DR. NICK SINA PAKZAD M.D.
NPI 1316280555
Internal Medicine - Pulmonary Disease in Walnut Creek, CA

Active since April 05, 2013PECOS EnrolledAccepts Medicare Assignment
99.92/100
CMS Quality Rating
2700 YGNACIO VALLEY RD STE 100, WALNUT CREEK, CA 94598(925) 939-3050(925) 939-3057 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nick Sina Pakzad M.d. NPPES

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

DR. NICK SINA PAKZAD M.D. (NPI 1316280555) is an individual pulmonary disease provider in Walnut Creek, California, licensed in California (A138152) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1316280555
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. NICK SINA PAKZADCredential: M.D.
Location Address2700 YGNACIO VALLEY RD STE 100Walnut Creek, CA 94598-3462
Mailing Address2700 Ygnacio Valley Rd Ste 100Walnut Creek, CA 94598-3462 · (925) 993-3050 · Fax (925) 939-3057
Fax(925) 939-3057
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 5, 2013
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
NPI 1316280555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A138152
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A138152 (CA)
2700 YGNACIO VALLEY RD STE 100, Walnut Creek, CA 94598

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

Dr. Nick Sina Pakzad 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 ID7012253149
PECOS Enrollment IDI20190812001268
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 26

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.

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.
511 services209 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.
311 services161 patients
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.
265 services153 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.
155 services98 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
113 services101 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

99.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost75.5

Reported Quality Measures

Breast Cancer Screening
95%41 patients5/55-star benchmark: 93%
Cervical Cancer Screening
71%21 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
63%78 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
87%69 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%609 patients4/55-star benchmark: 100%
e-Prescribing
92%116 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
71%210 patients3/55-star benchmark: 100%
HIV Screening
24%54 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
48%240 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
64%168 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 93% · 137 patients
93%137 patients
Provide Patients Electronic Access to Their Health Information
100%87 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%97 patients4/55-star benchmark: 91%
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers26 claims26 services$31.49 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier13 claims24 services$1.26 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims71 services$15.67 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers32 claims32 services$43.48 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers27 claims27 services$15.09 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers38 claims208 services$1.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Pulmonary Disease)
2700 YGNACIO VALLEY RD STE 100
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
2700 YGNACIO VALLEY RD STE 100
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
2700 YGNACIO VALLEY RD STE 100
WALNUT CREEK, CA 94598
Family Medicine
2700 YGNACIO VALLEY RD STE 100
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
2700 YGNACIO VALLEY RD STE 100
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
2700 YGNACIO VALLEY RD STE 100
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
2700 YGNACIO VALLEY RD STE 100
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
2700 YGNACIO VALLEY RD STE 100
WALNUT CREEK, CA 94598

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 Nick Pakzad's NPI number?

The NPI number for Nick Pakzad is 1316280555. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Nick Pakzad located?

Nick Pakzad practices at 2700 Ygnacio Valley Rd Ste 100, Walnut Creek, CA 94598. The listed phone number is (925) 939-3050.

What is Nick Pakzad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nick Pakzad enrolled in Medicare?

Yes. Nick Pakzad 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 Nick Pakzad was last updated on April 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.