MICHAEL LEONCE PEZOLD M.D.
NPI 1720377856
Surgery - Vascular Surgery in Santa Rosa, CA

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
1162 MONTGOMERY DR STE 300, SANTA ROSA, CA 95405(707) 890-4250(707) 476-2240 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2021, Feb 4, 2021, Jun 25, 2018 (3 updates tracked since 2018).

About Michael Leonce Pezold M.d. NPPES

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

MICHAEL LEONCE PEZOLD M.D. (NPI 1720377856) is an individual vascular surgery provider in Santa Rosa, California, licensed in California (A168740) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2011).

NPPES Registry Identity

NPI1720377856
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameMICHAEL LEONCE PEZOLDCredential: M.D.
Location Address1162 MONTGOMERY DR STE 300Santa Rosa, CA 95405-4802
Mailing Address1162 Montgomery Dr Ste 300Santa Rosa, CA 95405-4802 · (707) 890-4250 · Fax (707) 476-2240
Fax(707) 476-2240
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2011
Enumeration DateMarch 29, 2011
Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1720377856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · A168740
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 276415 (NY)
1162 MONTGOMERY DR STE 300, Santa Rosa, CA 95405

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

Michael Leonce Pezold 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 ID3779908884
PECOS Enrollment IDI20200806002468
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 38

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.
469 services369 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.
265 services238 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.
243 services243 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
209 services187 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
109 services98 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
95 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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.

Physician Assistant
1162 MONTGOMERY DR STE 300
SANTA ROSA, CA 95405
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1162 MONTGOMERY DR STE 300
SANTA ROSA, CA 95405
Physician Assistant
1162 MONTGOMERY DR STE 300
SANTA ROSA, CA 95405

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 Michael Pezold's NPI number?

The NPI number for Michael Pezold is 1720377856. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Michael Pezold located?

Michael Pezold practices at 1162 Montgomery Dr Ste 300, Santa Rosa, CA 95405. The listed phone number is (707) 890-4250.

What is Michael Pezold's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Michael Pezold enrolled in Medicare?

Yes. Michael Pezold 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 Michael Pezold was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.