EMMANUEL J. MITSINIKOS M.D.
NPI 1386903912
Urology in Upland, CA

Q: What is Emmanuel Mitsinikos's NPI number?

The NPI number for Emmanuel Mitsinikos is 1386903912. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Q: What is Emmanuel Mitsinikos's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since May 16, 2012PECOS EnrolledAccepts Medicare Assignment

99.12/100

CMS Quality Rating

1100 SAN BERNARDINO ROAD, SUITE 1100, UPLAND, CA 91786(909) 949-2242(909) 981-5783 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2020, Nov 18, 2019, Aug 10, 2018 and 1 more (4 updates tracked since 2015).

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About Emmanuel J. Mitsinikos M.d. NPPES

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

EMMANUEL J. MITSINIKOS M.D. (NPI 1386903912) is an individual urology provider in Upland, California, licensed in California (A129296) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glendora, and is a graduate of University Of Southern California Keck School Of Medicine (2012).

NPPES Registry Identity

NPI1386903912

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameEMMANUEL J. MITSINIKOSCredential: M.D.

Location Address1100 SAN BERNARDINO ROAD, SUITE 1100Upland, CA 91786-4952

Mailing AddressPo Box 512185Los Angeles, CA 90051-0185

Phone(909) 949-2242

Fax(909) 981-5783

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2012

Enumeration DateMay 16, 2012

Last NPPES UpdateNovember 18, 20204 updates tracked since enumeration

NPPES CertifiedNovember 18, 2020

✔ NPI 1386903912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A129296

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1100 SAN BERNARDINO ROAD, Upland, CA 91786

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Secondary Practice Location 1

Location 1412 W Carroll Ave Ste 200Glendora, CA 91741-4709 · Phone (626) 914-3921 · Fax (626) 914-9611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emmanuel J. Mitsinikos 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 ID42536484

PECOS Enrollment IDI20150601000560

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 Reassignment

Medicare enrollment records show Emmanuel Mitsinikos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City Of Hope Medical Foundation

19 mi

Hematology & Oncology

1500 DUARTE RD
Duarte, CA 91010

Reassigned Medicare billing, California enrollment
1,335 clinicians in this Medicare group

NPI 1871886366 (626) 256-4673

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 11

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.

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.

589 services306 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

94 services66 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

62 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

48 services43 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

34 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

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.

99.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.23

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers41 claims6,471 services$1.41 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers16 claims1,709 services$6.07 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier24 claims43 services$9.11 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 10

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

DR. SEAN S. SZEJA M.D.

Radiology (Radiation Oncology)