Santa Rosa Orthopaedic Medical Group, Inc.
A Medicare group practice based in Santa Rosa, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4981655057), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4981655057
- Provider type
- DME Supplier - Physician - General Surgery, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 2
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050207000100 | CA | Part B Supplier - Clinic/Group Practice | 1518907336 |
| O20190801002004 | CA | DME Supplier - Physician - General Surgery | 1437713500 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Santa Rosa Orthopaedic Medical Group, Inc.
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1437713500
-
Santa Rosa Orthopaedic Medical Group, Inc.
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1518907336
Practice locations
- Santa Rosa, CA3
- Petaluma, CA2
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 68.05 of 100
- Quality
- 62.72
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 77.82
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (7).
-
Christian Nabil Athanassious, M.D.
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1043471279
-
Thomas W Axelrad, M.D.
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1326229204
-
Anna Renee Coopersmith, OTR/L, CHT
- Specialist
- Santa Rosa, CA
- NPI 1730573775
-
Thomas C Degenhardt, M.D.
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1073556635
-
Rodney Gerrit Dekleuver, PHYSICIAN ASSISTANT
- Physician Assistant
- Santa Rosa, CA
- NPI 1487118105
-
Jason Justin, PA-C
- Physician Assistant
- Mill Valley, CA
- NPI 1265967079
-
Leslie Manuel, PA-C
- Physician Assistant
- Terrytown, LA
- NPI 1013318351
-
Michael James McDermott, M.D.
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1750365102
-
Dominic J Mintalucci, M.D.
- Orthopaedic Hand Surgery Physician
- Santa Rosa, CA
- NPI 1114126869
-
Michelle Nentwig, M.D.
- Orthopaedic Surgery Physician
- Thornton, CO
- NPI 1073961553
-
Neema Pourtaheri, MD
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1720272313
-
Nira L. Ray, MHS, PA-C
- Physician Assistant
- Danbury, CT
- NPI 1871617142
-
Mark E. Schakel II, M.D.
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1083657654
-
Sarah Swanson Slough
- Physician Assistant
- Sonoma, CA
- NPI 1912659806
-
Gary A Stein, M.D.
- Orthopaedic Surgery Physician
- Santa Rosa, CA
- NPI 1952344525
-
Cynthia Rose Syiek, OT
- Occupational Therapist
- Santa Rosa, CA
- NPI 1255880985
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.