DR. CORY MICHAEL LEE NITZEL M.D. NPI 1003017666

Internal Medicine (Cardiovascular Disease) in Ventura, CA

NPI 1003017666 Individual Male Years of Experience 16 Internal Medicine Cardiovascular Disease PECOS Enrolled Accepts Medicare Approved Payment

About CORY NITZEL

Cory Nitzel is an internal medicine provider established in Ventura, California and his medical specialization is internal medicine (cardiovascular disease) with more than 16 years of experience. He graduated from University Of Washington School Of Medicine in 2006. The NPI number of Cory Nitzel is 1003017666 and was assigned on May 2007. The practitioner's primary taxonomy code is 207RC0000X with license number C155200 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

An internist like Dr. Cory Michael Lee Nitzel M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Cory Nitzel 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

Cory Nitzel 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 Ventura County Medical Center.

NPI

1003017666

Provider NameDR. CORY MICHAEL LEE NITZEL M.D.
Provider Location Address300 HILLMONT AVE STE 503 VENTURA, CA 93003
Provider Mailing AddressPO BOX 413033 SALT LAKE CITY, UT 84141
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-30-2007
Last Update Date03-26-2020


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.C155200
License StateCA
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

DR. CORY MICHAEL LEE NITZEL M.D.
300 HILLMONT AVE STE 503
VENTURA, CA
ZIP 93003
Phone: (805) 652-5787

Get Directions


Mailing Address

DR. CORY MICHAEL LEE NITZEL M.D.
PO BOX 413033
SALT LAKE CITY, UT
ZIP 84141
Phone: (801) 213-3900



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 ID9931349131
PECOS Enrollment IDI20180724001565
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.

  • 908Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 510Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 85Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • 62Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

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. Cory Nitzel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
VENTURA COUNTY MEDICAL CENTER300 HILLMONT AVENUE
VENTURA, CA 93003
(805) 652-6075Acute Care Hospitals50159

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease7676143-1205UTNo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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.