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JOSEPH J PINZONE M.D.
NPI 1700893815
Internal Medicine - Endocrinology, Diabetes & Metabolism in Thousand Oaks, CA

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
125 W THOUSAND OAKS BLVD STE 300, THOUSAND OAKS, CA 91360(805) 418-9100 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, Jul 3, 2024, Jul 17, 2023 and 1 more (4 updates tracked since 2019).

About Joseph J Pinzone M.d. NPPES

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

JOSEPH J PINZONE M.D. (NPI 1700893815) is an individual endocrinology, diabetes & metabolism provider in Thousand Oaks, California, licensed in California (G89034) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York University School Of Medicine (1992).

NPPES Registry Identity

NPI1700893815
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJOSEPH J PINZONECredential: M.D.
Location Address125 W THOUSAND OAKS BLVD STE 300Thousand Oaks, CA 91360-4460
Mailing Address16300 Sand Canyon Ave Ste 711Irvine, CA 92618-3707 · (888) 580-5900 · Fax (855) 510-0119
Phone(805) 418-9100
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1992
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 11, 20254 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1700893815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · G89034
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License G89034 (CA)
125 W THOUSAND OAKS BLVD STE 300, Thousand Oaks, CA 91360
Open in Google Maps ↗

Secondary Practice Locations 2

Location 116300 Sand Canyon Ave Ste 711Irvine, CA 92618-3707 · Phone (888) 580-5900 · Fax (855) 510-0119
Location 22240 E Gonzales RdOxnard, CA 93036-8210 · Phone (805) 981-5181

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

Joseph J Pinzone 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 ID4688688658
PECOS Enrollment IDI20150123001876
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 Joseph Pinzone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Ventura
Same address
Federally Qualified Health Center (FQHC)
125 W THOUSAND OAKS BLVD, SUITE 300
Thousand Oaks, CA 91360
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
NPI 1316188253 (805) 418-9100
Joseph J Pinzone M D Inc
73 mi
Oncology, Radiation
16300 SAND CANYON AVE STE 711
Irvine, CA 92618
  • Reassigned Medicare billing, California enrollment
NPI 1023596574 (888) 580-5900

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 5

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.

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
206 services14 patients
Use of externally generated heat to increase temperature of cancer cell, heating to depths more than 4.0 cm 77605
This procedure involves the use of external heat sources to raise the temperature of cancer cells. The heat penetrates more than 4.0 cm deep, making the cells more susceptible to treatment. It's a safe and non-invasive method to support cancer therapies.
206 services14 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
49 services11 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
35 services12 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91360 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers17 claims122 services$17.80 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers16 claims280 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers16 claims16 services$175.13 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
22 suppliers110 claims292 services$6.36 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers53 claims87 services$1.16 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 4

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

MR. JONATHAN GOODBAN M.A., LMFT
Marriage & Family Therapist
125 W THOUSAND OAKS BLVD STE 300
THOUSAND OAKS, CA 91360
Ventura County (805) 418-9100
NINA MAITHI LONG DO
Psychiatry & Neurology (Neurology)
125 W THOUSAND OAKS BLVD STE 300
THOUSAND OAKS, CA 91360
Ventura County (805) 418-9100
NORMA ELISA AVINA NP
Nurse Practitioner
125 W THOUSAND OAKS BLVD STE 300
THOUSAND OAKS, CA 91360
Ventura County (805) 418-9100
DR. KEYI JIANG MD
Pediatrics
125 W THOUSAND OAKS BLVD STE 300
THOUSAND OAKS, CA 91360
Ventura County (805) 418-9100

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 Joseph Pinzone's NPI number?

The NPI number for Joseph Pinzone is 1700893815. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Joseph Pinzone located?

Joseph Pinzone practices at 125 W Thousand Oaks Blvd Ste 300, Thousand Oaks, CA 91360. The listed phone number is (805) 418-9100.

What is Joseph Pinzone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Joseph Pinzone enrolled in Medicare?

Yes. Joseph Pinzone 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 Joseph Pinzone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Pinzone reassigns Medicare benefits to 2 organizations: County Of Ventura (Thousand Oaks, CA) and Joseph J Pinzone M D Inc (Irvine, 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 Joseph Pinzone'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 Joseph Pinzone was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.