MPMG Aledade FL MSSP Enhanced

Andrew Chang

ACO Primary Contact

202-803-7979

Location

Medical Partners Management Group, LLC

4550 Montgomery Ave, Ste 950N

Bethesda, MD 20814

ACO Participants	ACO Participant in Joint Venture
Athens Family Medicine Llc	N
Better Me Healthcare Llc	N
Carlos Porter Md Pa	N
David B Hevert Md Pa	N
Ducarmel Augustin Md Pa	N
Jean Claude Dubois, P.A.	N
Madison Medical Associates, Pc	N
Mesa Medical Llc	N
Michael A Blum Do Pa	N
Mil-Lake Healthcare Center Inc	N
Olympia Medical Center, Inc.	N
Pcc Medical Holdings Llc	N
Piedmont Family Practice Llc	N
Prince Avenue Primary Care, L.L.C.	N
Robert L Boltuch Do Pa	N
Rosa M Cuello Suarez Md Pa	N
Shanvi Inc	N
Susan Leigh Jones Md Llc	N
The Kaufmann Clinic Inc	N
Treasure Coast Primary Care, Pa	N
Universal Medical Centre Pa	N
Victor Ayala Md Pa	N
Vincent C Chin M.D., P.A.	N
W Daniel Zant,Jr Md Pc	N

Member First Name	Member Last Name	Member Title/Position	Member’s Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name, If Applicable
ANDREW	CHANG	Chair/Board Member	12.5	Other	N/A
ROBERT	DEPHILIPO	Board Member	12.5	ACO Participant Representative	PCC Medical Holdings LLC
JIMMY	FERNANDEZ	ACO Medical Director/Board Member	12.5	ACO Participant Representative	PCC Medical Holdings LLC
BRET	JENNINGS	Board Member	12.5	ACO Participant Representative	PCC Medical Holdings LLC
WILLIAM	STEELE	Board Member	12.5	ACO Participant Representative	PCC Medical Holdings LLC
KEVIN	STEELE	Board Member	12.5	ACO Participant Representative	PCC Medical Holdings LLC
TONI	TERESI	Board Member	12.5	ACO Participant Representative	PCC Medical Holdings LLC
BETH	TIETBOEHL	Medicare Beneficiary Representative/Board Member	12.5	Medicare Beneficiary Representative	N/A
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

2023 CMS WEB INTERFACE QUALITY PERFORMANCE RESULTS

Our ACO did not participate in the Shared Savings Program in Performance Year 2023; therefore, this section is not applicable at this time.

FRAUD AND ABUSE WAIVERS

ACO Pre-Participation Waiver: N/A

ACO Participation Waiver: N/A

Committee Name	Committee Leader Name and Position
Compliance Committee	Kelton George & Jillyan Bacallao / Compliance Committee