MICHAEL S MARANDOLA MD
NPI 1013974393
Orthopaedic Surgery in Mission Viejo, CA

Q: What is Michael Marandola's NPI number?

The NPI number for Michael Marandola is 1013974393. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Michael Marandola's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Marandola was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

26401 CROWN VALLEY PKWY, SUITE 101, MISSION VIEJO, CA 92691(949) 348-4000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Aug 19, 2022 (2 updates tracked since 2022).

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About Michael S Marandola Md NPPES

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

MICHAEL S MARANDOLA MD (NPI 1013974393) is an individual orthopaedic surgery provider in Mission Viejo, California, licensed in California (G64377) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1987).

NPPES Registry Identity

NPI1013974393

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMICHAEL S MARANDOLACredential: MD

Location Address26401 CROWN VALLEY PKWY, SUITE 101Mission Viejo, CA 92691-6302

Mailing Address26401 Crown Valley Pkwy, Suite 101Mission Viejo, CA 92691-6302 · (949) 348-4000

Phone(949) 348-4000

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1987

Enumeration DateApril 28, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 19, 2022

✔ NPI 1013974393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in CA · G64377

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License G64377 (CA)

26401 CROWN VALLEY PKWY, Mission Viejo, CA 92691

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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

Michael S Marandola 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 ID941239198

PECOS Enrollment IDI20110826000398

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 29

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

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329

Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.

11,875 services100 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

639 services129 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

444 services305 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

419 services148 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

404 services75 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

372 services273 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

283 services209 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

229 services169 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

214 services176 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

124 services113 patients

X-ray of shoulder blade 73010

An X-ray of the shoulder blade is a quick, painless test that produces images of the bones in your shoulder area. It helps identify fractures, infections, or other abnormalities. You'll need to stay still while a machine sends a small amount of radiation through your shoulder to capture the image.

102 services82 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

102 services97 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

99 services81 patients

Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424

Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.

98 services91 patients

Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month 99425

Principal care management services involve managing a single high-risk disease. A qualified healthcare professional provides this service, dedicating additional 30 minutes each month to monitor and manage your condition. It's a continuous effort to ensure optimal health for you.

96 services90 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

69 services69 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

62 services54 patients

Incision or removal of spinal nerve 64772

Incision or removal of a spinal nerve is a surgical procedure aimed to relieve pain or improve function. This involves making a cut to access the spine and carefully removing or adjusting the nerve that's causing issues. It's performed under anesthesia and recovery time varies.

53 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

53 services53 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

49 services47 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

40 services30 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

30 services29 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

28 services27 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

24 services23 patients

X-ray of both hips, minimum of 5 views 73523

An X-ray of both hips with a minimum of 5 views is a non-invasive imaging test. It uses a small amount of radiation to produce images of the hip joints from different angles. This aids in diagnosing conditions such as fractures, arthritis, or other hip abnormalities.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

X-ray of hip, 2-3 views 73502

12 services12 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

12 services12 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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Other Providers at the Same Location NPPES 12

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

KENT R ADAMSON MD

Orthopaedic Surgery

26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691

Orange County (949) 348-4000

EDMUND S EVANGELISTA MD

Physical Medicine & Rehabilitation

26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691

Orange County (949) 348-4000

JOHN R MORRIS MD

Orthopaedic Surgery

26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691

Orange County (949) 348-4000

MR. TYLER GRANT WALDRON PA-C

Physician Assistant

26401 CROWN VALLEY PKWY, STE 101
MISSION VIEJO, CA 92691

Orange County (949) 348-4000

PATRICIA WEISS PA-C

Physician Assistant

26401 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691

Orange County (949) 348-4081

TOM D THOMAS MD

Orthopaedic Surgery

26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691

Orange County (949) 348-4000

CHARLES L STEWART PA

Physician Assistant (Surgical)

26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691

Orange County (949) 348-4000

COMMUNITY ORTHOPEDIC MEDICAL GROUP

Orthopaedic Surgery

26401 CROWN VALLEY PKWY, SUITE 101
MISSION VIEJO, CA 92691

Orange County (949) 348-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Marandola's NPI number?

The NPI number for Michael Marandola is 1013974393. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Michael Marandola located?

Michael Marandola practices at 26401 Crown Valley Pkwy Suite 101, Mission Viejo, CA 92691. The listed phone number is (949) 348-4000.

What is Michael Marandola's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Marandola enrolled in Medicare?

Yes. Michael Marandola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Marandola was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.