MARGUERITE JOANNA CRITELLI MD
NPI 1902962954
Dermatology in Newport Beach, CA
About Marguerite Joanna Critelli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARGUERITE JOANNA CRITELLI MD (NPI 1902962954) is an individual dermatology provider in Newport Beach, California, licensed in California (G76233) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Colorado School Of Medicine, Denver (1991).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marguerite Joanna Critelli 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.
Medicare Billing Reassignments
7Medicare enrollment records show Marguerite Critelli reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newport Beach, CA 92660
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Newport Beach, CA 92660
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: J Robert West MD Inc
- 121 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 19 clinicians in this Medicare group
Fullerton, CA 92835
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
San Pedro, CA 90732
- Reassigned Medicare billing, California enrollment
- 179 clinicians in this Medicare group
Pismo Beach, CA 93449
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
Pearland, TX 77584
- Reassigned Medicare billing, Texas enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
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.
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.
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.
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 Marguerite Critelli's NPI number?
The NPI number for Marguerite Critelli is 1902962954. It was assigned to this individual provider in the NPPES registry on December 27, 2006.
Where is Marguerite Critelli located?
Marguerite Critelli practices at 1901 Westcliff Dr Ste 2, Newport Beach, CA 92660. The listed phone number is (949) 646-3376.
What is Marguerite Critelli's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Marguerite Critelli enrolled in Medicare?
Yes. Marguerite Critelli 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.
Which organizations bill Medicare for Marguerite Critelli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marguerite Critelli reassigns Medicare benefits to 7 organizations: Peter Helton Professional Corporation (Newport Beach, CA), J Robert West, M.D., Inc (Newport Beach, CA), Ocean Skin And Vein Institute (Tustin, CA), Advanced Skincare Physician Assistant Corporation (pac) (Fullerton, CA), Csi Medical Group (San Pedro, CA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marguerite Critelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marguerite Critelli accept?
Health plans from Anthem Blue Cross and Blue Shield list Marguerite Critelli 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 Marguerite Critelli was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Marguerite Joanna Critelli, MD · NPI 1902962954
Dermatology physician in Newport Beach, California. Individual provider, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1902962954 (Entity type: Individual)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** G76233 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 WESTCLIFF DR STE 2, Newport Beach, CA 92660-5505
- **Phone:** (949) 646-3376 · **Fax:** (949) 646-3303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Peter Helton Professional Corporation (NPI 1023153277, Newport Beach, CA); J Robert West, M.D., Inc (NPI 1932154788, Newport Beach, CA); Ocean Skin And Vein Institute (NPI 1790246841, Tustin, CA); Advanced Skincare Physician Assistant Corporation (pac) (NPI 1245830389, Fullerton, CA); Csi Medical Group (NPI 1871909804, San Pedro, CA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 1991
## Record status
- **NPPES last updated:** September 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1902962954) · Data from the CMS NPPES public registry.