NICHOLAS KUSNEZOV M.D.
NPI 1396185161
Orthopaedic Surgery in San Diego, CA

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
5643 COPLEY DR STE 300, SAN DIEGO, CA 92111(858) 455-9942(858) 455-6473 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2024, Aug 21, 2023, Aug 1, 2022 and 6 more (9 updates tracked since 2018).

About Nicholas Kusnezov M.d. NPPES

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

NICHOLAS KUSNEZOV M.D. (NPI 1396185161) is an individual orthopaedic surgery provider in San Diego, California, licensed in California (A155908) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Geffen School Of Medicine (2013).

NPPES Registry Identity

NPI1396185161
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameNICHOLAS KUSNEZOVCredential: M.D.
Location Address5643 COPLEY DR STE 300San Diego, CA 92111-7903
Mailing Address5643 Copley Dr Ste 300San Diego, CA 92111-7903 · (858) 455-9942 · Fax (858) 455-6473
Fax(858) 455-6473
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2013
Enumeration DateJune 26, 2013
Last NPPES UpdateMay 2, 20259 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
NPI 1396185161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in CA · A155908 Licensed in IL · 036147531 Licensed in KY · 51891 Licensed in AZ · 58084
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

5643 COPLEY DR STE 300, San Diego, CA 92111

Secondary Practice Locations 2

Location 12460 S Parkview Loop Ste 3Yuma, AZ 85364-5357 · Phone (928) 336-7846
Location 2230 Prospect Pl Ste 230Coronado, CA 92118-1976 · Phone (858) 455-9942 · Fax (858) 455-6473

Accepted Insurance

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

Nicholas Kusnezov 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 ID3476803248
PECOS Enrollment IDI20200121002289, I20230703001849
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 16

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.
116 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
111 services110 patients
Measurement of range of motion in arm, leg or each spine section 95851
The Range of Motion (ROM) measurement is a technique to assess the movement capacity of a joint or body part. It involves moving your arm, leg, or spine section in different directions to gauge flexibility and identify any limitations or discomfort. This helps in planning your treatment and monitoring progress.
75 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.
42 services42 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
32 services11 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 3

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

Orthopaedic Surgery
5643 COPLEY DR STE 300
SAN DIEGO, CA 92111
Orthopaedic Surgery
5643 COPLEY DR STE 300
SAN DIEGO, CA 92111
Clinic/Center (Multi-Specialty)
5643 COPLEY DR STE 300
SAN DIEGO, CA 92111

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 Nicholas Kusnezov's NPI number?

The NPI number for Nicholas Kusnezov is 1396185161. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Nicholas Kusnezov located?

Nicholas Kusnezov practices at 5643 Copley Dr Ste 300, San Diego, CA 92111. The listed phone number is (858) 455-9942.

What is Nicholas Kusnezov's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nicholas Kusnezov enrolled in Medicare?

Yes. Nicholas Kusnezov 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.

What insurance does Nicholas Kusnezov accept?

Health plans from CareSource list Nicholas Kusnezov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Kusnezov was last updated on May 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.