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JOHN C. CHAMPION M.D.
NPI 1801980669
Internal Medicine - Cardiovascular Disease in Newport Beach, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
75.13/100
CMS Quality Rating
520 SUPERIOR AVE, SUITE 290, NEWPORT BEACH, CA 92663(949) 640-4014(949) 640-4010 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John C. Champion M.d. NPPES

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

JOHN C. CHAMPION M.D. (NPI 1801980669) is an individual cardiovascular disease provider in Newport Beach, California, licensed in California (C53134) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1995).

NPPES Registry Identity

NPI1801980669
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN C. CHAMPIONCredential: M.D.
Location Address520 SUPERIOR AVE, SUITE 290Newport Beach, CA 92663-3637
Mailing Address3080 Bristol St, Suite 600Costa Mesa, CA 92626-3093 · (949) 640-4014 · Fax (949) 640-4010
Phone(949) 640-4014
Fax(949) 640-4010
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1995
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 25, 2016
✔ NPI 1801980669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · C53134
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
520 SUPERIOR AVE, Newport Beach, CA 92663
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH05787

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

John C. Champion 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 ID4082505037
PECOS Enrollment IDI20080418000436
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 10

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
152 services144 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.
128 services108 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
52 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services23 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.
36 services33 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

75.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.8
Promoting Interoperability62
Improvement Activities40
Cost71.23

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
74%81 patients3/55-star benchmark: 99%
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.
98%1,469 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%615 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%183 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
59%511 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 76% · 325 patients
72%325 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%511 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
43%511 patients3/55-star benchmark: 79%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
63%810 patients3/55-star benchmark: 89%
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 20

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

DR. SEVITLANA SAFAEI MD
Internal Medicine
520 SUPERIOR AVE, STE 205
NEWPORT BEACH, CA 92663
Orange County (949) 650-2462
DR. KEVIN KHEDER M.D.
Internal Medicine (Interventional Cardiology)
520 SUPERIOR AVE
NEWPORT BEACH, CA 92663
Orange County (949) 478-7373
DR. RAJESH S BANKER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
520 SUPERIOR AVE, SUITE 330
NEWPORT BEACH, CA 92663
Orange County (949) 478-7373
PRIVATE PHYSICIANS MEDICAL ASSOCIATES
Internal Medicine (Pulmonary Disease)
520 SUPERIOR AVE, SUITE 285
NEWPORT BEACH, CA 92663
Orange County (949) 566-8179
JERALD FREDRICK SIGALA M.D.
Internal Medicine (Nephrology)
520 SUPERIOR AVE, SUITE 340
NEWPORT BEACH, CA 92663
Orange County (949) 631-9215
LI SI ZENG PA-C
Physician Assistant (Medical)
520 SUPERIOR AVE, SUITE 270
NEWPORT BEACH, CA 92663
Orange County (949) 574-9300
ORANGE COUNTY VASCULAR SPECIALISTS, INC.
Surgery (Vascular Surgery)
520 SUPERIOR AVE, SUITE 370
NEWPORT BEACH, CA 92663
Orange County (949) 574-7176
MIKA MOORE AU.D.
Audiologist-Hearing Aid Fitter
520 SUPERIOR AVE, STE. 190
NEWPORT BEACH, CA 92663
Orange County (949) 548-0352

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 John Champion's NPI number?

The NPI number for John Champion is 1801980669. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is John Champion located?

John Champion practices at 520 Superior Ave Suite 290, Newport Beach, CA 92663. The listed phone number is (949) 640-4014.

What is John Champion's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Champion enrolled in Medicare?

Yes. John Champion 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 John Champion was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.