MARK S FRALEY, D.O.,P.C. Review

Get our detailed analysis and review of CMS data for MARK S FRALEY, D.O.,P.C..

Data is as of March 07, 2024.

  The Most Important Data about MARK S FRALEY, D.O.,P.C.

In the briefest summary, MARK S FRALEY, D.O.,P.C. is a medical group with 6 professionals providing medical services at 1 locations. They cover 3 specialties.MARK S FRALEY, D.O.,P.C. is affiliated with 2 hospitals

National Provider Number (NPI):

4486635083

   What is this page all about?

The Centers for Medicare & Medicaid Services ("CMS") compiles and distributes more than 17 tables of data on medical professionals on a sporadic basis. Some of the tables contain more than a million records which makes it very difficult to manage them. There is a lot of information to pour through when trying to understand MARK S FRALEY, D.O.,P.C.. Luckily, we are here to help! I’ve put together this page to help you to get a better idea of what the MARK S FRALEY, D.O.,P.C. does, their affiliations and much more. (If you want to jump to a specific section of the review, here are the section headers: Ratings, Specialities Covered, Office Locations, Affiliations, and Other Physician Groups.)

   Specialties Covered by MARK S FRALEY, D.O.,P.C.

MARK S FRALEY, D.O.,P.C. includes medical professionals from 3 specialties

Specialty Number
NURSE PRACTITIONER 4
PHYSICIAN ASSISTANT 1
FAMILY PRACTICE 1

   Ratings for MARK S FRALEY, D.O.,P.C.

When it comes to healthcare, patients want the best possible care and experience. Figuring this out and boiling it down to a few measures, can be difficult. The information below shows our best analysis. We review all of the the data from CMS. The information below summarizes the results of the most recent annual survey of health care providers called the Consumer Assessment of Healthcare Providers and Systems or "CAHPS" as well as data used for the calculation of the Merit-Based Incentive Payment System ("MIPS"). The most recent data for both of these datasets is calendar year 2021. According to the CMS website, the 2022 survey data is being finalized but they have not indicated when it will be publicly available.

CAHPS Survey Results

There is no information about the overall patient rating for MARK S FRALEY, D.O.,P.C..

MIPS Measures

Measure Percent Compliance
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment 1%
Advance Care Planning Yes
Anti-Depressant Medication Management 94%
Anti-Depressant Medication Management 99%
Anticoagulant Management Improvements Yes
Appropriate Testing for Pharyngitis 3%
Appropriate Treatment for Upper Respiratory Infection (URI) 97%
Breast Cancer Screening 32%
CDC Training on CDC's Guideline for Prescribing Opioids for Chronic Pain Yes
Care coordination agreements that promote improvements in patient tracking across settings Yes
Care transition documentation practice improvements Yes
Cervical Cancer Screening 24%
Chlamydia Screening for Women 16%
Chronic Care and Preventative Care Management for Empaneled Patients Yes
Clinical Data Registry Reporting Exclusion Yes
Colorectal Cancer Screening 54%
Communication of Unscheduled Visit for Adverse Drug Event and Nature of Event Yes
Comprehensive Eye Exams Yes
Consultation of the Prescription Drug Monitoring Program Yes
Controlling High Blood Pressure 76%
Cost Display for Laboratory and Radiographic Orders Yes
Depression screening Yes
Diabetes screening Yes
Diabetes: Eye Exam 43%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 24%
Diabetes: Medical Attention for Nephropathy 92%
Documentation of Current Medications in the Medical Record 100%
Drug Cost Transparency Yes
Electronic submission of Patient Centered Medical Home accreditation Yes
Engagement of Patients, Family, and Caregivers in Developing a Plan of Care Yes
Engagement of patients through implementation of improvements in patient portal Yes
Falls: Screening for Future Fall Risk 65%
Financial Navigation Program Yes
Glycemic Referring Services Yes
Glycemic Screening Services Yes
Glycemic management services Yes
Health Information Exchange(HIE) Bi-Directional Exchange Yes
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop Yes
Implementation of condition-specific chronic disease self-management support programs Yes
Implementation of documentation improvements for practice/process improvements Yes
Implementation of episodic care management practice improvements Yes
Implementation of fall screening and assessment programs Yes
Implementation of formal quality improvement methods, practice changes, or other practice improvement processes Yes
Implementation of improvements that contribute to more timely communication of test results Yes
Implementation of medication management practice improvements Yes
Implementation of practices/processes for developing regular individual care plans Yes
Improved Practices that Engage Patients Pre-Visit Yes
Integration of patient coaching practices between visits Yes
Invasive Procedure or Surgery Anticoagulation Medication Management Yes
MDD prevention and treatment interventions Yes
ONC Direct Review Attestation Yes
ONC-ACB Surveillance Attestation Yes
PSH Care Coordination Yes
Participation in CAHPS or other supplemental questionnaire Yes
Participation in a QCDR, that promotes use of patient engagement tools. Yes
Patient Medication Risk Education Yes
Patient Navigator Program Yes
Pneumococcal Vaccination Status for Older Adults 75%
Practice Improvements for Bilateral Exchange of Patient Information Yes
Practice Improvements that Engage Community Resources to Support Patient Health Goals Yes
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 98%
Preventive Care and Screening: Influenza Immunization 29%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 49%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 42%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98%
Primary Care Physician and Behavioral Health Bilateral Electronic Exchange of Information for Shared Patients Yes
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists 1%
Promote Use of Patient-Reported Outcome Tools Yes
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record Yes
Provide Education Opportunities for New Clinicians Yes
Provide Patients Electronic Access to Their Health Information 57%
Public Health Registry Reporting Exclusion Yes
Query of the Prescription Drug Monitoring Program (PDMP) Yes
Regular Review Practices in Place on Targeted Patient Population Needs Yes
Security Risk Analysis Yes
Tobacco use Yes
Tracking of clinicians relationship to and responsibility for a patient by reporting MACRA patient relationship codes. Yes
Unhealthy Alcohol Use for Patients with Co-occurring Conditions of Mental Health and Substance Abuse and Ambulatory Care Patients Yes
Use of CDC Guideline for Clinical Decision Support to Prescribe Opioids for Chronic Pain via Clinical Decision Support Yes
Use of High-Risk Medications in Older Adults 0%
Use of Patient Safety Tools Yes
Use of certified EHR to capture patient reported outcomes Yes
Use of decision support and standardized treatment protocols Yes
Use of telehealth services that expand practice access Yes
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 6%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents 51%
e-Prescribing 92%

   MARK S FRALEY, D.O.,P.C. Office Locations

2141 ACADEMY CIR, COLORADO SPRINGS, CO 80909 Map
( 719-597-4200)
CYNTHIA BURDICK
NURSE PRACTITIONER
MIHAELA FARLEY
NURSE PRACTITIONER
KRISTIN FOX
PHYSICIAN ASSISTANT
MARK FRALEY
FAMILY PRACTICE
MARIA-ANN HOLUBOWICZ
NURSE PRACTITIONER
TAYLOR SENKO
NURSE PRACTITIONER

   Hospitals Affiliated with MARK S FRALEY, D.O.,P.C.

MARK S FRALEY, D.O.,P.C. professionals work with these hospitals:

   Other Physician Groups

This is a list of other physician groups that service the same geographic area. If you are not satisfied with your current doctor or group of doctors, these may be worth considering.