DR. NICHOLAS EDWARD TARLOV MD
NPI 1639378078
Neurological Surgery in Ventura, CA
NPI Status: Active since July 16, 2007
- NPI Profile Information
- Primary Taxonomy
- Secondary Taxonomies
- Insurance Plans Accepted
- Secondary Locations
- Medicare Participation & PECOS Status
- Areas of Expertise
- Physician Visit Costs
- Quality Reporting
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Male
- Years of Experience 21
- Neurological Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About NICHOLAS TARLOV
This page provides the complete NPI Profile along with additional information for Nicholas Tarlov, a provider established in Ventura, California with a medical specialization in Neurological Surgery and more than 21 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1639378078 assigned on July 2007. The practitioner's primary taxonomy code is 207T00000X with license number A98972 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1639378078
- Provider Name
- DR. NICHOLAS EDWARD TARLOV MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 147 N BRENT ST VENTURA, CA 93003
- Location Phone
- (805) 658-5800
- Mailing Address
- 5855 OLIVAS PARK DR VENTURA, CA 93003
- Mailing Phone
- (805) 667-2801
- Medical School Name
- UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-16-2007
- Last Update Date
- 02-07-2024
- Code Navigator
Location Map
Secondary Locations
- 88 E Newton St
Boston, MA 02118
(617) 638-6595
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
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A98972
- License State
- CA
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | 75929 (MN) |
| 2 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | 20489 (ND) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - HMO
- Essentia Choice Care with Medica Gold Standard - HMO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Silver Share - HMO
- Essentia Choice Care with Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicholas Tarlov 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.
Nicholas Tarlov 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: 1254571979
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: I20130701000291, I20240131000535
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.
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 70 minutes
New patient office or other outpatient visit, 45-59 minutes
Telephone medical discussion with physician, 21-30 minutes
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.
This service was performed 33 times for 20 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 16 times for 12 patientsFollow-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.
This service was performed 30 times for 18 patientsInitial 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.
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 13 times for 13 patientsThis service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 20 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $35.18 for a new patient copayment and $19.27 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 93003 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $140.72
- Minimum New Patient Price $62.32
- Maximum New Patient Price $185.36
- Average New Patient Copayment $35.18
- Minimum New Patient Copayment $15.58
- Maximum New Patient Copayment $46.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.11
- Minimum Established Patient Price $20.68
- Maximum Established Patient Price $151.85
- Average Established Patient Copayment $19.27
- Minimum Established Patient Copayment $5.17
- Maximum Established Patient Copayment $37.96
* 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 |
|---|---|---|
| Closing the Referral Loop: Receipt of Specialist Report | 96% | 24 |
| 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 | 9% | 34 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Documentation of Current Medications in the Medical Record | 27% | 275 |
| 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 | 86% | 36 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
| Implementation of fall screening and assessment programs | Yes | N/A |
| Implementation of fall screening and assessment programs to identify patients at risk for falls and address modifiable risk factors (e.g., Clinical decision support/prompts in the electronic health record that help manage the use of medications, such as benzodiazepines, that increase fall risk). | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Medication Reconciliation | 100% | 22 |
| 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 | 56% | 25 |
| 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 | 36% | 42 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 72% | 69 |
| 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 | ||
| Provide Patient Access | 100% | 25 |
| 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 | 56% | 25 |
| 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. | ||
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 18% | 56 |
| Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD); OR - Adults aged >=21 years who have ever had a fasting or direct low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL; OR - Adults aged 40-75 years with a diagnosis of diabetes with a fasting or direct LDL-C level of 70-189 mg/dL | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
| 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. | 39 |
| 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. Nicholas Tarlov is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ESSENTIA HEALTH | 3000 32ND AVE SOUTH FARGO, ND 58104 | (701) 364-8000 | 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 | 6 | 3 | 9 | 3 | 7 | 8 | 0 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 7 | 16 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 7 + 1 + 6 + 0 + 1 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1639378078 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1679533822 | DR. CARMEN M MARTINEZ Individual | Radiology (Vascular & Interventional Radiology) | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5028 |
| 1689627580 | DR. BENGT-OLA SIGVARD BENGTSSON MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5620 |
| 1811943046 | DR. JOHN PATRICK VANHOUTEN MD Individual | Specialist | 147 N BRENT ST NEONATAL INTENSIVE CARE UNIT AT CMH VENTURA, CA 93003 (805) 652-5620 |
| 1164465159 | VENTURA ANESTHESIA MEDICAL GROUP Organization | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5044 |
| 1740224468 | DR. THEODORE H. TUSCHKA M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1477598704 | DR. KOOROS SAMADZADEH D.O. Individual | Internal Medicine | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5652 |
| 1942231121 | DR. DEBORAH CARLSON M.D. Individual | Internal Medicine | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1578596912 | JOHN S SEDER, MD, INC. Organization | Nuclear Medicine | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5026 |
| 1487679171 | WILLIAM A. BEUTTLER, M.D., INC. Organization | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1639198666 | DR. MARK A. DESANTI M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1164441168 | DR. WILLIAM A. BEUTTLER M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1417976432 | DR. THOMAS E. CUMMINGS M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1508886771 | DR. KEE Y. LEE M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1184645897 | MR. JAMES PAUL PENA M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1639190275 | MANUEL J. REYNOSA M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1578584017 | MR. MICHAEL C. WARD M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
| 1548276405 | MR. ANTONIO L. WONG M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (310) 471-3958 |
| 1528172848 | DR. RAJENDER G. REDDY M.D. Individual | Anesthesiology | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5044 |
| 1548376916 | JEROME MARYNIUK MD Individual | Emergency Medicine | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5018 |
| 1649388984 | SOUND INPATIENT PHYSICIANS MEDICAL GROUP INC Organization | Hospitalist | 147 N BRENT ST VENTURA, CA 93003 (805) 652-5011 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639378078, enumerated in the NPI registry as an "individual" on July 16, 2007
The provider is located at 147 N Brent St Ventura, Ca 93003 and the phone number is (805) 658-5800
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
The provider has more than 21 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 2005.
The provider might be accepting Accepts: Medica. 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 $140.72 with an average copayment of $35.18 for new patient appointments. Established patients should expect a typical charge of $77.11 and an average copayment of 19.27. 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: Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 70 minutes, New patient office or other outpatient visit, 45-59 minutes and Telephone medical discussion with physician, 21-30 minutes.
The practitioner is affiliated to the following hospital(s): ESSENTIA HEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 16, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.