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DANIEL A CUSATI M.D.
NPI 1134210370
Surgery in Springfield, OR

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
PEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR., SUITE 300, SPRINGFIELD, OR 97477(541) 222-8333(541) 222-8320 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2022, Apr 29, 2021, Feb 13, 2020 and 2 more (5 updates tracked since 2018).

About Daniel A Cusati M.d. NPPES

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

DANIEL A CUSATI M.D. (NPI 1134210370) is an individual surgery provider in Springfield, Oregon, licensed in Oregon (MD153434) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1134210370
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDANIEL A CUSATICredential: M.D.
Location AddressPEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR., SUITE 300Springfield, OR 97477-8803
Mailing AddressPeacehealth Surgical Specialties, 3355 Riverbend Dr., Suite 300Springfield, OR 97477-8803 · (541) 222-8333 · Fax (541) 222-8320
Phone(541) 222-8333
Fax(541) 222-8320
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 27, 2006
Last NPPES UpdateFebruary 23, 20245 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1134210370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OR · MD153434
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
PEACEHEALTH SURGICAL SPECIALTIES, Springfield, OR 97477
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Other Identifiers 1

Medicaid500634391OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

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

Daniel A Cusati 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 ID3678570710
PECOS Enrollment IDI20110520000248
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 8

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.

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.
44 services40 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.
38 services38 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.
36 services35 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.
32 services32 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.
16 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380102
Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Peacehealth Cottage Grove Community Medical Center

Critical Access Hospitals · Cottage Grove, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381301
Location1515 Village DriveCottage Grove, OR 97424 · Lane County
Emergency services

Peace Harbor Medical Center

Critical Access Hospitals · Florence, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381316
Location400 9th StreetFlorence, OR 97439 · Lane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97477 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
30%146 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
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.
98%769 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%32 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
82%120 patients4/55-star benchmark: 99%
Medication Reconciliation
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.
97%178 patients4/55-star benchmark: 100%
Patient-Specific Education
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.
51%239 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
96%256 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 73% · 49 patients
76%49 patients
Provide Patient Access
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…
61%239 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%239 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
0%239 patients
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.

Other Providers at the Same Location NPPES 4

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

HEIDI MARIE SEMPLE NP
Nurse Practitioner (Family)
PEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR STE 300
SPRINGFIELD, OR 97477
Lane County (541) 222-8333
NICHOLE INGALLS MD
Surgery
PEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR STE 300
SPRINGFIELD, OR 97477
Lane County (541) 222-8333
KATELYN ANN CLARK M.D.
Surgery
PEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR., SUITE 300
SPRINGFIELD, OR 97477
Lane County (541) 222-8333
CAMILLE E. LEIDER NP
Nurse Practitioner (Family)
PEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR STE 300
SPRINGFIELD, OR 97477
Lane County (541) 222-8333

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 Daniel Cusati's NPI number?

The NPI number for Daniel Cusati is 1134210370. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Daniel Cusati located?

Daniel Cusati practices at Peacehealth Surgical Specialties 3355 Riverbend Dr., Suite 300, Springfield, OR 97477. The listed phone number is (541) 222-8333.

What is Daniel Cusati's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Daniel Cusati enrolled in Medicare?

Yes. Daniel Cusati 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.

What insurance does Daniel Cusati accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Daniel Cusati as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Cusati affiliated with any hospitals?

According to CMS data, Daniel Cusati is affiliated with Mercy Medical Center, Bay Area Hospital, Sacred Heart Medical Center - Riverbend, Peacehealth Cottage Grove Community Medical Center and Peace Harbor Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Cusati was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.