DR. NICHOLAS AARON FETTMAN MD
NPI 1003005109
Otolaryngology in Oxnard, CA

NPI Status: Active since October 15, 2007

Contact Information

1700 N ROSE AVE
SUITE 460
OXNARD, CA
ZIP 93030
Phone: (805) 983-0395
Fax: (805) 983-0463

Get Directions Reviews

  • Individual
  • Male
  • Otolaryngology
  • PECOS Enrolled
  • Medicare Quality Reporting

About NICHOLAS FETTMAN

Nicholas Fettman is a provider established in Oxnard, California and his medical specialization is Otolaryngology. The healthcare provider is registered in the NPI registry with number 1003005109 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
Gender
Male
Entity Type
Individual
Location Address
1700 N ROSE AVE SUITE 460 OXNARD, CA 93030
Location Phone
(805) 983-0395
Location Fax
(805) 983-0463
Mailing Address
2876 SYCAMORE DR SUITE 303 SIMI VALLEY, CA 93065
Mailing Phone
(805) 527-7320
Mailing Fax
(805) 983-0463
Is Sole Proprietor?
Yes
Enumeration Date
10-15-2007
Last Update Date
11-27-2019
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The provider participated in CMS Quality Payment Program and the following quality measures were reported: 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. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
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.

PECOS Enrollment and Medicare Participation Status

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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 93030 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $98.6
  • Minimum New Patient Price $64.68
  • Maximum New Patient Price $192.84
  • Average New Patient Copayment $24.65
  • Minimum New Patient Copayment $16.17
  • Maximum New Patient Copayment $48.21

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $80.43
  • Minimum Established Patient Price $20.83
  • Maximum Established Patient Price $158.24
  • Average Established Patient Copayment $20.1
  • Minimum Established Patient Copayment $5.2
  • Maximum Established Patient Copayment $39.56

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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 improvementsYesN/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 AnalysisYesN/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 protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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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.
1003005109
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001010
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 = 99

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
1699778712DR. SUCKCHAI TULATHIMUTTE 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
1164425245DR. TIMOTHY GORDON BRYANT 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
1497758569DR. BRIAN CHIEN TUAI M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1275511644GENERAL SURGERY MEDICAL GROUP OF VENTURA COUNTY
Organization
Surgery1700 N ROSE AVE SUITE 430
OXNARD, CA 93030
(805) 485-8722
1982669396DR. 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 Surgery1700 N ROSE AVE #250
OXNARD, CA 93030
(805) 983-1700
1093767469 JU-SUNG WU M.D.
Individual
Specialist1700 N ROSE AVE SUITE 220
OXNARD, CA 93030
(805) 983-1009
1952356933DR. LYNN R KONG MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
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
1407891971 ANDREW WILLARD JEFFERS M.D.
Individual
Orthopaedic Surgery1700 N ROSE AVE #135
OXNARD, CA 93030
(805) 981-1788
1104855600DR. ANTOINE THOMAS HANNA MD
Individual
Obstetrics & Gynecology1700 N ROSE AVE 230
OXNARD, CA 93030
(805) 988-2811
1295745180DR. KOJI KUBO M.D.
Individual
Family Medicine1700 N ROSE AVE SUITE 210
OXNARD, CA 93030
(805) 988-8058
1346253689 CARY DAVID ALBERSTONE MD
Individual
Neurological Surgery1700 N ROSE AVE SUITE 250
OXNARD, CA 93030
(805) 983-1700
1922102029DR. 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
Surgery1700 N ROSE AVE STE 470
OXNARD, CA 93030
(805) 983-0707
1891845749DR. JOHN JANGIL LEE PHARM.D.
Individual
Pharmacist1700 N ROSE AVE
OXNARD, CA 93030
(805) 981-3366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003005109, enumerated in the NPI registry as an "individual" on October 15, 2007

The provider is located at 1700 N Rose Ave Suite 460 Oxnard, Ca 93030 and the phone number is (805) 983-0395

The provider's speciality is Otolaryngology with taxonomy code 207Y00000X

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.

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.

This NPI record 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].
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