BRENT EDWARD VANHOOZEN M.D.
NPI 1093757445
Internal Medicine - Pulmonary Disease in Roseville, CA

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
99.97/100
CMS Quality Rating
5 MEDICAL PLAZA DR, SUITE 190, ROSEVILLE, CA 95661(916) 786-7498(916) 786-2715 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brent Edward Vanhoozen M.d. NPPES

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

BRENT EDWARD VANHOOZEN M.D. (NPI 1093757445) is an individual pulmonary disease provider in Roseville, California, licensed in California (G71047) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1093757445
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameBRENT EDWARD VANHOOZENCredential: M.D.
Location Address5 MEDICAL PLAZA DR, SUITE 190Roseville, CA 95661-2865
Mailing Address1300 Ethan Way Ste 600Sacramento, CA 95825-2296 · (916) 786-7498 · Fax (916) 786-2715
Fax(916) 786-2715
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 11, 2006
Last NPPES UpdateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
NPI 1093757445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · G71047
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License G71047 (CA)
5 MEDICAL PLAZA DR, Roseville, CA 95661

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

Brent Edward Vanhoozen M.d. 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 ID4183624158
PECOS Enrollment IDI20061226000053
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 19

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
296 services177 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.
289 services159 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
263 services144 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
203 services199 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
202 services198 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
142 services141 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

99.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Promoting Interoperability100
Improvement Activities40
Cost75.07

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
53%66 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
65%130 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
76%522 patients3/55-star benchmark: 100%
e-Prescribing
97%144 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
93%292 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
50%179 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 205 patients
100%205 patients
Provide Patients Electronic Access to Their Health Information
99%197 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%41 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 223 patients
Patients totalRate: 2% · 224 patients
2%224 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers38 claims38 services$32.80 avg. paid by Medicare
Tracheal suction catheter, closed system, each A4605
DME-Other DME · category DE000N
1 supplier12 claims48 services$15.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers46 claims46 services$70.07 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers51 claims102 services$26.26 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers18 claims91 services$15.89 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers27 claims141 services$11.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology (Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Obstetrics & Gynecology (Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661

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 Brent Vanhoozen's NPI number?

The NPI number for Brent Vanhoozen is 1093757445. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Brent Vanhoozen located?

Brent Vanhoozen practices at 5 Medical Plaza Dr Suite 190, Roseville, CA 95661. The listed phone number is (916) 786-7498.

What is Brent Vanhoozen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Brent Vanhoozen enrolled in Medicare?

Yes. Brent Vanhoozen 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 Brent Vanhoozen was last updated on November 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.