BABAK PEZESHKI M.D.
NPI 1245269802
Internal Medicine - Interventional Cardiology in Newport Beach, CA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
74.31/100
CMS Quality Rating
520 SUPERIOR AVE, SUITE 280, NEWPORT BEACH, CA 92663(949) 645-2800(949) 645-2810 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Babak Pezeshki M.d. NPPES

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

BABAK PEZESHKI M.D. (NPI 1245269802) is an individual interventional cardiology provider in Newport Beach, California, licensed in California (A60224) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1994).

NPPES Registry Identity

NPI1245269802
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameBABAK PEZESHKICredential: M.D.
Location Address520 SUPERIOR AVE, SUITE 280Newport Beach, CA 92663-3637
Mailing Address520 Superior Ave, Suite 280Newport Beach, CA 92663-3637 · (949) 645-2800 · Fax (949) 645-2810
Fax(949) 645-2810
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1994
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1245269802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CA · A60224
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
520 SUPERIOR AVE, Newport Beach, CA 92663

Other Identifiers 2

MedicaidGR0064090CA
OtherA60224CA · Medical License

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

Babak Pezeshki 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 ID1850356718
PECOS Enrollment IDI20041119001061
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 25

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
589 services326 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.
553 services517 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.
345 services233 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
265 services239 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.
209 services185 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
168 services161 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

74.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.86
Improvement Activities40
Cost37.22

Reported Quality Measures

Controlling High Blood Pressure
64%320 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
84%51 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,976 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
70%924 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
47%1,070 patients4/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 434 patients
Patients totalRate: 0% · 434 patients
0%434 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
520 SUPERIOR AVE, STE 205
NEWPORT BEACH, CA 92663
Internal Medicine (Interventional Cardiology)
520 SUPERIOR AVE
NEWPORT BEACH, CA 92663
Internal Medicine (Clinical Cardiac Electrophysiology)
520 SUPERIOR AVE, SUITE 330
NEWPORT BEACH, CA 92663
Internal Medicine (Pulmonary Disease)
520 SUPERIOR AVE, SUITE 285
NEWPORT BEACH, CA 92663
Internal Medicine (Nephrology)
520 SUPERIOR AVE, SUITE 340
NEWPORT BEACH, CA 92663
Physician Assistant (Medical)
520 SUPERIOR AVE, SUITE 270
NEWPORT BEACH, CA 92663
Surgery (Vascular Surgery)
520 SUPERIOR AVE, SUITE 370
NEWPORT BEACH, CA 92663
Audiologist-Hearing Aid Fitter
520 SUPERIOR AVE, STE. 190
NEWPORT BEACH, CA 92663

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 Babak Pezeshki's NPI number?

The NPI number for Babak Pezeshki is 1245269802. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Babak Pezeshki located?

Babak Pezeshki practices at 520 Superior Ave Suite 280, Newport Beach, CA 92663. The listed phone number is (949) 645-2800.

What is Babak Pezeshki's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Babak Pezeshki enrolled in Medicare?

Yes. Babak Pezeshki 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 Babak Pezeshki was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.