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MARGUERITE JOANNA CRITELLI MD
NPI 1902962954
Dermatology in Newport Beach, CA

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
95.92/100
CMS Quality Rating
1901 WESTCLIFF DR STE 2, NEWPORT BEACH, CA 92660(949) 646-3376(949) 646-3303 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Oct 27, 2020 (2 updates tracked since 2020).

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

NPI1902962954
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMARGUERITE JOANNA CRITELLICredential: MD
Location Address1901 WESTCLIFF DR STE 2Newport Beach, CA 92660-5505
Mailing Address1901 Westcliff Dr Ste 2Newport Beach, CA 92660-5505 · (949) 646-3376 · Fax (949) 646-3303
Phone(949) 646-3376
Fax(949) 646-3303
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1991
Enumeration DateDecember 27, 2006
Last NPPES UpdateSeptember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
✔ NPI 1902962954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in CA · G76233✔ Licensed in CA · G076233✔ Licensed in TX · S6378
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1901 WESTCLIFF DR STE 2, Newport Beach, CA 92660
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Secondary Practice Locations 2

Location 11441 Avocado Ave Suite 602Newport Beach, CA 92660 · Phone (949) 640-9633 · Fax (949) 640-9677
Location 211100 Warner Ave Ste 264Fountain Valley, CA 92708-7512 · Phone (714) 549-1770 · Fax (714) 549-5049

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

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.

PECOS PAC ID2466515309
PECOS Enrollment IDI20090120000408
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

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.

Telephone, internet, or electronic health record assessment and management with verbal and written report by consulting physician, 5-10 minutes 99446
This service involves a brief 5-10 minute consultation with a physician over the phone or internet. The doctor will assess your health concerns and provide a verbal and written report of their findings. This is a convenient way to receive medical advice from the comfort of your home.
15 services15 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

95.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.84
Improvement Activities40

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.

DR. PETER J HELTON DO
Dermatology
1901 WESTCLIFF DR STE 2
NEWPORT BEACH, CA 92660
Orange County (949) 646-3376
DR. MICHAEL B. HURWITZ M.D.
Surgery
1901 WESTCLIFF DR STE 2
NEWPORT BEACH, CA 92660
Orange County (949) 631-4890
SARAH BOBICH PA-C
Physician Assistant
1901 WESTCLIFF DR STE 2
NEWPORT BEACH, CA 92660
Orange County (949) 646-3376

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.

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 2 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.