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

First Name Last Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type Practice Legal Business Name
DAVID ABERNATHY Board Member 1 ACO Participant Representative Morganton Internal Medicine
HEIDI ADAMS Board Member 1 ACO Participant Representative Carolina Internal Medicine and Pediatrics
RUSTAN ADCOCK Board Member 1 ACO Participant Representative The Family Health Centers
ABHAY AGARWAL Board Member 1 ACO Participant Representative Cary Medical Clinic
FOLA AJAO Board Member 1 ACO Participant Representative Gaston Medical Associates
CHETAN AMIN Board Member 1 ACO Participant Representative Piedmont Family Medicine
WILLIAM ANTHONY Board Member 1 ACO Participant Representative Anthony Medical Clinic
ARTHUR APOLINARIO Board Member 1 ACO Participant Representative Clinton Medical Clinic Inc
FREDERICK ASARE Board Member 1 ACO Participant Representative Medics Primary And Urgent Care Pc
CLIFTON BAKER Board Member 1 ACO Participant Representative Denton Healthcare PLLC
ANUP BANERJEE Board Member 1 ACO Participant Representative Gastonia Medical Specialty Clinic PA
SANJAY BATISH Board Member 1 ACO Participant Representative Batish Family Medicine
JOSHUA BERNSTEIN Board Member 1 ACO Participant Representative Asheville Medicine & Pediatrics LTD
MUHAMMAD BHATTI Board Member 1 ACO Participant Representative Wayne Family Medical Center Inc
JAMES BLAIR Board Member 1 ACO Participant Representative Island Family Medicine
ELIZABETH BRADLEY Board Member 1 ACO Participant Representative High Country Family Medicine
MICHAEL BROWN Board Member 1 ACO Participant Representative Hazelwood Family Medicine
EDWARD BUJOLD Board Member 1 ACO Participant Representative Granite Falls Family Medical Center
SARA CALDWELL Board Member 1 ACO Participant Representative Asheville Internal Medicine
BRIAN CAREY Board Member 1 ACO Participant Representative Tryon Family Practice - Brian Carey MD
JAMES CASERIO Jr Board Member 1 ACO Participant Representative James Joseph Caserio Jr MD PA
TEJWANT CHANDI Board Member 1 ACO Participant Representative Albemarle Medical Associates Pllc
MICHAEL DESANTIS Board Member 1 ACO Participant Representative DeSantis Family Practice
DAVID DURALIA Board Member 1 ACO Participant Representative Unifour Family Practice
SEMAAN EL-KHOURY Board Member 1 ACO Participant Representative Aulander Medical Practice
CYNTHIA ELLIS Board Member 1 ACO Participant Representative G & G Healthcare
CLARENCE ELLIS Board Member 1 ACO Participant Representative Metrolina Internal Medicine PA
WALTER EZEIGBO Board Member 1 ACO Participant Representative Advance Family and Sports Medicine Center
BRIE FOLKNER Board Member 1 ACO Participant Representative Brie Folkner MD PC
BRENDA FORE Board Member 1 ACO Participant Representative FNP-BC East Asheville Family Health Care
ROY GALLINGER Board Member 1 ACO Participant Representative Sylva Family Practice
AYMAN GEBRAIL Board Member 1 ACO Participant Representative Coastal Internal Medicine Pa
DEEPAK GELOT Board Member 1 ACO Participant Representative Carolina Family Care
NAOMI GREENBERG Board Member 1 ACO Participant Representative Evergreen Health Promotion
DEVIN GREGORY Board Member 1 ACO Participant Representative Coastal Carolina Family Practice
RICHARD GUTSIN Board Member 1 ACO Participant Representative Magnolia Family Medicine
MUHAMMED HANNAN Board Member 1 ACO Participant Representative Valley Internal Medicine
ROBERT HART Board Member 1 ACO Participant Representative Hart Family Practice
TERESA HEAVNER Board Member 1 ACO Participant Representative Chatuge Family Practice
KIT HELM Board Member 1 ACO Participant Representative Mountain Docs Family Medicine
MICHAEL HIRSCH Board Member 1 ACO Participant Representative Viewmont Internal Medicine
DAVID ISMAEL Board Member 1 ACO Participant Representative Cabral Cabral Internal Medicine Pllc
THOMAS JOLLY Board Member 1 ACO Participant Representative Club Haven Family Practice
SUSHMA KAPOOR Board Member 1 ACO Participant Representative

Southern Regional Area Health Education Center

ZAKIYA KARIM Board Member 1 ACO Participant Representative Allmed Clinic Pa
ABU KARIM Board Member 1 ACO Participant Representative Lifelink Medical Group PLLC
SUSAN KEEN Board Member 1 ACO Participant Representative Physicians East PA
GWENDOLYN KNUCKLES Board Member 1 ACO Participant Representative Carolina Clinic For Health and Wellness
WILLIAM LARSEN Board Member 1 ACO Participant Representative Northwest Family Physicians
VIVIAN LEFTWICH Board Member 1 ACO Participant Representative Challie Minton M.D.
CHARMAINE LUVIS Board Member 1 ACO Participant Representative Claude Luvis Md Pa
SEAN MALONE Board Member 1 ACO Participant Representative Rowan Diagnostic Clinic PA
STEVEN MANULI Board Member 1 ACO Participant Representative Manuli Internal Medicine Pllc
JOSETTE MARIA Board Member 1 ACO Participant Representative Maria Medical Center
CLIFFORD MAULT Board Member 1 ACO Participant Representative Clifford Mault DO
RICHARD MCBURNEY Board Member 1 ACO Participant Representative Hudson Primary Care
JAMES MCGRATH Board Member 1 ACO Participant Representative James McGrath MD
STEPHEN MCNEILL Board Member 1 ACO Participant Representative Trillium Family Medicine
DAVID MEYER Board Member 1 ACO Participant Representative Lincoln Internal Medicine PA
MITCHELL MEYER Board Member 1 ACO Participant Representative Masonboro Urgent Care
RUFFIN MORGAN Board Member 1 ACO Participant Representative Lexington Family Physicians
ALEX MULLINEAUX Board Member/Chair 1 Other Aledade
MARSHALL MURREY Board Member 1 ACO Participant Representative Greenway Medical Associates
TED NIFONG Board Member 1 ACO Participant Representative Cedar Creek Family Medicine
FRANCIS OBENG Board Member 1 ACO Participant Representative Alfa Medical Clinic PA
BEVERLY OJEBUOBOH Board Member 1 ACO Participant Representative Omni Clinic Pa
BABATUNDE OJO Board Member 1 ACO Participant Representative Alpha Medical Center
BENEDICT OKWARA Board Member 1 ACO Participant Representative First Care Medical Clinic
OBINNA ORIAKU Board Member 1 ACO Participant Representative Crown Clinic
MARY PARKER Board Member 1 ACO Participant Representative Church Mlp Church Md Family Practice Inc
RAKESH PATEL Board Member 1 ACO Participant Representative Rakesh Patel MD PLLC
SWETANG PATEL Board Member 1 ACO Participant Representative Swetang Patel MD PA
JAMES PRIDGEN Board Member 1 ACO Participant Representative Holly Ridge Healthcare
MOSTAFA REZK Board Member 1 ACO Participant Representative Burgaw Medical Center
MICHAEL RIBADENEYRA Board Member 1 ACO Participant Representative Shelby Medical Associates PA
JOHN RICKABAUGH Board Member 1 ACO Participant Representative Sound Medical Family Practice
JOSE ROS Board Member 1 ACO Participant Representative Coastal Carolina Internal Medicine
ROBERT ROSEN Board Member 1 ACO Participant Representative Ardmore Family Practice
EUGENE SANGMUAH Board Member 1 ACO Participant Representative Matthews Internal Medicine PLLC
JOHN SCHEITLER Board Member 1 ACO Participant Representative

Piedmont Adult and Pediatric Medicine Associates

GARY SCHENK Board Member 1 ACO Participant Representative Gaston Family Care P.A.
MILLIE SCRONCE Board Member/Medicare Beneficiary Representative 1 Medicare Beneficiary Representative Newton Family Physicians
JOHN SENSENBRENNER Board Member 1 ACO Participant Representative Sensenbrenner Primary Care
DANIEL SEWARD Board Member 1 ACO Participant Representative Promed Healthcare PLLC
CHARLES SIMS Board Member 1 ACO Participant Representative Biltmore Medical Associates
KAREN SMITH Board Member 1 ACO Participant Representative Karen Smith MD
CHAD SMOKER Board Member 1 ACO Participant Representative Chad Smoker MD PC
AMANDA STEVENTON Board Member 1 ACO Participant Representative Avance Care
ALAN STORY Board Member/ACO Medical Director/Compliance Committee Lead 1 ACO Participant Representative Newton Family Physicians
SLADE SUCHECKI Board Member 1 ACO Participant Representative Brunswick Family Medicine Pa
HENRY TRAYLOR Board Member 1 ACO Participant Representative Whiteville Medical Associates
ILENE TRUJILLO Board Member 1 ACO Participant Representative The Salem Center
JOHN TUCKER Board Member 1 ACO Participant Representative

Smoky Mountain Urgent Care and Family Medicine Center

PANKAJ VYAS Board Member 1 ACO Participant Representative Eastern Carolina Medical Center
STEPHEN WALKER Board Member 1 ACO Participant Representative Elkin Pediatric And Adult Medicine
LEO WARSHAUER Board Member 1 ACO Participant Representative Leo Victor Warshauer MD
BRYAN WECKEL Board Member 1 ACO Participant Representative Bryan Weckel Md Family Medicine Pllc
FELICIA WILLIAMS Board Member 1 ACO Participant Representative Rayconda Internal Medicine
LINDA WINEGARDNER Board Member 1 ACO Participant Representative Family Healthcare Of Lake Norman Pc
KAREN WOOD Board Member 1 ACO Participant Representative Boiling Spring Lakes Family Medicine Pc
JOHN WOODYEAR Board Member 1 ACO Participant Representative

Family Medical Associates of Montgomery County

MARIE ZALDIVAR Board Member 1 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

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

Waiver for Payment for Telehealth Services:

  • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
Fraud and Abuse Waivers

ACO Participation Waiver 

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement. 
 

Parties to the arrangement: All ACO Participants are eligible to participate. 
Date of arrangement: 4/12/2022 - 12/31/2022
Items, services, goods, or facility provided: Authorization of ACO Participation Waiver to Support Staffing of Value-Based Care Initiatives. During performance year 2022, the ACO's (identified below) will make payments necessary to Participants in the ACO to reimburse fair market value staffing costs to complete the following specific activities.

  • Contact patients recently discharged from a hospital emergency department or inpatient/outpatient status to assess if needs were met and schedule a follow up visit with their primary care physician if needed. 
  • Contact patients who have not been seen by their primary care physician in 6-12 months (depending on chronic conditions) and schedule annual wellness or other diagnostically appropriate appointments 
  • Contact patients who are new to the Medicare program and schedule a “Welcome to Medicare” visit 
  • Implement and routinize use of the Aledade application to provide insights into patient health, diagnosis coding opportunities, and visibility into the total cost of patient care.