DR. MICHAEL JOEL MENDOZA M.D.
NPI 1902989668
Internal Medicine - Gastroenterology in Monterey, CA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
83.78/100
CMS Quality Rating
23 UPPER RAGSDALE DR, MONTEREY, CA 93940(831) 375-3577(931) 375-1478 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Joel Mendoza M.d. NPPES

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

DR. MICHAEL JOEL MENDOZA M.D. (NPI 1902989668) is an individual gastroenterology provider in Monterey, California, licensed in California (A77129) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gonzales, and is a graduate of University Of California, Geffen School Of Medicine (2000).

NPPES Registry Identity

NPI1902989668
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MICHAEL JOEL MENDOZACredential: M.D.
Location Address23 UPPER RAGSDALE DRMonterey, CA 93940-7849
Mailing Address23 Upper Ragsdale DrMonterey, CA 93940-7849 · (831) 375-3577 · Fax (931) 375-1478
Fax(931) 375-1478
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2000
Enumeration DateOctober 23, 2006
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
NPI 1902989668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A77129
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A77129 (CA)
23 UPPER RAGSDALE DR, Monterey, CA 93940

Secondary Practice Location 1

Location 1850 5th StGonzales, CA 93926-9491 · Phone (831) 657-3601

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. Michael Joel Mendoza 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 ID9638252968
PECOS Enrollment IDI20120523000233
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 22

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.

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.
294 services238 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
231 services226 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
182 services178 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
128 services128 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services100 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
68 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

83.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.86
Promoting Interoperability95
Improvement Activities40
Cost70.65

Reported Quality Measures

Advance Care Plan
79%437 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
34%80 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
85%519 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
39%36 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%60 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%1,147 patients4/55-star benchmark: 100%
e-Prescribing
98%430 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%816 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%1,001 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 25% · 212 patients
24%212 patients
Provide Patients Electronic Access to Their Health Information
57%214 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%94 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 346 patients
Patients totalRate: 3% · 346 patients
2%346 patients4/55-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 16

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

Internal Medicine (Gastroenterology)
23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940
Internal Medicine (Gastroenterology)
23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940
Nurse Practitioner
23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940
Nurse Practitioner (Acute Care)
23 UPPER RAGSDALE DR
MONTEREY, CA 93940
Internal Medicine (Gastroenterology)
23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940
Internal Medicine (Gastroenterology)
23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940
Internal Medicine (Gastroenterology)
23 UPPER RAGSDALE DR, SUITE 200
MONTEREY, CA 93940
Internal Medicine (Gastroenterology)
23 UPPER RAGSDALE DR
MONTEREY, CA 93940

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 Michael Mendoza's NPI number?

The NPI number for Michael Mendoza is 1902989668. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Michael Mendoza located?

Michael Mendoza practices at 23 Upper Ragsdale Dr, Monterey, CA 93940. The listed phone number is (831) 375-3577.

What is Michael Mendoza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Mendoza enrolled in Medicare?

Yes. Michael Mendoza 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 Michael Mendoza was last updated on December 18, 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.