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

Q: 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.

Q: What is Nicholas Kusnezov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Kusnezov was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

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: October 25, 2026.

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

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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

Phone(858) 455-9942

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna HealthCare of Arizona, Inc.Insurance ›

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicholas Kusnezov reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ortho 1 Medical Group

Same address

Multi-Specialty

5643 COPLEY DR STE 300
San Diego, CA 92111

Reassigned Medicare billing, California enrollment
18 clinicians in this Medicare group

NPI 1609471929 (858) 455-9942

Emergency And Acute Care Medical Corporation

2.9 mi

Emergency Medicine

7901 FROST ST
San Diego, CA 92123

Reassigned Medicare billing, California enrollment
1,437 clinicians in this Medicare group

NPI 1437103942 (858) 939-3400

On Call Specialists Medical Group Of San Diego, Inc.

6.1 mi

Specialist

4077 FIFTH AVE
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
218 clinicians in this Medicare group

NPI 1962175836 (619) 294-8111

Rambel Medical Group PC

93 mi

Internal Medicine

1671 W MAIN ST
El Centro, CA 92243

Reassigned Medicare billing, California enrollment
7 clinicians in this Medicare group

NPI 1598547770 (760) 592-7760

Usc Care Medical Group, Inc

103 mi

General Practice

1520 SAN PABLO ST
Los Angeles, CA 90033

Reassigned Medicare billing, California enrollment
2,445 clinicians in this Medicare group

NPI 1902846306 (323) 442-5955

Yuma Regional Medical Center

148 mi

General Acute Care Hospital

2400 S AVE A
Yuma, AZ 85364

Reassigned Medicare billing, Arizona enrollment
557 clinicians in this Medicare group

NPI 1194706655 (928) 344-2000

Dhp Of Twin Cities Medical Group Inc

276 mi

Orthopaedic Surgery

1100 LAS TABLAS RD
Templeton, CA 93465

Reassigned Medicare billing, California enrollment
11 clinicians in this Medicare group

NPI 1295082857 (805) 434-3500

Dhp Of California Medical Group Inc

423 mi

Obstetrics & Gynecology

1800 N CALIFORNIA ST
Stockton, CA 95204

Reassigned Medicare billing, California enrollment
83 clinicians in this Medicare group

NPI 1679836084 (209) 943-2000

Southern Illinois Medical Services, Nfp

1,610 mi

Internal Medicine

1239 E MAIN ST
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
702 clinicians in this Medicare group

NPI 1770656837 (618) 457-5200

Osf Multi-Specialty Group

1,612 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

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 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

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

30 services29 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.

30 services28 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

27 services21 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

24 services15 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

23 services23 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

21 services21 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.

21 services16 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

15 services11 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.

14 services14 patients

Application of stress by physician for joint imaging 77071

This procedure involves a doctor applying pressure to your joint while capturing images. The stress helps reveal issues not visible in a relaxed state. It's like a workout for your joints under professional supervision. It's safe and aids in accurate diagnosis.

13 services12 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.

STEVEN TRADONSKY M.D.

Orthopaedic Surgery

5643 COPLEY DR STE 300
SAN DIEGO, CA 92111

San Diego County (858) 455-9942

BRADEN MICHAEL MCKNIGHT MD

Orthopaedic Surgery

5643 COPLEY DR STE 300
SAN DIEGO, CA 92111

San Diego County (858) 455-9942

ORTHO 1 MEDICAL GROUP

Clinic/Center (Multi-Specialty)

5643 COPLEY DR STE 300
SAN DIEGO, CA 92111

San Diego County (858) 455-9942

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.

Which organizations bill Medicare for Nicholas Kusnezov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Kusnezov reassigns Medicare benefits to 13 organizations: Ortho 1 Medical Group (San Diego, CA), Emergency And Acute Care Medical Corporation (San Diego, CA), On Call Specialists Medical Group Of San Diego, Inc. (San Diego, CA), Rambel Medical Group PC (El Centro, CA), Usc Care Medical Group, Inc (Los Angeles, CA) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Kusnezov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Kusnezov accept?

Health plans from CareSource and Cigna HealthCare of Arizona, Inc 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.