DR. ETHAN ROY ETNYRE MD - NPI 1225021777 - Family Medicine in Oceano, CA

Q: What is Ethan Etnyre's NPI number?

The NPI number for Ethan Etnyre is 1225021777. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is Ethan Etnyre's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Etnyre was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

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About Dr. Ethan Roy Etnyre Md NPPES

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

DR. ETHAN ROY ETNYRE MD (NPI 1225021777) is an individual family medicine provider in Oceano, California, licensed in California (G073939) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225021777

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ETHAN ROY ETNYRECredential: MD

Location Address2120 CIENAGA STOceano, CA 93445-9016

Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8028 · Fax (805) 361-8097

Phone(805) 994-2100

Fax(805) 994-2197

Sole ProprietorNo

Enumeration DateAugust 30, 2005

Last NPPES UpdateNovember 7, 2017

✔ NPI 1225021777 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 · G073939

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.

2120 CIENAGA ST, Oceano, CA 93445

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Other Identifiers 4

Other00G739390CA · Blue Shield Of California

OtherCB207800CA · Medicare Id

Other080142806Railroad Medicare

Medicaid00G739390CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Roy Etnyre Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93445 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

$91.64 typical visit price

range $59.84 – $178.89

Typical copayment $22.91 (range $14.96 – $44.72)

Most-billed visit code 99203

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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.

Other Providers at the Same Location NPPES 6

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

DR. DUC VAN NGUYEN M.D.

Internal Medicine