DR. NICHOLAS AARON FETTMAN MD NPI 1003005109
Otolaryngology in Oxnard, CA
About DR. NICHOLAS AARON FETTMAN MD
Nicholas Fettman is a provider established in Oxnard, California and his medical specialization is Otolaryngology. The NPI number of this provider is 1003005109 and was assigned on October 2007. The practitioner's primary taxonomy code is 207Y00000X with license number A116624 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
| NPI | 1003005109 |
| Provider Name | DR. NICHOLAS AARON FETTMAN MD |
| Location Address | 1700 N ROSE AVE SUITE 460 OXNARD, CA 93030 |
| Location Phone | (805) 983-0395 |
| Mailing Address | 2876 SYCAMORE DR SUITE 303 SIMI VALLEY, CA 93065 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 10-15-2007 |
| Last Update Date | 11-27-2019 |
Nicholas Fettman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 45, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: breast cancer screening, documentation of current medications in the medical record, e-prescribing, implementation of medication management practice improvements, medication reconciliation, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, provide patient access, security risk analysis and use of decision support and standardized treatment protocols.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Y00000X |
| Classification | Otolaryngology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | A116624 |
| License State | CA |
| Taxonomy Description | An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Business Address
1700 N ROSE AVE
SUITE 460
OXNARD, CA
ZIP 93030
Phone: (805) 983-0395
Fax: (805) 983-0463
Mailing Address
2876 SYCAMORE DR
SUITE 303
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 527-7320
Fax: (805) 527-2426
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | N/A | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
|||
| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
|||
| Improvement Activities | 15% | N/A | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
|||
| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
|||
| MIPS Final Score | - | 45 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 32% | 414 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Documentation of Current Medications in the Medical Record | 94% | 1829 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 100% | 1927 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Medication Reconciliation | 91% | 613 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 44% | 1999 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 27% | 671 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 85% | 1625 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Influenza Immunization | 8% | 524 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Provide Patient Access | 32% | 1999 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 246Removal of impact ear wax, one ear (HCPCS:69210)
- 154Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
- 41Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 5 | 1 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 10 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 1 + 0 + 1 + 0 + 24 = 31 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 31 = 9 | 9 | ||||||||
The NPI number 1003005109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699778712 | DR. SUCKCHAI TULATHIMUTTE M.D. Individual | Surgery | 1700 N ROSE AVE STE 430 OXNARD, CA 93030 (805) 485-8722 |
| 1568465649 | DR. LISA LOUISE BABASHOFF M.D. Individual | Surgery | 1700 N ROSE AVE STE 430 OXNARD, CA 93030 (805) 485-8722 |
| 1164425245 | DR. TIMOTHY GORDON BRYANT M.D. Individual | Surgery | 1700 N ROSE AVE STE 430 OXNARD, CA 93030 (805) 485-8722 |
| 1881697951 | DR. JOSEPH SALVATORE LOPRESTI M.D. Individual | Surgery | 1700 N ROSE AVE STE 430 OXNARD, CA 93030 (805) 485-8722 |
| 1497758569 | DR. BRIAN CHIEN TUAI M.D. Individual | Surgery | 1700 N ROSE AVE STE 430 OXNARD, CA 93030 (805) 485-8722 |
| 1275511644 | GENERAL SURGERY MEDICAL GROUP OF VENTURA COUNTY Organization | Surgery | 1700 N ROSE AVE SUITE 430 OXNARD, CA 93030 (805) 485-8722 |
| 1982669396 | DR. TIMOTHY A. OCONNOR M.D. Individual | Radiology (Radiation Oncology) | 1700 N ROSE AVE SUITE 120 OXNARD, CA 93030 (805) 988-2657 |
| 1376592733 | GRETCHEN H. JACOBSON MD Individual | Neurological Surgery | 1700 N ROSE AVE #250 OXNARD, CA 93030 (805) 983-1700 |
| 1093767469 | JU-SUNG WU M.D. Individual | Specialist | 1700 N ROSE AVE SUITE 220 OXNARD, CA 93030 (805) 983-1009 |
| 1245284686 | SHAHRAM FATEMI M.D. Individual | Family Medicine | 1700 N ROSE AVE SUITE 210 OXNARD, CA 93030 (805) 988-8058 |
| 1952356933 | DR. LYNN R KONG MD Individual | Internal Medicine (Hematology & Oncology) | 1700 N ROSE AVE SUITE 320 OXNARD, CA 93030 (805) 485-8709 |
| 1619916772 | DR. ROSEMARY E MCINTYRE MD Individual | Internal Medicine (Hematology & Oncology) | 1700 N ROSE AVE SUITE 320 OXNARD, CA 93030 (805) 485-8709 |
| 1629017801 | DR. KOOROS PARSA MD Individual | Internal Medicine (Hematology & Oncology) | 1700 N ROSE AVE SUITE 320 OXNARD, CA 93030 (805) 485-8709 |
| 1649219452 | DR. KEVIN Q CHANG MD Individual | Internal Medicine (Hematology & Oncology) | 1700 N ROSE AVE SUITE 320 OXNARD, CA 93030 (805) 485-8709 |
| 1407891971 | ANDREW WILLARD JEFFERS M.D. Individual | Orthopaedic Surgery | 1700 N ROSE AVE #135 OXNARD, CA 93030 (805) 981-1788 |
| 1104855600 | DR. ANTOINE THOMAS HANNA MD Individual | Obstetrics & Gynecology | 1700 N ROSE AVE 230 OXNARD, CA 93030 (805) 988-2811 |
| 1295745180 | DR. KOJI KUBO M.D. Individual | Family Medicine | 1700 N ROSE AVE SUITE 210 OXNARD, CA 93030 (805) 988-8058 |
| 1346253689 | CARY DAVID ALBERSTONE MD Individual | Neurological Surgery | 1700 N ROSE AVE SUITE 250 OXNARD, CA 93030 (805) 983-1700 |
| 1922102029 | DR. YUCHENG JORDAN LIAO MD PHD Individual | Psychiatry & Neurology (Neurology) | 1700 N ROSE AVE #480 OXNARD, CA 93030 (805) 983-6929 |
| 1972664183 | SAL C SANTANGELO M.D. Individual | Surgery | 1700 N ROSE AVE STE 470 OXNARD, CA 93030 (805) 983-0707 |
Frequently Asked Questions
What is Dr. Nicholas Fettman MD NPI number?
The NPI number assigned to this healthcare provider is 1003005109, registered as an "individual" on October 15, 2007
Where is Dr. Nicholas Fettman MD located?
The provider is located at 1700 N Rose Ave Suite 460 Oxnard, Ca 93030 and the phone number is (805) 983-0395
Which is Dr. Nicholas Fettman MD specialty?
The provider's speciality is Otolaryngology
Is Dr. Nicholas Fettman MD registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Nicholas Fettman MD?
Medicare beneficiaries should expect a typical cost of $98.6 with an average copayment of $24.65 for new patient appointments. Established patients should expect a typical charge of $80.43 and an average copayment of 20.1. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Nicholas Fettman MD?
The most common procedures or services performed by this practitioner are: Removal of impact ear wax, one ear, Diagnostic examination of voice box using flexible endoscope and Diagnostic examination of nasal passages using an endoscope.
How do I update my NPI information?
The NPI record of Dr. Nicholas Fettman MD was last updated on October 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.