MARIE RUTH CHAMPLIN D.O.
NPI 1164718276
Psychiatry & Neurology - Psychiatry in Concord, CA

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1420 WILLOW PASS RD STE 200, CONCORD, CA 94520(925) 646-5480 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2019, Jan 16, 2019 (2 updates tracked since 2019).

About Marie Ruth Champlin D.o. NPPES

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

MARIE RUTH CHAMPLIN D.O. (NPI 1164718276) is an individual psychiatry provider in Concord, California, licensed in California (20A16641) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164718276
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMARIE RUTH CHAMPLINCredential: D.O.
Location Address1420 WILLOW PASS RD STE 200Concord, CA 94520-5823
Mailing Address1420 Willow Pass Rd Ste 200Concord, CA 94520-5823 · (925) 646-5480
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 27, 2011
Last NPPES UpdateJanuary 24, 20192 updates tracked since enumeration
NPI 1164718276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in CA · 20A16641 Licensed in TX · 558870
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1420 WILLOW PASS RD STE 200, Concord, CA 94520

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

Marie Ruth Champlin D.o. 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 ID5597005850
PECOS Enrollment IDI20190322001809
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services28 patients
Psychotherapy for crisis, first hour 90839
Psychotherapy for crisis is a supportive service provided during times of intense distress. In the first hour, the therapist will help you express your feelings, understand the crisis better, and work on immediate coping strategies. This is aimed at reducing stress and promoting emotional well-being.
29 services25 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94520 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

Marriage & Family Therapist
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Marriage & Family Therapist
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Marriage & Family Therapist
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Social Worker (Clinical)
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Social Worker (Clinical)
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Social Worker (Clinical)
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Preventive Medicine (Addiction Medicine)
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Peer Specialist
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520

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 Marie Champlin's NPI number?

The NPI number for Marie Champlin is 1164718276. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Marie Champlin located?

Marie Champlin practices at 1420 Willow Pass Rd Ste 200, Concord, CA 94520. The listed phone number is (925) 646-5480.

What is Marie Champlin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marie Champlin enrolled in Medicare?

Yes. Marie Champlin 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 Marie Champlin was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.