DR. NICHOLAS AARON FETTMAN MD NPI 1003005109

Otolaryngology in Oxnard, CA

Individual Male Years of Experience 15 Otolaryngology PECOS Enrolled Accepts Medicare Approved Payment

About NICHOLAS FETTMAN

Nicholas Fettman is a provider established in Oxnard, California and his medical specialization is otolaryngology with more than 15 years of experience. He graduated from Ohio State University College Of Medicine in 2006. The NPI number of Nicholas Fettman 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 one year ago.

Nicholas Fettman is enrolled in PECOS and is eligible to order or refer healthcare 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

Nicholas Fettman is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with St Johns Regional Medical Center and Adventist Health Simi Valley.

NPI

1003005109

Provider NameDR. NICHOLAS AARON FETTMAN MD
Provider Location Address1700 N ROSE AVE SUITE 460 OXNARD, CA 93030
Provider Mailing Address2876 SYCAMORE DR SUITE 303 SIMI VALLEY, CA 93065
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year2006
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-15-2007
Last Update Date11-27-2019

Primary Taxonomy

Taxonomy Code207Y00000X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
License No.A116624
License StateCA
Taxonomy DescriptionAn 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

DR. NICHOLAS AARON FETTMAN MD
1700 N ROSE AVE
SUITE 460
OXNARD, CA
ZIP 93030
Phone: (805) 983-0395
Fax: (805) 983-0463

Get Directions

Mailing Address

DR. NICHOLAS AARON FETTMAN MD
2876 SYCAMORE DR
SUITE 303
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 527-7320
Fax: (805) 527-2426

Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID7214106418
PECOS Enrollment IDI20110804000187
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicholas Fettman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST JOHNS REGIONAL MEDICAL CENTER1600 N ROSE AVE
OXNARD, CA 93030
(805) 988-2500Acute Care Hospitals50082
ADVENTIST HEALTH SIMI VALLEY2975 N SYCAMORE DR
SIMI VALLEY, CA 93065
(805) 955-6000Acute Care Hospitals50236

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093767469 JU-SUNG WU M.D.
Individual
Specialist1700 N ROSE AVE SUITE 220
OXNARD, CA 93030
(805) 983-1009
1104855600DR. ANTOINE THOMAS HANNA MD
Individual
Obstetrics & Gynecology1700 N ROSE AVE 230
OXNARD, CA 93030
(805) 988-2811
1164425245DR. TIMOTHY GORDON BRYANT M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1245284686 SHAHRAM FATEMI M.D.
Individual
Family Medicine1700 N ROSE AVE SUITE 210
OXNARD, CA 93030
(805) 988-8058
1275511644GENERAL SURGERY MEDICAL GROUP OF VENTURA COUNTY
Organization
Surgery1700 N ROSE AVE SUITE 430
OXNARD, CA 93030
(805) 485-8722
1295745180DR. KOJI KUBO M.D.
Individual
Family Medicine1700 N ROSE AVE SUITE 210
OXNARD, CA 93030
(805) 988-8058
1376592733 GRETCHEN H. JACOBSON MD
Individual
Neurological Surgery1700 N ROSE AVE #250
OXNARD, CA 93030
(805) 983-1700
1407803323CARDIOVASCULAR & THORACIC SURGEONS OF VENTURA COUNTY, APC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)1700 N ROSE AVE STE 420
OXNARD, CA 93030
(805) 988-2033
1407891971 ANDREW WILLARD JEFFERS M.D.
Individual
Orthopaedic Surgery1700 N ROSE AVE #135
OXNARD, CA 93030
(805) 981-1788
1497758569DR. BRIAN CHIEN TUAI M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1568465649DR. LISA LOUISE BABASHOFF M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1578592325WEST COAST HEARING & BALANCE CENTER
Organization
Specialist1700 N ROSE AVE SUITE # 460
OXNARD, CA 93030
(805) 983-4214
1619916772DR. ROSEMARY E MCINTYRE MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
1629017801DR. KOOROS PARSA MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
1649219452DR. KEVIN Q CHANG MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
1699778712DR. SUCKCHAI TULATHIMUTTE M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1881697951DR. JOSEPH SALVATORE LOPRESTI M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1952356933DR. LYNN R KONG MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
1962405860PMK MEDICAL GROUP, INC.
Organization
Clinic/Center (Oncology)1700 N ROSE AVE STE 320
OXNARD, CA 93030
(805) 485-8709
1982669396DR. TIMOTHY A. OCONNOR M.D.
Individual
Radiology (Radiation Oncology)1700 N ROSE AVE SUITE 120
OXNARD, CA 93030
(805) 988-2657

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.