PHILLIP G ZENTNER MD
NPI 1063452415
Radiology - Radiation Oncology in Chula Vista, CA
NPI Status: Active since June 07, 2006
Contact Information
751 MEDICAL CENTER CT
CHULA VISTA, CA
ZIP 91911
Phone: (619) 482-5851
Fax: (619) 482-5865
- Individual
- Male
- Years of Experience 36
- Radiology
- Radiation Oncology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About PHILLIP ZENTNER
This page provides the complete NPI Profile along with additional information for Phillip Zentner, a provider established in Chula Vista, California with a medical specialization in Radiology, focusing in radiation oncology and more than 36 years of experience. He graduated from Vanderbilt University School Of Medicine in 1990. The healthcare provider is registered in the NPI registry with number 1063452415 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0001X with license number G83516 (CA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1063452415
- Provider Name
- PHILLIP G ZENTNER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 751 MEDICAL CENTER CT CHULA VISTA, CA 91911
- Location Phone
- (619) 482-5851
- Location Fax
- (619) 482-5865
- Mailing Address
- PO BOX 710488 SAN DIEGO, CA 92171
- Mailing Phone
- (619) 326-0700
- Mailing Fax
- (619) 482-5865
- Medical School Name
- VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1990
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-07-2006
- Last Update Date
- 05-20-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G83516
- License State
- CA
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 174400000X | Other Service Providers | Specialist | G83516 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
00G835160 | MEDICAID (05) | CA | |
WG83516N | MEDICARE PIN (08) | CA | |
G83516 | OTHER (01) | CA | MEDICAL LICENSE |
WG83516Q | MEDICARE PIN (08) | CA | |
WG83516R | MEDICARE PIN (08) | CA | |
F77672 | MEDICARE UPIN (02) | CA | |
WG83516P | MEDICARE PIN (08) | CA | |
WG83516O | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | SCV MEDICARE |
Medicare Participation & PECOS Enrollment Status
Phillip Zentner is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Phillip Zentner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9436200698
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210121001599
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
3d radiation therapy planning
Calculation of radiation therapy dose
Complex radiation therapy planning
Continuing radiation therapy consultation per week
Ct guidance for insertion of radiation therapy fields
Design and construction of complex radiation treatment device
Design and construction of radiation treatment device for high precision radiation therapy
Established patient office or other outpatient visit, 40-54 minutes
High precision radiation therapy planning
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session
Management of cranial lesion surgery using radiation over multiple sessions
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved
Obtaining respiratory data needed to develop the optimal radiation treatment
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev
Radiation treatment management, 5 treatment sessions
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy
3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.
This service was performed 17 times for 17 patientsRadiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
This service was performed 195 times for 56 patientsComplex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
This service was performed 64 times for 62 patientsContinuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.
This service was performed 54 times for 34 patientsCT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
This service was performed 491 times for 56 patientsThe design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
This service was performed 108 times for 46 patientsA radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.
This service was performed 37 times for 36 patientsThis 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.
This service was performed 18 times for 18 patientsHigh precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.
This service was performed 37 times for 36 patientsIntensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
This service was performed 488 times for 54 patientsThis procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.
This service was performed 11 times for 11 patientsThis 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.
This service was performed 38 times for 38 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 25 times for 25 patientsThis procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
This service was performed 27 times for 22 patientsThis procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.
This service was performed 36 times for 30 patientsObtaining respiratory data is vital for optimal radiation treatment. This involves tracking your breathing patterns to ensure the precise delivery of radiation to the target area, minimizing damage to healthy tissue. It's a non-invasive process and contributes to effective treatment.
This service was performed 21 times for 20 patientsThis procedure involves using high-energy radiation to target and treat disease. It covers 3 or more distinct areas, using custom blocks to protect healthy tissue. Tangential ports, wedges, and rotational beams help direct the radiation. An electron beam of 11-19 million electron volts (mev) is used for deep-seated conditions.
This service was performed 149 times for 23 patientsRadiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.
This service was performed 79 times for 13 patientsRadiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
This service was performed 128 times for 63 patientsStereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.
This service was performed 90 times for 18 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $46.17 for a new patient copayment and $19.21 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 91911 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $184.71
- Minimum New Patient Price $62.1
- Maximum New Patient Price $184.71
- Average New Patient Copayment $46.17
- Minimum New Patient Copayment $15.52
- Maximum New Patient Copayment $46.17
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $76.87
- Minimum Established Patient Price $20.62
- Maximum Established Patient Price $151.42
- Average Established Patient Copayment $19.21
- Minimum Established Patient Copayment $5.15
- Maximum Established Patient Copayment $37.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Breast Cancer Screening | 69% | 180 |
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
Closing the Referral Loop: Receipt of Specialist Report | 100% | 248 |
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred | ||
Colorectal Cancer Screening | 66% | 291 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
Documentation of Current Medications in the Medical Record | 71% | 781 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
Falls: Screening for Future Fall Risk | 99% | 258 |
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
Oncology: Medical and Radiation - Pain Intensity Quantified | 90% | 904 |
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified | ||
Participation in MOC Part IV | Yes | N/A |
Participation in Maintenance of Certification (MOC) Part IV, such as the American Board of Internal Medicine (ABIM) Approved Quality Improvement (AQI) Program, National Cardiovascular Data Registry (NCDR) Clinical Quality Coach, Quality Practice Initiative Certification Program, American Board of Medical Specialties Practice Performance Improvement Module or ASA Simulation Education Network, for improving professional practice including participation in a local, regional or national outcomes registry or quality assessment program. Performance of monthly activities across practice to regularly assess performance in practice, by reviewing outcomes addressing identified areas for improvement and evaluating the results. | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 96% | 532 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 80% | 30 |
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 258 |
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Phillip Zentner is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
UPMC HAMOT | 201 STATE STREET ERIE, PA 16550 | (814) 877-6000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 6 | 3 | 4 | 5 | 2 | 4 | 1 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 12 | 3 | 8 | 5 | 4 | 4 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 2 + 3 + 8 + 5 + 4 + 4 + 2 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1063452415 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1164484697 | K CAMERON CAMPBELL MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-3612 |
1831133321 | JOHN P EINCK MD Individual | Radiology (Radiation Oncology) | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5851 |
1760412050 | DR. RAN REGEV M.D. Individual | Emergency Medicine | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5800 |
1023026812 | FARZIN TAYEFEH M D INC Organization | Anesthesiology | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5800 |
1609884493 | GAMAL ELDIN ELSHAFEI M D INC Organization | Anesthesiology | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5800 |
1366451601 | GREGG S. BOLOTIN M.D. Individual | Emergency Medicine | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5825 |
1144239401 | KEVIN BERNARD CALHOUN M.D. Individual | Emergency Medicine | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5825 |
1376552638 | DR. TIMOTHY PATRICK HOLDEN M. D. Individual | Hospitalist | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5800 |
1831109651 | MARIA LUISA B. RAMIRA NP Individual | Nurse Practitioner | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5825 |
1548270200 | ANDRES SMITH M.D. Individual | Emergency Medicine | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5825 |
1659436806 | YAOHUI LI, M.D., INC. Organization | Anesthesiology | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (765) 284-0493 |
1700913936 | MRS. NANCY ALEXANDER-WADEL RD, CDE Individual | Dietitian, Registered | 751 MEDICAL CENTER CT SHARP CHULA VISTA MEDICAL CENTER CHULA VISTA, CA 91911 (619) 482-5938 |
1457575375 | DR. WILLIAM DABNEY O'RIORDAN M.D. Individual | Emergency Medicine (Emergency Medical Services) | 751 MEDICAL CENTER CT SUITE 105 CHULA VISTA, CA 91911 (619) 955-5246 |
1518171024 | LYNNE SCHATZLEIN RD Individual | Dietitian, Registered | 751 MEDICAL CENTER CT SHARP CHULA VISTA MEDICAL CENTER CHULA VISTA, CA 91911 (619) 482-3674 |
1760691398 | PATRICIA ANN ENNIS RD Individual | Dietitian, Registered | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-3480 |
1912102708 | KRISTINE D MCGINNIS Individual | Physician Assistant | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (510) 350-2660 |
1083804587 | RLG ANESTHESIA, LLC Organization | Anesthesiology | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (765) 284-0493 |
1376734137 | JOHN J LEE A PROFESSIONAL CORPORATION Organization | Anesthesiology | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (765) 284-0493 |
1760674410 | MICHAEL W LIU MD PC Organization | Anesthesiology | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (765) 284-0493 |
1912195744 | MR. DAVID ALEXANDER GEHLKEN NP Individual | Nurse Practitioner (Family) | 751 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5946 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063452415, enumerated in the NPI registry as an "individual" on June 07, 2006
The provider is located at 751 Medical Center Ct Chula Vista, Ca 91911 and the phone number is (619) 482-5851
The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology
The provider has more than 36 years of experience. He graduated from Vanderbilt University School Of Medicine in 1990.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $184.71 with an average copayment of $46.17 for new patient appointments. Established patients should expect a typical charge of $76.87 and an average copayment of 19.21. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: 3d radiation therapy planning, Calculation of radiation therapy dose, Complex radiation therapy planning, Continuing radiation therapy consultation per week, Ct guidance for insertion of radiation therapy fields, Design and construction of complex radiation treatment device, Design and construction of radiation treatment device for high precision radiation therapy, Established patient office or other outpatient visit, 40-54 minutes, High precision radiation therapy planning, Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session, Management of cranial lesion surgery using radiation over multiple sessions, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Obtaining data needed to develop the optimal radiation treatment, 1 treatment area, Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved, Obtaining respiratory data needed to develop the optimal radiation treatment, Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev, Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev, Radiation treatment management, 5 treatment sessions and Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy.
The practitioner is affiliated to the following hospital(s): UPMC HAMOT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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