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DR. RODERICK I MOUNTAIN M.D.
NPI 1396855292
Family Medicine in Chula Vista, CA

Active since August 30, 2006PECOS Enrolled
73.62/100
CMS Quality Rating
525 3RD AVE, CHULA VISTA, CA 91910(858) 499-2600(619) 585-4390 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roderick I Mountain M.d. NPPES

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

DR. RODERICK I MOUNTAIN M.D. (NPI 1396855292) is an individual family medicine provider in Chula Vista, California, licensed in California (A52880) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396855292
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RODERICK I MOUNTAINCredential: M.D.
Location Address525 3RD AVEChula Vista, CA 91910-5616
Mailing Address525 3rd AveChula Vista, CA 91910-5616 · (858) 499-2600 · Fax (619) 585-4390
Phone(858) 499-2600
Fax(619) 585-4390
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 25, 2013
✔ NPI 1396855292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A52880
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
525 3RD AVE, Chula Vista, CA 91910
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Other Identifiers 3

Medicare ID-Type UnspecifiedWA52880PCA
Medicaid00A528800CA
Medicare UPING17946CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roderick I Mountain M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91910 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
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier13 claims13 services$201.19 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 20

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

DR. PERRY V MONTOYA M.D
Internal Medicine
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (858) 499-2600
DR. GEORGE B. COLSON M.D.
Preventive Medicine (Occupational Medicine)
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 585-4050
MARY MCDERMOTT
Pharmacist
525 3RD AVE, SUITE A
CHULA VISTA, CA 91910
San Diego County (619) 420-7120
RAQUEL KNUTSON MMS, PA-C
Physician Assistant
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 585-4050
DAVID JAMES MALINAK MD
Internal Medicine
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (858) 499-2713
DR. PEDRO M SOUSA PHARMD
Pharmacist
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 420-7120
TOM-OLIVER KLEIN MD
Internal Medicine
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 499-2600
SHARP REES-STEALY MEDICAL GROUP INC
Internal Medicine
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 446-1646

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 Roderick Mountain's NPI number?

The NPI number for Roderick Mountain is 1396855292. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Roderick Mountain located?

Roderick Mountain practices at 525 3rd Ave, Chula Vista, CA 91910. The listed phone number is (858) 499-2600.

What is Roderick Mountain's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roderick Mountain enrolled in Medicare?

Yes. Roderick Mountain is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roderick Mountain was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.