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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Richard Cegelski was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 24, 2008PECOS Enrolled

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: October 18, 2026.

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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 and maintains a secondary practice location in Ventura.

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

Phone(805) 652-6165

Sole ProprietorNo

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

300 HILLMONT AVE, Ventura, CA 93003

Open in Google Maps ↗

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Cegelski M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Richard Cegelski 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

Seaside Emergency Associates

Same address

Emergency Medicine

300 HILLMONT AVE
Ventura, CA 93003

Reassigned Medicare billing, California enrollment
62 clinicians in this Medicare group

NPI 1639577802 (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 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

Quality

84.09

Promoting Interoperability

100

Improvement Activities

Cost

56.53

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.

LEIDEE DE LEON

Registered Nurse (Pediatrics)

300 HILLMONT AVE
VENTURA, CA 93003

Ventura County (805) 652-6000

DANIEL FREITAS

Case Manager/Care Coordinator

300 HILLMONT AVE
VENTURA, CA 93003

Ventura County (805) 652-6161

LINDSAY ANN LOFT FNP

Nurse Practitioner (Family)

300 HILLMONT AVE, BLDG 340, STE 401
VENTURA, CA 93003

Ventura County (805) 641-0141

DENNIS J WATSON

Counselor (Mental Health)

300 HILLMONT AVE
VENTURA, CA 93003

Ventura County (805) 562-5907

NATHAN BRODIE

Case Manager/Care Coordinator

300 HILLMONT AVE
VENTURA, CA 93003

Ventura County (805) 652-6161

SEEMA SETH FNP-BC

Nurse Practitioner (Family)

300 HILLMONT AVE
VENTURA, CA 93003

Ventura County (805) 652-3280

MARY E. RASMUSSEN REG.NURSE

Registered Nurse

300 HILLMONT AVE
VENTURA, CA 93003

Ventura County (805) 652-3200

KAYLEE MICHELLE JONES HANTKE

Student in an Organized Health Care Education/Training Program

300 HILLMONT AVE
VENTURA, CA 93003

Ventura County (805) 652-6000

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 enrollment system.

Which organizations bill Medicare for Richard Cegelski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Cegelski reassigns Medicare benefits to 2 organizations: County Of Ventura (Ventura, CA) and Seaside Emergency 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 Richard Cegelski'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 Richard Cegelski was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.