DR. CARLOS VENTURA MD
NPI 1902219314
Family Medicine in Murrieta, CA

Active since June 04, 2014PECOS EnrolledAccepts Medicare Assignment
89.72/100
CMS Quality Rating
41880 KALMIA ST STE 100, MURRIETA, CA 92562(951) 397-4226(951) 461-6973 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2020, May 11, 2020, Apr 10, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Carlos Ventura Md NPPES

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

DR. CARLOS VENTURA MD (NPI 1902219314) is an individual family medicine provider in Murrieta, California, licensed in California (A144176) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1902219314
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARLOS VENTURACredential: MD
Location Address41880 KALMIA ST STE 100Murrieta, CA 92562-8835
Mailing Address41880 Kalmia St Ste 100Murrieta, CA 92562-8835 · (951) 397-4226
Fax(951) 461-6973
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 4, 2014
Last NPPES UpdateOctober 9, 20204 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
NPI 1902219314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A144176
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
41880 KALMIA ST STE 100, Murrieta, CA 92562

Accepted Insurance

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. Carlos Ventura 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 ID1850518028
PECOS Enrollment IDI20161108001340
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services39 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92562 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

89.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Improvement Activities40
Cost60.97

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%87 patients5/55-star benchmark: 100%
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 13

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

Physician Assistant
41880 KALMIA ST STE 100
MURRIETA, CA 92562
Nurse Practitioner (Family)
41880 KALMIA ST STE 100
MURRIETA, CA 92562
Physician Assistant
41880 KALMIA ST STE 100
MURRIETA, CA 92562
Physician Assistant
41880 KALMIA ST STE 100
MURRIETA, CA 92562
Physician Assistant
41880 KALMIA ST STE 100
MURRIETA, CA 92562
Physician Assistant
41880 KALMIA ST STE 100
MURRIETA, CA 92562
Physician Assistant
41880 KALMIA ST STE 100
MURRIETA, CA 92562
Nurse Practitioner (Family)
41880 KALMIA ST STE 100
MURRIETA, CA 92562

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 Carlos Ventura's NPI number?

The NPI number for Carlos Ventura is 1902219314. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Carlos Ventura located?

Carlos Ventura practices at 41880 Kalmia St Ste 100, Murrieta, CA 92562. The listed phone number is (951) 397-4226.

What is Carlos Ventura's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlos Ventura enrolled in Medicare?

Yes. Carlos Ventura 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.

What insurance does Carlos Ventura accept?

Health plans from Molina Healthcare list Carlos Ventura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlos Ventura was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.