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ANTHONY J CARDEN MD
NPI 1184943268
Surgery in Ventura, CA

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
300 HILLMONT AVE BLDG 340 ST 401, VENTURA, CA 93003(805) 652-6201(805) 641-4416 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2019, Mar 7, 2019 (2 updates tracked since 2019).

About Anthony J Carden Md NPPES

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

ANTHONY J CARDEN MD (NPI 1184943268) is an individual surgery provider in Ventura, California, licensed in California (A119436) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2010).

NPPES Registry Identity

NPI1184943268
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANTHONY J CARDENCredential: MD
Location Address300 HILLMONT AVE BLDG 340 ST 401Ventura, CA 93003
Mailing Address300 Hillmont Ave Bldg 340 St 401Ventura, CA 93003 · (805) 652-6201 · Fax (805) 641-4416
Phone(805) 652-6201
Fax(805) 641-4416
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2010
Enumeration DateMay 27, 2010
Last NPPES UpdateMay 22, 20192 updates tracked since enumeration
✔ NPI 1184943268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A119436
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.
300 HILLMONT AVE BLDG 340 ST 401, Ventura, CA 93003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony J Carden 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 ID143462713
PECOS Enrollment IDI20130809000681
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Anthony Carden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Ventura
Same address
Federally Qualified Health Center (FQHC)
300 HILLMONT AVE STE 302
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
NPI 1619118569 (805) 652-6255
Ventura County Surgical Associates
Same address
Surgery
300 HILLMONT AVE STE 401
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
NPI 1740892686 (805) 652-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
41 services25 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.
27 services26 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.
25 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.
24 services22 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.
24 services16 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
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

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

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 Anthony Carden's NPI number?

The NPI number for Anthony Carden is 1184943268. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Anthony Carden located?

Anthony Carden practices at 300 Hillmont Ave Bldg 340 St 401, Ventura, CA 93003. The listed phone number is (805) 652-6201.

What is Anthony Carden's specialty?

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

Is Anthony Carden enrolled in Medicare?

Yes. Anthony Carden 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.

Which organizations bill Medicare for Anthony Carden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Carden reassigns Medicare benefits to 2 organizations: County Of Ventura (Ventura, CA) and Ventura County Surgical Associates (Ventura, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Carden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anthony Carden was last updated on May 22, 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.