Active NPI 1629277454 Individual Practitioner Male Practitioner

Dr. Fabian Delgado , MD

Internal Medicine • Fall River, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Fabian Delgado, MD is a certified Internal Medicine practicing in Fall River, MA. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Delgado delivers high-quality medical care to the local community at 277 PLEASANT STREET.

Dr. Delgado maintains professional affiliations with Aco Health Solutions, Llc, Ideal Healthcare Solutions Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

277 Pleasant Street

Fall River, MA 027223005

Telephone 5086763292

Associated Practice Facility / Clinic

🏢 Prima Care, Pc Facility NPI 1265422596

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -4.4 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

68 Specialists

Practicing in Fall River, MA (7127 Statewide)

Telehealth Adoption Rate

41.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Delgado (24 Years) 24 Yrs

Fall River Specialty Average (28.4 Years) 28.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,134	422	$175.82	$108.80
99306 Initial nursing facility visit, typically 45 minutes per day	398	353	$364.06	$183.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	255	136	$123.95	$74.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	137	34	$139.77	$106.79
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	115	62	$69.19	$64.71
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	76	52	$148.95	$139.22
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	52	38	$52.80	$49.89
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	45	38	$69.19	$51.18
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	40	36	$148.95	$92.17
99497 Advance care planning, first 30 minutes	32	30	$224.14	$76.02
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	31	27	$52.80	$35.61
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	11	$96.68	$74.03
99306 Initial nursing facility visit, typically 45 minutes per day	21	19	$235.77	$179.34
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	18	18	$78.54	$73.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,069	377	$185.08	$111.16
99306 Initial nursing facility visit, typically 45 minutes per day	324	270	$405.97	$188.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	282	46	$142.33	$107.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	111	83	$141.87	$76.03
99306 Initial nursing facility visit, typically 45 minutes per day	41	38	$242.66	$183.96
99497 Advance care planning, first 30 minutes	37	37	$228.24	$77.81
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	26	24	$68.13	$64.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	25	14	$99.31	$75.30
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	22	20	$144.89	$136.15
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	12	12	$305.00	$157.91
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	11	11	$50.88	$48.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,621	472	$260.98	$94.77
99306 Initial nursing facility visit, typically 45 minutes per day	458	396	$426.26	$170.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	244	47	$121.10	$92.27
99497 Advance care planning, first 30 minutes	86	82	$223.67	$80.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	79	54	$197.44	$71.15
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	79	46	$54.10	$53.64
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	55	36	$124.33	$123.78
99306 Initial nursing facility visit, typically 45 minutes per day	51	42	$220.59	$167.05
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	35	33	$352.71	$137.90
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	23	$343.52	$133.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,652	450	$246.04	$96.45
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	576	156	$54.23	$43.68
99306 Initial nursing facility visit, typically 45 minutes per day	502	411	$410.05	$175.56
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	364	101	$50.00	$40.02
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	321	121	$126.08	$99.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	228	35	$121.93	$93.79
99497 Advance care planning, first 30 minutes	99	98	$222.57	$82.13
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	98	37	$59.46	$47.31
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	45	18	$54.43	$33.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	33	15	$181.12	$71.47
99306 Initial nursing facility visit, typically 45 minutes per day	25	20	$221.94	$171.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	23	$71.11	$59.80
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	12	11	$358.00	$139.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,757	500	$238.56	$98.24
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	772	195	$58.04	$45.01
99306 Initial nursing facility visit, typically 45 minutes per day	661	551	$431.27	$179.53
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	552	165	$62.93	$40.46
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	509	179	$130.34	$99.98
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	233	122	$65.10	$48.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	172	82	$182.71	$73.39
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	125	58	$174.61	$96.99
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	72	65	$73.42	$59.37
99497 Advance care planning, first 30 minutes	43	43	$233.31	$83.43
99336 Established patient assisted living visit, typically 40 minutes	43	20	$357.00	$148.24
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	38	23	$57.92	$34.54
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	35	17	$62.93	$29.91
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	21	15	$129.67	$56.04
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	18	14	$57.29	$46.04
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$358.24	$137.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	1,935	409	$129.67	$102.46
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,673	372	$260.46	$97.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,185	190	$259.16	$98.53
99306 Initial nursing facility visit, typically 45 minutes per day	517	426	$474.90	$176.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	196	132	$74.72	$57.32
99306 Initial nursing facility visit, typically 45 minutes per day	118	92	$475.84	$177.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	99	54	$196.84	$73.22
99497 Advance care planning, first 30 minutes	87	83	$292.40	$82.79
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	79	59	$58.07	$44.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	60	31	$199.50	$73.46
99336 Established patient assisted living visit, typically 40 minutes	40	20	$357.00	$147.94
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	35	30	$376.91	$137.27
99316 Nursing facility discharge management, more than 30 minutes	33	31	$298.55	$112.52
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	21	20	$491.00	$202.95
99497 Advance care planning, first 30 minutes	14	12	$292.00	$89.33
99318 Nursing facility annual assessment, typically 30 minutes	13	13	$271.00	$100.86
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	13	$379.92	$145.13
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	11	11	$390.82	$145.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	2,017	419	$129.67	$104.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,689	204	$247.85	$97.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,304	264	$247.53	$96.55
99306 Initial nursing facility visit, typically 45 minutes per day	344	292	$450.23	$175.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	151	58	$189.48	$72.90
99306 Initial nursing facility visit, typically 45 minutes per day	125	88	$453.55	$177.56
99316 Nursing facility discharge management, more than 30 minutes	83	80	$285.40	$112.13
99497 Advance care planning, first 30 minutes	83	76	$276.90	$82.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	74	67	$74.72	$59.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	48	36	$188.69	$73.54
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	44	43	$57.92	$46.38
99337 Established patient assisted living visit, typically 60 minutes	32	21	$259.28	$200.74
99358 Prolonged patient service without direct patient contact first hour	31	19	$150.01	$115.94
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	29	23	$368.31	$144.06
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	27	19	$363.67	$143.47
99318 Nursing facility annual assessment, typically 30 minutes	19	19	$256.74	$100.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,379	188	$236.62	$94.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,269	271	$235.92	$93.13
99306 Initial nursing facility visit, typically 45 minutes per day	384	348	$429.88	$169.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	188	69	$178.69	$70.39
99497 Advance care planning, first 30 minutes	102	98	$266.41	$77.39
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	81	50	$347.88	$139.95
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	64	47	$180.06	$71.27
99306 Initial nursing facility visit, typically 45 minutes per day	50	46	$430.76	$171.49
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	40	31	$347.52	$137.73
99316 Nursing facility discharge management, more than 30 minutes	31	31	$274.97	$107.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	28	$309.00	$106.66

Medical Specialties & State Licenses

CMS Verified: 2023-08-08

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 243137

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License KS 046709

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License RI MD16969

Hospital & Practice Group Affiliations

Ideal Healthcare Solutions Llc

19 Henry St, Sharon, MA 020671714

Phone: 7815620468

Aco Health Solutions, Llc

237 A State Rd, North Dartmouth, MA 027472612

Phone: 5089919188

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Internal Medicine (License #046709 in KS)

✅

NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2016

Registered at 277 PLEASANT STREET, FALL RIVER, MA 027223005 (Tel: 5086763292)

📍

Updated Business Mailing Address February 03, 2016

Registered at 277 PLEASANT STREET, FALL RIVER, MA 027223005 (Tel: 5086763292)

👤

Provider Name / Credentials Updated February 03, 2016

Recorded as FABIAN DELGADO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Internal Medicine (License #243137 in MA)

🟢

Initial NPI Registration & Enumeration July 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629277454

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2007

Last Update: August 08, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

277 Pleasant Street

Fall River, MA 027223005

Phone: 5086763292

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.