St Charles Spine Institute
A Medicare group practice based in Thousand Oaks, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5496036550), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5496036550
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 1
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170103001487 | CA | Part B Supplier - Clinic/Group Practice | 1780377283 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
St. Charles Spine Institute
- Physical Medicine & Rehabilitation Physician
- Thousand Oaks, CA
- NPI 1780377283
-
St Charles Spine Institute
- Orthopaedic Surgery of the Spine Physician
- Thousand Oaks, CA
- NPI 1912369893
Practice locations
- Thousand Oaks, CA1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 79.38 of 100
- Quality
- 84.62
- Improvement activities
- 40
- Cost
- 51.77
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (6).
-
Brian Carson, M.P.T., C.S.C.S.
- Physical Therapist
- Thousand Oaks, CA
- NPI 1043542731
-
Benjamin Nicholas Dirkx, D.O.
- Physical Medicine & Rehabilitation Physician
- Santa Barbara, CA
- NPI 1679875389
-
Christopher George Gardhouse, PA-C
- Surgical Physician Assistant
- Mission Hills, CA
- NPI 1508432030
-
Bumin Kong
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Thousand Oaks, CA
- NPI 1497382220
-
Kelly Erin Olson, PA-C
- Physician Assistant
- Seattle, WA
- NPI 1669027025
-
Jonathan Rice, PAC
- Surgical Physician Assistant
- Thousand Oaks, CA
- NPI 1720113392
-
Gabriella Joy Schultz, PA-C
- Physician Assistant
- Thousand Oaks, CA
- NPI 1457215964
-
Erik C Spayde, MD
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
- NPI 1609818822
-
Dorathy Twitchell, PA-C
- Physician Assistant
- Thousand Oaks, CA
- NPI 1417806514
-
Lana Louie A. Wania-Galicia, MD
- Pain Medicine (Anesthesiology) Physician
- Moorpark, CA
- NPI 1730166406
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.