NC MSSP Legacy Enhanced
Alex Mullineaux
ACO Primary Contact
202-803-7979
Location
Location

Aledade Duwamish ACO, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
ADVANCE FAMILY AND SPORTS MEDICINE CENTER, PLLC N
ALBEMARLE MEDICAL ASSOCIATES PLLC N
ALEDADE CARE SOLUTIONS OF NORTH CAROLINA PC N
ALFA MEDICAL CLINIC PA N
ALLMED CLINIC PA N
ALPHA MEDICAL CENTER, PA N
ANTHONY MEDICAL CLINIC PA N
ARDMORE FAMILY PRACTICE PA N
ASHEVILLE INTERNAL MEDICINE, P.A. N
ASHEVILLE MEDICINE & PEDIATRICS LTD N
AULANDER MEDICAL PRACTICE PA N
AVANCE CARE PA N
BATISH MEDICAL SERVICES PLLC N
BILTMORE MEDICAL ASSOCIATES PA N
BOILING SPRING LAKES FAMILY MEDICINE PC N
BRIAN CAREY MD PA INC N
BRIE FOLKNER MD PC N
BRUNSWICK FAMILY MEDICINE PA N
BRYAN WECKEL MD FAMILY MEDICINE PLLC N
BURGAW MEDICAL CENTER, P.C. N
CABRAL INTERNAL MEDICINE PLLC N
CAROLINA CLINIC FOR HEALTH AND WELLNESS PA N
CAROLINA FAMILY CARE PA N
CARY MEDICAL CLINIC, PC N
CEDAR CREEK FAMILY MEDICINE PLLC N
CHAD SMOKER MD PC N
CHALLIE MINTON N
CLAUDE LUVIS MD, PA N
CLAY COMPREHENSIVE HEALTH SERVICES INC N
CLIFFORD H MAULT DO P A N
CLINTON MEDICAL CLINIC, INC. N
CLUB HAVEN FAMILY PRACTICE PA N
COASTAL CAROLINA FAMILY PRACTICE PA N
COASTAL CAROLINA INTERNAL MEDICINE PA N
COASTAL INTERNAL MEDICINE, P.A. N
CROWN CLINIC PA N
DENTON HEALTHCARE PLLC N
DESANTIS FAMILY PRACTICE N
DRY RIDGE FAMILY MEDICINE PLLC N
EAST ASHEVILLE FAMILY HEALTH CARE PA N
EASTERN CAROLINA MEDICAL CENTER, PC N
EDWARD BUJOLD N
ELKIN PEDIATRIC & ADULT MEDICINE PA N
EVERGREEN HEALTH PROMOTION,P.A. N
FAMILY CARE ASSOCIATES OF MONTGOMERY COUNTY PA N
FAMILY HEALTHCARE OF LAKE NORMAN PC N
FAMILY MEDICINE ASSOCIATES OF LINCOLN COUNTY PLLC N
FAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC N
FIRST CARE MEDICAL CLINIC N
G&G HEALTHCARE,PC WHITEVILLE N
GASTON FAMILY CARE, P.A. N
GASTON MEDICAL ASSOCIATES PA N
GASTONIA MEDICAL SPECIALTY CLINIC PA N
HART FAMILY PRACTICE PA N
HAZELWOOD FAMILY MEDICINE PLLC N
HIGH COUNTRY FAMILY MEDICINE PA N
HOLLY RIDGE HEALTHCARE PA N
HOPE FAMILY MEDICINE PLLC N
HUDSON PRIMARY CARE PA N
ISLAND FAMILY MEDICINE PLLC N
JAGDISH LAL MD PA N
JAIME E TRUJILLO MD PA N
JAMES J CASERIO MD PA N
JAMES MCGRATH MD, PLLC N
JOSETTE MARIA MD PA N
KAREN L SMITH MD PA N
LEO WARSHAUER N
LEXINGTON FAMILY PHYSICIANS PA N
LIFELINK MEDICAL GROUP PLLC N
LINCOLN INTERNAL MEDICINE PA N
MAGNOLIA FAMILY MEDICINE PC N
MANULI INTERNAL MEDICINE PLLC N
MARSHALL C. MURREY, MD N
MASONBORO URGENT CARE, PC N
MATTHEWS INTERNAL MEDICINE PLLC N
MEDICS PRIMARY AND URGENT CARE PC N
METROLINA INTERNAL MEDICINE PA N
MLP CHURCH MD FAMILY PRACTICE INC N
MORGANTON INTERNAL MEDICINE PA N
MOUNTAIN DOCS FAMILY MEDICINE PA N
NEWTON FAMILY PHYSICIANS PA N
NORTHWEST FAMILY PHYSICIANS PA N
OMNI CLINIC PA N
PHYSICIANS EAST PA N
PIEDMONT ADULT & PEDIATRIC MEDICINE ASSOCIATES PA N
PIEDMONT FAMILY MEDICINE PA N
PROMED HEALTHCARE, PLLC N
RAKESH PATEL MD PLLC N
RIVERDALE FAMILY MEDICINE, PA N
ROWAN DIAGNOSTIC CLINIC PA N
SENSENBRENNER PRIMARY CARE, PLLC N
SHELBY MEDICAL ASSOCIATES PA N
SMOKY MOUNTAIN URGENT CARE PC N
SOUND MEDICAL PA N
STEPHEN MCNEILL N
SWETANG PATEL, MD, PA N
SYLVA FAMILY PRACTICE PA N
THE FAMILY HEALTH CENTERS PA N
TRILLIUM FAMILY MEDICINE PLLC N
UNIFOUR FAMILY PRACTICE PLLC N
VALLEY INTERNAL MEDICINE INC N
VAN L ADAMS MD PLLC N
VIEWMONT INTERNAL MEDICINE PLLC N
WAYNE FAMILY MEDICAL CENTER INC N
WHITEVILLE MEDICAL ASSOCIATES N

Member First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type

Practice Legal Business Name

DAVID ABERNATHY Board Member 0.970873786 ACO Participant Representative

Morganton Internal Medicine PA

HEIDI ADAMS Board Member 0.970873786 ACO Participant Representative

Van L Adams MD PLLC

RUSTAN ADCOCK Board Member 0.970873786 ACO Participant Representative

The Family Health Centers PA

ABHAY AGARWAL Board Member 0.970873786 ACO Participant Representative

Cary Medical Clinic, PC

FOLA AJAO Board Member 0.970873786 ACO Participant Representative

Gaston Medical Associates PA

CHETAN AMIN Board Member 0.970873786 ACO Participant Representative

Piedmont Family Medicine PA

WILLIAM ANTHONY Board Member 0.970873786 ACO Participant Representative

Anthony Medical Clinic PA

ARTHUR APOLINARIO Board Member 0.970873786 ACO Participant Representative

Clinton Medical Clinic, Inc.

FREDERICK ASARE Board Member 0.970873786 ACO Participant Representative

Medics Primary And Urgent Care PC

CLIFTON BAKER Board Member 0.970873786 ACO Participant Representative

Denton Healthcare PLLC

ANUP BANERJEE Board Member 0.970873786 ACO Participant Representative

Gastonia Medical Specialty Clinic PA

SANJAY BATISH Board Member 0.970873786 ACO Participant Representative

Batish Medical Services PLLC

JOSHUA BERNSTEIN Board Member 0.970873786 ACO Participant Representative

Asheville Medicine & Pediatrics LTD

MUHAMMAD BHATTI Board Member 0.970873786 ACO Participant Representative

Wayne Family Medical Center Inc

JAMES BLAIR Board Member 0.970873786 ACO Participant Representative

Island Family Medicine PLLC

ELIZABETH BRADLEY Board Member 0.970873786 ACO Participant Representative

High Country Family Medicine PA

MICHAEL BROWN Board Member 0.970873786 ACO Participant Representative

Hazelwood Family Medicine PLLC

EDWARD BUJOLD Board Member 0.970873786 ACO Participant Representative Edward Bujold
SARA CALDWELL Board Member 0.970873786 ACO Participant Representative

Asheville Internal Medicine, P.A.

BRIAN CAREY Board Member 0.970873786 ACO Participant Representative

Brian Carey MD PA Inc

JAMES CASERIO Jr Board Member 0.970873786 ACO Participant Representative

James J Caserio MD PA

TEJWANT CHANDI Board Member 0.970873786 ACO Participant Representative

Albemarle Medical Associates PLLC

MICHAEL DESANTIS Board Member 0.970873786 ACO Participant Representative

DeSantis Family Practice

DAVID DURALIA Board Member 0.970873786 ACO Participant Representative

Unifour Family Practice PLLC

SEMAAN EL-KHOURY Board Member 0.970873786 ACO Participant Representative

Aulander Medical Practice PA

CLARENCE ELLIS Board Member 0.970873786 ACO Participant Representative

Metrolina Internal Medicine PA

WALTER EZEIGBO Board Member 0.970873786 ACO Participant Representative

Advance Family and Sports Medicine Center, PLLC

BRIE FOLKNER Board Member 0.970873786 ACO Participant Representative

Brie Folkner MD PC

BRENDA FORE Board Member 0.970873786 ACO Participant Representative

East Asheville Family Health Care PA

ROY GALLINGER Board Member 0.970873786 ACO Participant Representative

Sylva Family Practice PA

AYMAN GEBRAIL Board Member 0.970873786 ACO Participant Representative

Coastal Internal Medicine, P.A.

DEEPAK GELOT Board Member 0.970873786 ACO Participant Representative

Carolina Family Care PA

MELVIN GERALD Board Member 0.970873786 ACO Participant Representative

G&G Healthcare, PC Whiteville

NAOMI GREENBERG Board Member 0.970873786 ACO Participant Representative

Evergreen Health Promotion, P.A.

DEVIN GREGORY Board Member 0.970873786 ACO Participant Representative

Coastal Carolina Family Practice PA

RICHARD GUTSIN Board Member 0.970873786 ACO Participant Representative

Magnolia Family Medicine PC

MUHAMMED HANNAN Board Member 0.970873786 ACO Participant Representative

Valley Internal Medicine Inc

ROBERT HART Board Member 0.970873786 ACO Participant Representative

Hart Family Practice PA

TERESA HEAVNER Board Member 0.970873786 ACO Participant Representative

Clay Comprehensive Health Services Inc

KIT HELM Board Member 0.970873786 ACO Participant Representative

Mountain Docs Family Medicine PA

MICHAEL HIRSCH Board Member 0.970873786 ACO Participant Representative

Viewmont Internal Medicine PLLC

DAVID ISMAEL Board Member 0.970873786 ACO Participant Representative

Cabral Internal Medicine PLLC

THOMAS JOLLY Board Member 0.970873786 ACO Participant Representative

Club Haven Family Practice PA

SUSHMA KAPOOR Board Member 0.970873786 ACO Participant Representative

Fayetteville Area Health Education Foundation Inc

ZAKIYA KARIM Board Member 0.970873786 ACO Participant Representative Allmed Clinic PA
ABU KARIM Board Member 0.970873786 ACO Participant Representative

Lifelink Medical Group PLLC

SUSAN KEEN Board Member 0.970873786 ACO Participant Representative

Physicians East PA

GWENDOLYN KNUCKLES Board Member 0.970873786 ACO Participant Representative

Carolina Clinic For Health and Wellness PA

DANIEL KOCH Board Member 0.970873786 ACO Participant Representative

Family Medicine Associates of Lincoln County PLLC

JAGDISH LAL Board Member 0.970873786 ACO Participant Representative

Jagdish Lal MD PA

WILLIAM LARSEN Board Member 0.970873786 ACO Participant Representative

Northwest Family Physicians PA

VIVIAN LEFTWICH Board Member 0.970873786 ACO Participant Representative Challie Minton
CHARMAINE LUVIS Board Member 0.970873786 ACO Participant Representative

Claude Luvis MD, PA

SEAN MALONE Board Member 0.970873786 ACO Participant Representative

Rowan Diagnostic Clinic PA

STEVEN MANULI Board Member 0.970873786 ACO Participant Representative

Manuli Internal Medicine PLLC

JOSETTE MARIA Board Member 0.970873786 ACO Participant Representative

Josette Maria MD PA

CLIFFORD MAULT Board Member 0.970873786 ACO Participant Representative

Clifford H Mault DO P A

RICHARD MCBURNEY Board Member 0.970873786 ACO Participant Representative

Hudson Primary Care PA

JAMES MCGRATH Board Member 0.970873786 ACO Participant Representative

James McGrath MD, PLLC

STEPHEN MCNEILL Board Member 0.970873786 ACO Participant Representative

Trillium Family Medicine PLLC

DAVID MEYER Board Member 0.970873786 ACO Participant Representative

Lincoln Internal Medicine PA

MITCHELL MEYER Board Member 0.970873786 ACO Participant Representative

Masonboro Urgent Care, PC

RUFFIN MORGAN Board Member 0.970873786 ACO Participant Representative

Lexington Family Physicians PA

ALEX MULLINEAUX Board Member/Chair 0.970873786 Other Aledade
MARSHALL MURREY Board Member 0.970873786 ACO Participant Representative

Marshall C. Murrey, MD

TED NIFONG Board Member 0.970873786 ACO Participant Representative

Cedar Creek Family Medicine PLLC

FRANCIS OBENG Board Member 0.970873786 ACO Participant Representative

Alfa Medical Clinic PA

BEVERLY OJEBUOBOH Board Member 0.970873786 ACO Participant Representative Omni Clinic PA
BABATUNDE OJO Board Member 0.970873786 ACO Participant Representative

Alpha Medical Center, PA

BENEDICT OKWARA Board Member 0.970873786 ACO Participant Representative

First Care Medical Clinic

OBINNA ORIAKU Board Member 0.970873786 ACO Participant Representative Crown Clinic PA
MARY PARKER Board Member 0.970873786 ACO Participant Representative

MLP Church MD Family Practice Inc

RAKESH PATEL Board Member 0.970873786 ACO Participant Representative

Rakesh Patel MD PLLC

SWETANG PATEL Board Member 0.970873786 ACO Participant Representative

Swetang Patel, MD, PA

JAMES PRIDGEN Board Member 0.970873786 ACO Participant Representative

Holly Ridge Healthcare PA

MOSTAFA REZK Board Member 0.970873786 ACO Participant Representative

Burgaw Medical Center, P.C.

MICHAEL RIBADENEYRA Board Member 0.970873786 ACO Participant Representative

Shelby Medical Associates PA

JOHN RICKABAUGH Board Member 0.970873786 ACO Participant Representative

Sound Medical PA

JOSE ROS Board Member 0.970873786 ACO Participant Representative

Coastal Carolina Internal Medicine PA

ROBERT ROSEN Board Member 0.970873786 ACO Participant Representative

Ardmore Family Practice PA

EUGENE SANGMUAH Board Member 0.970873786 ACO Participant Representative

Matthews Internal Medicine PLLC

JOHN SCHEITLER Board Member 0.970873786 ACO Participant Representative

Piedmont Adult & Pediatric Medicine Associates PA

GARY SCHENK Board Member 0.970873786 ACO Participant Representative

Gaston Family Care, P.A.

MILLIE SCRONCE Board Member/Medicare Beneficiary Representative 0.970873786 Medicare Beneficiary Representative

Newton Family Physicians PA

JOHN SENSENBRENNER Board Member 0.970873786 ACO Participant Representative

Sensenbrenner Primary Care, PLLC

DANIEL SEWARD Board Member 0.970873786 ACO Participant Representative

Promed Healthcare, PLLC

CHARLES SIMS Board Member 0.970873786 ACO Participant Representative

Biltmore Medical Associates PA

KAREN SMITH Board Member 0.970873786 ACO Participant Representative

Karen L Smith MD PA

CHAD SMOKER Board Member 0.970873786 ACO Participant Representative

Chad Smoker MD PC

AMANDA STEVENTON Board Member 0.970873786 ACO Participant Representative Avance Care PA
ALAN STORY Board Member/ACO Medical Director/Compliance Committee Lead 0.970873786 ACO Participant Representative

Newton Family Physicians PA

SLADE SUCHECKI Board Member 0.970873786 ACO Participant Representative

Brunswick Family Medicine PA

HENRY TRAYLOR Board Member 0.970873786 ACO Participant Representative

G&G Healthcare,PC Whiteville

ILENE TRUJILLO Board Member 0.970873786 ACO Participant Representative

Jaime E Trujillo MD PA

JOHN TUCKER Board Member 0.970873786 ACO Participant Representative

Smoky Mountain Urgent Care PC

PANKAJ VYAS Board Member 0.970873786 ACO Participant Representative

Eastern Carolina Medical Center, PC

STEPHEN WALKER Board Member 0.970873786 ACO Participant Representative

Elkin Pediatric & Adult Medicine PA

LEO WARSHAUER Board Member 0.970873786 ACO Participant Representative Leo Warshauer
BRYAN WECKEL Board Member 0.970873786 ACO Participant Representative

Bryan Weckel MD Family Medicine PLLC

LINDA WINEGARDNER Board Member 0.970873786 ACO Participant Representative

Family Healthcare Of Lake Norman PC

KAREN WOOD Board Member 0.970873786 ACO Participant Representative

Boiling Spring Lakes Family Medicine PC

JOHN WOODYEAR Board Member 0.970873786 ACO Participant Representative

Family Care Associates of Montgomery County PA

MARIE ZALDIVAR Board Member 0.970873786 ACO Participant Representative

Riverdale Family Medicine, PA

  • ACO Executive: Alex Mullineaux
  • Medical Director: Alan Story
  • Compliance Officer: Amy Youtz
  • Quality Improvement / Assurance Officer: Emily Maxson
  • Committee Name Committee Leader Name and Position
    Compliance Committee

    Alan Story / Compliance Committee Leader

  • Networks of individual practices of ACO professionals

First Agreement Period

  • Performance Year 2021, $12,097,154
  • Performance Year 2020, $7,405,658
  • Performance Year 2019, $0

First Agreement Period

  • Performance Year 2021
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2019
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 0%
2021 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS:
Measure #
Measure Name
Rate
ACO Mean
Measure #: 1
Diabetes: Hemoglobin A1c (HbA1c) Poor Control2
7.57
12.46
Measure #: 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
72.28
74.38
Measure #: 236
Controlling High Blood Pressure
73.27
74.87
Measure #: 318
Falls: Screening for Future Fall Risk
85.49
87.03
Measure #: 110
Preventative Care and Screening: Influenza Immunization
81.38
80.52
Measure #: 226
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
88.24
80.97
Measure #: 113
Colorectal Cancer Screening
76.97
73.63
Measure #: 112
Breast Cancer Screening
79.55
75.11
Measure #: 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88.56
84.24
Measure #: 321
CAHPS for MIPS3
N/A
N/A
Measure #: 479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2
0.1502
0.1540
Measure #: MCC1
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2
30.25
33.94
CAHPS-1
Getting Timely Care, Appointments, and Information
86.50
84.67
CAHPS-2
How Well Providers Communicate
92.32
93.56
CAHPS-3
Patient’s Rating of Provider
91.24
92.19
CAHPS-4
Access to Specialists
80.34
78.80
CAHPS-5
Health Promotion and Education
63.21
61.61
CAHPS-6
Shared Decision Making
60.65
60.89
CAHPS-7
Health Status and Functional Status
71.93
71.78
CAHPS-8
Care Coordination
85.09
85.66
CAHPS-9
Courteous and Helpful Office Staff
92.91
91.88
CAHPS-11
Stewardship of Patient Resources
26.81
24.71

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

 

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov 

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver: N/A

Waiver for Payment for Telehealth Services: N/A

Fraud and Abuse Waivers

ACO Pre-Participation Waiver::  N/A

 

ACO Participation Waiver: N/A