DR. MICHAEL NICHOLAS PAPANICOLAOU M.D.
NPI 1922038967
Internal Medicine - Cardiovascular Disease in Thousand Oaks, CA

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1000 NEWBURY RD, STE 180, THOUSAND OAKS, CA 91320(805) 480-2600(805) 480-2677 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Nicholas Papanicolaou M.d. NPPES

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

DR. MICHAEL NICHOLAS PAPANICOLAOU M.D. (NPI 1922038967) is an individual cardiovascular disease provider in Thousand Oaks, California, licensed in California (A43353) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1985).

NPPES Registry Identity

NPI1922038967
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MICHAEL NICHOLAS PAPANICOLAOUCredential: M.D.
Location Address1000 NEWBURY RD, STE 180Thousand Oaks, CA 91320-6435
Mailing Address1000 Newbury Rd, Ste 180Thousand Oaks, CA 91320-6435 · (805) 480-2600 · Fax (805) 480-2677
Fax(805) 480-2677
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1985
Enumeration DateJuly 4, 2006
Last NPPES UpdateOctober 17, 2011
NPI 1922038967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A43353
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1000 NEWBURY RD, Thousand Oaks, CA 91320

Other Identifiers 4

Medicare ID-Type UnspecifiedWA43353B
Medicare ID-Type UnspecifiedWA43353C
Medicare PINWA43353D
Medicare UPINE98635

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 Nicholas Papanicolaou 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 ID7113116971
PECOS Enrollment IDI20110110000172
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 27

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.
2,099 services1,064 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
1,736 services432 patients
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555
Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
846 services422 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
722 services588 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
496 services494 patients
Nuclear medicine studies of blood flow in heart muscle at rest and with stress 78492
Nuclear medicine studies help visualize blood flow in your heart at rest and during stress. A small amount of radioactive substance is injected, which your heart absorbs. Images are then taken to assess your heart's health and function.
422 services421 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91320 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
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier11 claims66 services$1.78 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 20

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

General Practice
1000 NEWBURY RD, SUITE 210
THOUSAND OAKS, CA 91320
Internal Medicine (Pulmonary Disease)
1000 NEWBURY RD, SUITE 275
NEWBURY PARK, CA 91320
Physical Therapist
1000 NEWBURY RD, SUITE # 120
THOUSAND OAKS, CA 91320
Internal Medicine (Cardiovascular Disease)
1000 NEWBURY RD, SUITE 180
THOUSAND OAKS, CA 91320
Dentist (General Practice)
1000 NEWBURY RD, SUITE #138
THOUSAND OAKS, CA 91320
Pharmacy (Community/Retail Pharmacy)
1000 NEWBURY RD, STE 100
NEWBURY PARK, CA 91320
Internal Medicine
1000 NEWBURY RD, SUITE 115
NEWBURY PARK, CA 91320
Physical Therapist
1000 NEWBURY RD, SUITE 210
THOUSAND OAKS, CA 91320

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 Papanicolaou's NPI number?

The NPI number for Michael Papanicolaou is 1922038967. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Michael Papanicolaou located?

Michael Papanicolaou practices at 1000 Newbury Rd Ste 180, Thousand Oaks, CA 91320. The listed phone number is (805) 480-2600.

What is Michael Papanicolaou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Papanicolaou enrolled in Medicare?

Yes. Michael Papanicolaou 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 Papanicolaou was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.