WILLIAM HART M.D.
NPI 1609856582
Internal Medicine - Sleep Medicine in Capitola, CA

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
815 BAY AVE, SUITE B, CAPITOLA, CA 95010(831) 460-7300 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Hart M.d. NPPES

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

WILLIAM HART M.D. (NPI 1609856582) is an individual sleep medicine provider in Capitola, California, licensed in California (G62162) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1986).

NPPES Registry Identity

NPI1609856582
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameWILLIAM HARTCredential: M.D.
Location Address815 BAY AVE, SUITE BCapitola, CA 95010-2186
Mailing Address2350 W El Camino Real Fl 2Mountain View, CA 94040-6203 · (650) 934-3546
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1986
Enumeration DateJanuary 18, 2006
Last NPPES UpdateDecember 7, 2017
NPI 1609856582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in CA · G62162
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
815 BAY AVE, Capitola, CA 95010

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

William Hart 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 ID8426120981
PECOS Enrollment IDI20080628000174
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 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.

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.
292 services270 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.
213 services209 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.
190 services170 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.
129 services129 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
94 services94 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
70 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95010 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
$141.77 typical visit price
range $62.97 – $186.69
Typical copayment $35.44 (range $15.74 – $46.67)
Most-billed visit code 99204
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
23 suppliers1,785 claims1,785 services$37.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers438 claims438 services$87.71 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers488 claims1,325 services$34.02 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers871 claims4,525 services$18.88 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
20 suppliers682 claims3,654 services$14.83 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
23 suppliers1,353 claims1,353 services$54.94 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 17

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
815 BAY AVE
CAPITOLA, CA 95010
Dietitian, Registered
815 BAY AVE, SUITE B
CAPITOLA, CA 95010
Clinical Exercise Physiologist
815 BAY AVE
CAPITOLA, CA 95010
Psychiatry & Neurology (Sleep Medicine)
815 BAY AVE, SUITE B
CAPITOLA, CA 95010
Dietitian, Registered
815 BAY AVE
CAPITOLA, CA 95010
Social Worker (Clinical)
815 BAY AVE
CAPITOLA, CA 95010
Internal Medicine (Endocrinology, Diabetes & Metabolism)
815 BAY AVE, SUITE B
CAPITOLA, CA 95010
Internal Medicine (Endocrinology, Diabetes & Metabolism)
815 BAY AVE
CAPITOLA, CA 95010

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 William Hart's NPI number?

The NPI number for William Hart is 1609856582. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is William Hart located?

William Hart practices at 815 Bay Ave Suite B, Capitola, CA 95010. The listed phone number is (831) 460-7300.

What is William Hart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is William Hart enrolled in Medicare?

Yes. William Hart 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.

When was this NPI record last updated?

The NPPES record for William Hart was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.