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DOUGLAS A WOODBURN M.D.
NPI 1598713653
Surgery in Ventura, CA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2929 LOMA VISTA RD, SUITE C, VENTURA, CA 93003(805) 641-0222(805) 641-0272 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas A Woodburn M.d. NPPES

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

DOUGLAS A WOODBURN M.D. (NPI 1598713653) is an individual surgery provider in Ventura, California, licensed in California (G53167) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1983).

NPPES Registry Identity

NPI1598713653
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDOUGLAS A WOODBURNCredential: M.D.
Location Address2929 LOMA VISTA RD, SUITE CVentura, CA 93003-2900
Mailing Address2929 Loma Vista Road, Suite CVentura, CA 93003 · (805) 641-0222 · Fax (805) 641-0272
Phone(805) 641-0222
Fax(805) 641-0272
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1983
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1598713653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · G53167
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2929 LOMA VISTA RD, Ventura, CA 93003
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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

Douglas A Woodburn 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 ID1456441005
PECOS Enrollment IDI20101008000492
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

2

Medicare enrollment records show Douglas Woodburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Memorial Health System
Same address
Gynecologic Oncology
2900 LOMA VISTA RD STE 205
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 267 clinicians in this Medicare group
NPI 1619453982 (805) 642-4830
Ventura County Surgical Associates
0.2 mi
Surgery
300 HILLMONT AVE STE 401
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
NPI 1740892686 (805) 652-6000

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 8

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.

Destruction of internal hemorrhoids using heat 46930
This procedure involves using heat to treat internal hemorrhoids. A specialized device generates heat to shrink the hemorrhoid, alleviating discomfort. It's a quick, minimally invasive process with a fast recovery time. It's a common, safe procedure for hemorrhoid relief.
121 services47 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.
86 services86 patients
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.
64 services44 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
63 services37 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.
58 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.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
79%1,098 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. THOMAS SEAN MCBREEN M.D.
Family Medicine
2929 LOMA VISTA RD, SUITE E
VENTURA, CA 93003
Ventura County (805) 653-5741
DR. CARY BRUCE SAVITCH MD
Internal Medicine (Infectious Disease)
2929 LOMA VISTA RD, STE F
VENTURA, CA 93003
Ventura County (805) 653-6540
DR. JAMES RAY DEARDORFF O.D.
Optometrist
2929 LOMA VISTA RD, SUITE D
VENTURA, CA 93003
Ventura County (805) 653-1913

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 Douglas Woodburn's NPI number?

The NPI number for Douglas Woodburn is 1598713653. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Douglas Woodburn located?

Douglas Woodburn practices at 2929 Loma Vista Rd Suite C, Ventura, CA 93003. The listed phone number is (805) 641-0222.

What is Douglas Woodburn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Douglas Woodburn enrolled in Medicare?

Yes. Douglas Woodburn 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 Douglas Woodburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Woodburn reassigns Medicare benefits to 2 organizations: Community Memorial Health System (Ventura, CA) and Ventura County Surgical Associates (Ventura, CA). 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 Douglas Woodburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Woodburn was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.