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DR. ANTHONY R PUREZA
NPI 1356545529
Internal Medicine - Pulmonary Disease in Newport Beach, CA

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 ONE HOAG DRIVE,, NEWPORT BEACH, CA 92660(323) 226-2170(323) 226-5760 Get Directions Write a Review

NPPES record last updated: July 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anthony R Pureza NPPES

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

DR. ANTHONY R PUREZA (NPI 1356545529) is an individual pulmonary disease provider in Newport Beach, California, licensed in California (A95874) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1356545529
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ANTHONY R PUREZA
Location Address1 ONE HOAG DRIVE,Newport Beach, CA 92660-6100
Mailing AddressPo Box 6100Newport Beach, CA 92658-6100 · (323) 226-2170 · Fax (323) 226-5760
Phone(323) 226-2170
Fax(323) 226-5760
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 20, 2009
✔ NPI 1356545529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A95874
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.

1 ONE HOAG DRIVE,, Newport Beach, CA 92660
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedW932CA · Health Centers
Medicare ID-Type UnspecifiedW809BCA · Hudson
Medicare ID-Type UnspecifiedW809ACA · Roybal
Medicare ID-Type UnspecifiedW809FCA · El Monte

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. Anthony R Pureza 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 ID4284789173
PECOS Enrollment IDI20090827000871
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 4

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.
273 services198 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.
60 services57 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.
30 services24 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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.

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

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 Anthony Pureza's NPI number?

The NPI number for Anthony Pureza is 1356545529. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Anthony Pureza located?

Anthony Pureza practices at 1 One Hoag Drive,, Newport Beach, CA 92660. The listed phone number is (323) 226-2170.

What is Anthony Pureza's specialty?

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

Is Anthony Pureza enrolled in Medicare?

Yes. Anthony Pureza 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 Anthony Pureza was last updated on July 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.