CASEY DISTASO MD
NPI 1003311747
Emergency Medicine in West Hollywood, CA

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(310) 423-8780 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 7, 2024, May 18, 2023, Jul 20, 2021 and 4 more (7 updates tracked since 2018).

About Casey Distaso Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY DISTASO MD (NPI 1003311747) is an individual emergency medicine provider in West Hollywood, California, licensed in California (A196321) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Georgetown University School Of Medicine (2018).

NPPES Registry Identity

NPI1003311747
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCASEY DISTASOCredential: MD
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateJune 7, 20247 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
NPI 1003311747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CA · A196321 Licensed in TN · 62985 Licensed in IL · 125.072192
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPreventive Medicine · Clinical InformaticsTaxonomy 2083C0008X · License A196321 (CA)
8700 BEVERLY BLVD, West Hollywood, CA 90048

Secondary Practice Locations 2

Location 13601 The Vanderbilt ClinicNashville, TN 37232-0001 · Phone (615) 322-3000
Location 25841 S Maryland Ave # Mc5068Chicago, IL 60637 · Phone (773) 795-9758

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Casey Distaso Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456608074
PECOS Enrollment IDI20240626002835
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
274 services270 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
235 services217 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
144 services143 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services45 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
8700 BEVERLY BLVD, RM 8725
WEST HOLLYWOOD, CA 90048
Specialist
8700 BEVERLY BLVD, RM 8725
WEST HOLLYWOOD, CA 90048
Anesthesiology
8700 BEVERLY BLVD, # 8211
WEST HOLLYWOOD, CA 90048
Specialist
8700 BEVERLY BLVD, ROOM 8725
WEST HOLLYWOOD, CA 90048
Specialist
8700 BEVERLY BLVD, ROOM 8725
WEST HOLLYWOOD, CA 90048
Specialist
8700 BEVERLY BLVD, ROOM 8725
WEST HOLLYWOOD, CA 90048
Specialist
8700 BEVERLY BLVD, ROOM 8725
WEST HOLLYWOOD, CA 90048
Anesthesiology
8700 BEVERLY BLVD, SUITE 8211
WEST HOLLYWOOD, CA 90048

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003311747, enumerated as an "individual" on March 26, 2018.

The provider is located at 8700 BEVERLY BLVD WEST HOLLYWOOD, CA 90048 and the phone number is (310) 423-8780.

Emergency Medicine with taxonomy code 207P00000X.