgery Physician
NPI Number: 1629026141
Address: 1335 COFFEE RD #100 Modesto, CA 95355 , Phone: 2095244438

Paul J Braaton
Orthopaedic Surgery Physician
NPI Number: 1538117056
Address: 1335 COFFEE ROAD SUITE 100 Modesto, CA 95355 , Phone: 2095244438

David Y Li
Diagnostic Radiology Physician
NPI Number: 1114975646
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Deborah A Shassetz
Pediatrics Physician
NPI Number: 1780632091
Address: 1144 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Amar L. Pohwani
Advanced Heart Failure and Transplant Cardiology Physician
NPI Number: 1689622995
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504570

Mark J. Madsen
Physician Assistant
NPI Number: 1407805757
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504725

Thomas A. Kraft
Medical Physician Assistant
NPI Number: 1306895651
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504720

Kenneth W Mak
Otolaryngology Physician
NPI Number: 1427007798
Address: 1541 FLORIDA AVE 301 Modesto, CA 95350 , Phone: 2095773388

Jungjin H. Lee
Internal Medicine Physician
NPI Number: 1972552248
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

James Gareth Misslbeck
Emergency Medical Services (Emergency Medicine) Physician
NPI Number: 1114976131
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Henry A. Saalwaechter
Internal Medicine Physician
NPI Number: 1639128721
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Mari K. Rossini
Nurse Practitioner
NPI Number: 1770532871
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504750

Gustavo M Galeano
Family Medicine Physician
NPI Number: 1033168604
Address: 3612 DALE RD Modesto, CA 95356 , Phone: 2095220146

Ross B Redding
Optometrist
NPI Number: 1477502342
Address: 1011 SYLVAN AVE SUITE C Modesto, CA 95350 , Phone: 2095504780

Carl R Sufit
Emergency Medical Services (Emergency Medicine) Physician
NPI Number: 1295784171
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

M Nicole Belissary
Family Medicine Physician
NPI Number: 1174572986
Address: 3612 DALE RD Modesto, CA 95356 , Phone: 2095241211

Dr. Gervacio D Diaz III
Internal Medicine Physician
NPI Number: 1700835451
Address: 2013 COFFEE RD Modesto, CA 95355 , Phone: 2095298506

Roy D Snable
Pediatric Radiology Physician
NPI Number: 1649229451
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Clifford K. Endo
Podiatrist
NPI Number: 1841240256
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Robert J Altman
Obstetrics & Gynecology Physician
NPI Number: 1447200860
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504788

Rodger Seth Wine
Anesthesiology Physician
NPI Number: 1851341176
Address: 1700 COFFEE RD Modesto, CA 95355 , Phone: 2095264500

Timothy A Davis
Surgery Physician
NPI Number: 1114976594
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504788

William W Whang
Orthopaedic Surgery Physician
NPI Number: 1790734192
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504725

Ronald D. Jensen
Podiatrist
NPI Number: 1003866344
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Jon E Pont
Obstetrics & Gynecology Physician
NPI Number: 1912957259
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504720

David A Peterson
Family Medicine Physician
NPI Number: 1336199678
Address: 3612 DALE RD Modesto, CA 95356 , Phone: 2095220146

Salahuddin S Bibi
Infectious Disease Physician
NPI Number: 1952350365
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Todd C Smith
Orthopaedic Surgery Physician
NPI Number: 1104875517
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504725

Brian W Wistow
Body Imaging Physician
NPI Number: 1437109709
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Peter Y.T. Lai
Internal Medicine Physician
NPI Number: 1184674459
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504750

Stephen N Turitzin
Internal Medicine Physician
NPI Number: 1821047382
Address: 600 COFFEE RD Modesto, CA 95355 , Phone: 2095241211

Charles C Tsai
Cardiovascular Disease Physician
NPI Number: 1609825082
Address: 1409 E BRIGGSMORE AVE Modesto, CA 95355 , Phone: 2095504750