DR. JAMES CERNILIA M.D.
NPI 1891804423
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Newport Beach, CA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
4695 MACARTHUR CT, SUITE 1100, NEWPORT BEACH, CA 92660(800) 525-7037 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James Cernilia M.d. NPPES

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

DR. JAMES CERNILIA M.D. (NPI 1891804423) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Newport Beach, California, licensed in California (A49898) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1990).

NPPES Registry Identity

NPI1891804423
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JAMES CERNILIACredential: M.D.
Location Address4695 MACARTHUR CT, SUITE 1100Newport Beach, CA 92660-1882
Mailing Address4695 Macarthur Court, Suite 1100Newport Beach, CA 92660
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1990
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1891804423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in CA · A49898
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

4695 MACARTHUR CT, Newport Beach, CA 92660

Other Identifiers 1

Medicare UPING17413CA

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

Dr. James Cernilia 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 ID5092798595
PECOS Enrollment IDI20040607001477
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 2

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
17 services17 patients
Coronary artery bypass graft (CABG) NAN07
Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.
0 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 19

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

Marriage & Family Therapist
4695 MACARTHUR CT, SUITE 1100
NEWPORT BEACH, CA 92660
Counselor (Addiction (Substance Use Disorder))
4695 MACARTHUR CT, 11TH FLOOR
NEWPORT BEACH, CA 92660
Physical Therapist
4695 MACARTHUR CT, SUITE 1100
NEWPORT BEACH, CA 92660
Physical Therapist
4695 MACARTHUR CT, SUITE 1100
NEWPORT BEACH, CA 92660
Behavior Technician
4695 MACARTHUR CT
NEWPORT BEACH, CA 92660
Behavior Analyst
4695 MACARTHUR CT
NEWPORT BEACH, CA 92660
Nurse Practitioner (Family)
4695 MACARTHUR CT
NEWPORT BEACH, CA 92660
Behavior Technician
4695 MACARTHUR CT
NEWPORT BEACH, CA 92660

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 James Cernilia's NPI number?

The NPI number for James Cernilia is 1891804423. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is James Cernilia located?

James Cernilia practices at 4695 Macarthur Ct Suite 1100, Newport Beach, CA 92660. The listed phone number is (800) 525-7037.

What is James Cernilia's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James Cernilia enrolled in Medicare?

Yes. James Cernilia 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 James Cernilia was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.