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THOMAS J DUNLOP M.D.
NPI 1174683502
Family Medicine in Ventura, CA

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
3291 LOMA VISTA RD, VENTURA, CA 93003(805) 652-6100(805) 652-3252 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Thomas J Dunlop M.d. NPPES

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

THOMAS J DUNLOP M.D. (NPI 1174683502) is an individual family medicine provider in Ventura, California, licensed in California (G586860) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1985).

NPPES Registry Identity

NPI1174683502
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS J DUNLOPCredential: M.D.
Location Address3291 LOMA VISTA RDVentura, CA 93003-3099
Mailing Address8234 Altadena StVentura, CA 93004-1182 · (805) 652-6075
Phone(805) 652-6100
Fax(805) 652-3252
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1985
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174683502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G586860
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3291 LOMA VISTA RD, Ventura, CA 93003
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Other Identifiers 2

Medicare UPINF23000CA
Medicaid00G586860CA

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

Thomas J Dunlop 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 ID9436236684
PECOS Enrollment IDI20080411000415
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 6

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.
181 services118 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.
37 services31 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.
20 services20 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.
17 services15 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 services14 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

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.

ANNA MIKHAILOVSKY M.D.
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 652-6228
DR. BRAD S ADLER M.D.
Pathology (Anatomic Pathology)
3291 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 652-6000
DR. RAMON GOMEZ M.D.
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 652-6556
FRANCES O'SULLIVAN
Psychiatry & Neurology (Psychiatry)
3291 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 652-6556
DR. MARISA SPORTELLI M.D.
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 652-6556
DR. STEPHANUS R PHILIP MD
Hospitalist
3291 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 652-6075
MS. EUGENIA S H PANG OTRL
Occupational Therapist
3291 LOMA VISTA RD, VENTURA COUNTY MEDICAL CENTER
VENTURA, CA 93003
Ventura County (805) 648-9980
DR. KEVIN ANDREW BARKLEY M.D.
Anesthesiology
3291 LOMA VISTA RD
VENTURA, CA 93003
Ventura County (805) 642-8565

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 Thomas Dunlop's NPI number?

The NPI number for Thomas Dunlop is 1174683502. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Thomas Dunlop located?

Thomas Dunlop practices at 3291 Loma Vista Rd, Ventura, CA 93003. The listed phone number is (805) 652-6100.

What is Thomas Dunlop's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Dunlop enrolled in Medicare?

Yes. Thomas Dunlop 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 Thomas Dunlop was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.