CRISTINA SUSANA WIESE MD
NPI 1710921564
Internal Medicine - Gastroenterology in Thousand Oaks, CA

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
22.02/100
CMS Quality Rating
325 ROLLING OAKS DR, SUITE 100, THOUSAND OAKS, CA 91361(805) 557-0452(805) 557-0471 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cristina Susana Wiese Md NPPES

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

CRISTINA SUSANA WIESE MD (NPI 1710921564) is an individual gastroenterology provider in Thousand Oaks, California, licensed in California (A91425) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2003).

NPPES Registry Identity

NPI1710921564
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameCRISTINA SUSANA WIESECredential: MD
Location Address325 ROLLING OAKS DR, SUITE 100Thousand Oaks, CA 91361-1201
Mailing Address5730 Grey Rock RdAgoura Hills, CA 91301-4442 · (805) 557-0452 · Fax (805) 557-0471
Fax(805) 557-0471
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2003
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 25, 2012
NPI 1710921564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A91425
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License A91425 (CA)
325 ROLLING OAKS DR, Thousand Oaks, CA 91361

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

Cristina Susana Wiese Md 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 ID9830102110
PECOS Enrollment IDI20060803000484
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
455 services448 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
347 services279 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
246 services242 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
165 services144 patients
New patient office or other outpatient visit, 45-59 minutes 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.
143 services143 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
108 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91361 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.

22.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost73.43

Other Providers at the Same Location NPPES 13

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

Physical Therapist
325 ROLLING OAKS DR, SUITE 210
THOUSAND OAKS, CA 91361
Obstetrics & Gynecology (Reproductive Endocrinology)
325 ROLLING OAKS DR, #110
THOUSAND OAKS, CA 91361
Physical Therapist
325 ROLLING OAKS DR, SUITE 250
THOUSAND OAKS, CA 91361
Specialist/Technologist (Athletic Trainer)
325 ROLLING OAKS DR, SUITE 250
THOUSAND OAKS, CA 91361
Nurse Anesthetist, Certified Registered
325 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
Chiropractor (Rehabilitation)
325 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
Clinical Medical Laboratory
325 ROLLING OAKS DR, SUITE 110
THOUSAND OAKS, CA 91361
Physical Therapist
325 ROLLING OAKS DR, SUITE 210
THOUSAND OAKS, CA 91361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710921564, enumerated as an "individual" on June 15, 2006.

The provider is located at 325 ROLLING OAKS DR SUITE 100 THOUSAND OAKS, CA 91361 and the phone number is (805) 557-0452.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.