Dr. David Packard, MD
26800 Crown Valley Pkwy, Suite 250, Mission Viejo, CA 92691 • +1-852-555-4132
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Mission Viejo Percentiles
NPI #1558307173 • CBSA Regional • Nephrology
Within the Mission Viejo, CA (CBSA local) Nephrology cohort, Dr. David Packard, MD with sub-specialty concentration in 12 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 14.48th CA percentile (-0.42σ Z-score) based on 1,038 billed procedures for 297 patients.
Procedural volume for Dr. Packard is led by HCPCS 99214 (Chronic Kidney Disease eGFR, uACR & Electrolyte Management — 498 annual services, $201–$276 GPCI cash estimate), followed by CPT 90960 (Monthly Adult ESRD Renal Replacement Oversight, 228/yr) and CPT 99215 (High-Complexity Cardiorenal & Resistant Hypertension Visit, 187/yr).
Cash-pay intake data for NPI 1558307173 (26800 Crown Valley Pkwy, Suite 250, Mission Viejo) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 12-minute average reception wait and 4.78/5 biomarker openness.
NPI registry verification (#1558307173) confirms Dr. David Packard's MD standing serving CBSA 92691 with a 4.79/5 patient scorecard.
Compared against Mission Viejo, CA Nephrology peers
1,038 annual services across 297 beneficiaries
Standard deviations from CA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 498 | 12th | $201 – $276 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 228 | 12th | $403 – $552 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 187 | 12th | $294 – $402 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 125 | 12th | $277 – $379 |
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Dr. David Packard, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Packard National Provider Identifier | NPI #1558307173 (MD) | CMS NPPES Registry (92691) |
| Dr. Packard Mission Viejo CMS Volume Rank | 0.00th Pct (1,038 CMS svcs; Z -0.416σ) | CMS Medicare Part B (CA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mission Viejo, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 12 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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