DR. KENNETH ROBERT DIDDIE M.D.
NPI 1184684219
Specialist in Westlake Village, CA
Quality Rating: 75 out of 100 score
NPI Status: Active since March 24, 2006
Contact Information
1220 LA VENTA DR
SUITE 211
WESTLAKE VILLAGE, CA
ZIP 91361
Phone: (805) 379-0200
Fax: (805) 496-5204
- Individual
- Male
- Years of Experience 53
- Specialist
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About KENNETH DIDDIE
This page provides the complete NPI Profile along with additional information for Kenneth Diddie, a provider established in Westlake Village, California with a medical specialization in Specialist and more than 53 years of experience. He graduated from University Of Chicago, Pritzker School Of Medicine in 1973. The healthcare provider is registered in the NPI registry with number 1184684219 assigned on March 2006. The practitioner's primary taxonomy code is 174400000X with license number G033939 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1184684219
- Provider Name
- DR. KENNETH ROBERT DIDDIE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1220 LA VENTA DR SUITE 211 WESTLAKE VILLAGE, CA 91361
- Location Phone
- (805) 379-0200
- Location Fax
- (805) 496-5204
- Mailing Address
- 1220 LA VENTA DR SUITE 211 WESTLAKE VILLAGE, CA 91361
- Mailing Phone
- (805) 379-0200
- Mailing Fax
- (805) 496-5204
- Medical School Name
- UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
- Graduation Year
- 1973
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-24-2006
- Last Update Date
- 03-01-2021
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- G033939
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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 |
|---|---|---|---|
| 00G339391 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Kenneth Diddie 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.
Kenneth Diddie 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: 4981682580
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: I20111212000435
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.
Compounded drug, not otherwise classified
Destruction of growth of retina using a laser
Established patient problem focused exam of visual system
Imaging of retina
Injection of drug into eye
New patient complete exam of visual system
Photography of the retina
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
This service was performed 1,113 times for 155 patientsThis procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.
This service was performed 407 times for 129 patientsThis is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
This service was performed 1,113 times for 646 patientsImaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
This service was performed 1,498 times for 584 patientsAn injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
This service was performed 1,154 times for 157 patientsA new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
This service was performed 114 times for 114 patientsPhotography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
This service was performed 312 times for 289 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 75 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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 |
|---|---|---|
| Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | 494 |
| Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for preventing progression of AMD | ||
| Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | 494 |
| Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage AND the level of macular degeneration severity during one or more office visits within 12 months | ||
| Diabetes: Eye Exam | 100% | 172 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | 93 |
| Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months | ||
| Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy | 100% | 95 |
| Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months | ||
| Documentation of Current Medications in the Medical Record | 74% | 2357 |
| 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 | ||
| e-Prescribing | 95% | 192 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Medication Reconciliation | 99% | 411 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 100% | 1603 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 85% | 26 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Influenza Immunization | 89% | 56 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | 66 |
| Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 99% | 1603 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 98% | 1603 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| 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. | 1017 |
| 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 | ||
| Use of QCDR data for quality improvement such as comparative analysis reports across patient populations | Yes | N/A |
| Participation in a QCDR, clinical data registries, or other registries run by other government agencies such as FDA, or private entities such as a hospital or medical or surgical society. Activity must include use of QCDR data for quality improvement (e.g., comparative analysis across specific patient populations for adverse outcomes after an outpatient surgical procedure and corrective steps to address adverse outcome). | ||
| Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination | Yes | N/A |
| Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups). | ||
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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 | 1 | 8 | 4 | 6 | 8 | 4 | 2 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 12 | 8 | 8 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 2 + 8 + 8 + 2 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1184684219 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801878400 | MS. CARLA SPERLING PT Individual | Physical Therapist | 1220 LA VENTA DR 102 WESTLAKE VILLAGE, CA 91361 (805) 777-7370 |
| 1487687661 | VIBHAY PRASAD, M.D., INC Organization | Physical Medicine & Rehabilitation | 1220 LA VENTA DR SUITE 104 WESTLAKE VILLAGE, CA 91361 (805) 496-4020 |
| 1447284948 | VIBHAY PRASAD M.D. Individual | Physical Medicine & Rehabilitation | 1220 LA VENTA DR SUITE 104 WESTLAKE VILLAGE, CA 91361 (805) 496-4020 |
| 1043236078 | WESTLAKE PHYSICAL THERAPY, INC. Organization | Physical Therapist | 1220 LA VENTA DR SUITE 102 WESTLAKE VILLAGE, CA 91361 (805) 777-7370 |
| 1003835703 | MR. ANTHONY VASQUEZ P.T. Individual | Physical Therapist | 1220 LA VENTA DR SUITE 102 WESTLAKE VILLAGE, CA 91361 (805) 777-7370 |
| 1548280282 | MRS. BRIDGET MOLINAR M.P.T. Individual | Physical Therapist | 1220 LA VENTA DR SUITE 102 WESTLAKE VILLAGE, CA 91361 (805) 777-7370 |
| 1184639593 | MRS. JANICE HYLLENGREN D.P.T. Individual | Physical Therapist | 1220 LA VENTA DR SUITE 102 WESTLAKE VILLAGE, CA 91361 (805) 777-7370 |
| 1710083761 | LAWRENCE NAPOLEON BORELLI MD Individual | Orthopaedic Surgery | 1220 LA VENTA DR STE 201 WESTLAKE VLG, CA 91361 (805) 381-1953 |
| 1689869356 | GEORGE S HOFFMAN MD Individual | Ophthalmology | 1220 LA VENTA DR STE 203 WESTLAKE VILLAGE, CA 91361 (805) 497-8100 |
| 1225260474 | KHANNA INSTITUTE ASC Organization | Clinic/Center (Ambulatory Surgical) | 1220 LA VENTA DR 209 WESTLAKE VILLAGE, CA 91361 (805) 230-2126 |
| 1487968509 | LAWRENCE N BORELLI, M.D. Organization | Specialist | 1220 LA VENTA DR SUITE 201 WESTLAKE VILLAGE, CA 91361 (805) 381-1953 |
| 1184050569 | DENISE MARIE CARLTON MSN, WHNP-BC Individual | Nurse Practitioner (Obstetrics & Gynecology) | 1220 LA VENTA DR SUITE 209 WESTLAKE VILLAGE, CA 91361 (805) 497-9119 |
| 1598875072 | DR. LINDA GERRITS MD Individual | Internal Medicine | 1220 LA VENTA DR SUITE 207 WESTLAKE VILLAGE, CA 91361 (805) 494-7710 |
| 1124353057 | LINDA GERRITS M D INC A PROFESSIONAL CORP Organization | Internal Medicine (Nephrology) | 1220 LA VENTA DR SUITE 207 WESTLAKE VILLAGE, CA 91361 (805) 494-7710 |
| 1518901743 | DR. JUHEE L SINGH MD Individual | Family Medicine | 1220 LA VENTA DR STE. 101 WESTLAKE VILLAGE, CA 91361 (805) 551-3978 |
| 1558415257 | DR. CAROLINE C PIESZAK M.D. Individual | Family Medicine | 1220 LA VENTA DR #105 WESTLAKE VILLAGE, CA 91361 (805) 777-7242 |
| 1427324383 | HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP A MEDICAL CORPORATION Organization | Clinical Medical Laboratory | 1220 LA VENTA DR SUITE 103 WESTLAKE VILLAGE, CA 91361 (805) 374-1737 |
| 1164856001 | MS. JESSICA SARAH VON DEN STEMMEN M.P.T. Individual | Physical Therapist | 1220 LA VENTA DR SUITE # 102 WESTLAKE VILLAGE, CA 91361 (805) 777-7370 |
| 1700807815 | RETINAL CONSULTANTS OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC Organization | Specialist | 1220 LA VENTA DR SUITE 211 WESTLAKE VILLAGE, CA 91361 (805) 379-0200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184684219, enumerated in the NPI registry as an "individual" on March 24, 2006
The provider is located at 1220 La Venta Dr Suite 211 Westlake Village, Ca 91361 and the phone number is (805) 379-0200
The provider's speciality is Specialist with taxonomy code 174400000X
The provider has more than 53 years of experience. He graduated from University Of Chicago, Pritzker School Of Medicine in 1973.
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.
The most common procedures or services performed by this practitioner are: Compounded drug, not otherwise classified, Destruction of growth of retina using a laser, Established patient problem focused exam of visual system, Imaging of retina, Injection of drug into eye, New patient complete exam of visual system and Photography of the retina.
This NPI record was last updated on March 24, 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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