ANDRES ENRIQUE GIRON M.D.
NPI 1922027630
Internal Medicine - Pulmonary Disease in Thousand Oaks, CA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
66.55/100
CMS Quality Rating
555 MARIN ST, SUITE 110, THOUSAND OAKS, CA 91360(805) 496-0440(805) 496-9808 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andres Enrique Giron M.d. NPPES

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

ANDRES ENRIQUE GIRON M.D. (NPI 1922027630) is an individual pulmonary disease provider in Thousand Oaks, California, licensed in California (A42914) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1922027630
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANDRES ENRIQUE GIRONCredential: M.D.
Location Address555 MARIN ST, SUITE 110Thousand Oaks, CA 91360-4236
Mailing Address555 Marin St., Suite 110Thousand Oaks, CA 91360-4102 · (805) 496-0440 · Fax (805) 496-9808
Fax(805) 496-9808
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 17, 2010
NPI 1922027630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A42914
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License A42914 (CA)
555 MARIN ST, Thousand Oaks, CA 91360

Other Identifiers 2

Medicare PINA42914CA
Medicare UPINE01664CA

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

Andres Enrique Giron 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 ID6800929597
PECOS Enrollment IDI20100802000544
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 14

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
1,370 services675 patients
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.
515 services118 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
269 services162 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
210 services113 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
176 services172 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
175 services171 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91360 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

66.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.45
Promoting Interoperability75
Improvement Activities40
Cost42.88

Reported Quality Measures

e-Prescribing
97%578 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
68%428 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers280 claims280 services$33.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers195 claims195 services$69.77 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers193 claims568 services$27.88 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers221 claims1,282 services$15.54 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers129 claims762 services$13.14 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers373 claims373 services$44.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Clinic/Center (Sleep Disorder Diagnostic)
555 MARIN ST, SUITE 106
THOUSAND OAKS, CA 91360
Dentist
555 MARIN ST, SUITE 150
THOUSAND OAKS, CA 91360
Nurse Practitioner
555 MARIN ST
THOUSAND OAKS, CA 91360
Podiatrist
555 MARIN ST, STE 290
THOUSAND OAKS, CA 91360
Internal Medicine (Hematology & Oncology)
555 MARIN ST, 200
THOUSAND OAKS, CA 91360
Acupuncturist
555 MARIN ST, SUITE 108
THOUSAND OAKS, CA 91360
Audiologist
555 MARIN ST
THOUSAND OAKS, CA 91360
Nutritionist (Nutrition, Education)
555 MARIN ST
THOUSAND OAKS, CA 91360

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 Andres Giron's NPI number?

The NPI number for Andres Giron is 1922027630. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Andres Giron located?

Andres Giron practices at 555 Marin St Suite 110, Thousand Oaks, CA 91360. The listed phone number is (805) 496-0440.

What is Andres Giron's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Andres Giron enrolled in Medicare?

Yes. Andres Giron 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 Andres Giron was last updated on May 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.