RICHARD CEGELSKI M.D.
NPI 1235390071
Emergency Medicine - Emergency Medical Services in Ventura, CA

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
300 HILLMONT AVE, VENTURA, CA 93003(805) 652-6165 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Cegelski M.d. NPPES

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

RICHARD CEGELSKI M.D. (NPI 1235390071) is an individual emergency medical services provider in Ventura, California, licensed in California (A106881) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ventura, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2007).

NPPES Registry Identity

NPI1235390071
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameRICHARD CEGELSKICredential: M.D.
Location Address300 HILLMONT AVEVentura, CA 93003-1651
Mailing Address300 Hillmont AveVentura, CA 93003-1651 · (805) 652-6165
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2007
Enumeration DateJune 24, 2008
Last NPPES UpdateDecember 11, 2019
NPI 1235390071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in CA · A106881
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
300 HILLMONT AVE, Ventura, CA 93003

Secondary Practice Location 1

Location 13291 Loma Vista RdVentura, CA 93003-3099 · Phone (805) 652-6228

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

Richard Cegelski 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 ID6305032350
PECOS Enrollment IDI20101202000221
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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
97 services95 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services46 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.
43 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
32 services31 patients
Ultrasound scan of chest 76604
An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
15 services15 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
15 services15 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.

Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Nurse Practitioner (Family)
300 HILLMONT AVE, BLDG 340, STE 401
VENTURA, CA 93003
Counselor (Mental Health)
300 HILLMONT AVE
VENTURA, CA 93003
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Registered Nurse
300 HILLMONT AVE
VENTURA, CA 93003
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE
VENTURA, CA 93003
Internal Medicine (Hematology & Oncology)
300 HILLMONT AVE, BLDG 340, STE 501
VENTURA, CA 93003
Pathology (Anatomic Pathology & Clinical Pathology)
300 HILLMONT AVE
VENTURA, CA 93003

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 Richard Cegelski's NPI number?

The NPI number for Richard Cegelski is 1235390071. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Richard Cegelski located?

Richard Cegelski practices at 300 Hillmont Ave, Ventura, CA 93003. The listed phone number is (805) 652-6165.

What is Richard Cegelski's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Richard Cegelski enrolled in Medicare?

Yes. Richard Cegelski 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 Richard Cegelski was last updated on December 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.