Michael T. Vercillo, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A85526 Issued in CA

Practice address

375 Rolling Oaks Dr
Suite 200
Thousand Oaks, CA 91361-1023

Phone

(805) 497-9481

Fax

(805) 497-3416

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Georgetown University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Coast Nursing Ventura Inc Home health agency, Thousand Oaks, CA, CCN 059003
• Dynamic Home Care Home health agency, Sherman Oaks, CA, CCN 557280
• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Merit-based Incentive Payment System (MIPS)

Final score

93.59 of 100Reported as individual

Quality

87.17

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael T. Vercillo, M.D., Inc.

  • Orthopaedic Surgery Physician
  • Thousand Oaks, CA
  • NPI 1871818815
  Medicare reassignment NPD Authorized official
• Tucson Orthopaedic Institute Professional Corporation

  dba Tucson Orthopaedic Institute, PC

  • Orthopaedic Surgery Physician
  • Tucson, AZ
  • NPI 1437193265
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dynamic Home Care Services Inc.

  • Home Health Agency
  • Sherman Oaks, CA
  • NPI 1811076870
  Care Compare affiliation
• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation
• West Coast Nursing Ventura, Inc.

  • Home Health Agency
  • Westlake Village, CA
  • NPI 1134289598
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1376767723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611023",
            "telephone_number": "805-497-9481",
            "fax_number": "805-497-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611023",
            "telephone_number": "805-497-9481",
            "fax_number": "805-497-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCILLO",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "40629",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A85526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ventura Recovery Center, Inc. (Ventura Recovery Center)
• Ventura Wellness Behavioral Health
• Arturo Pabalan Venturina, MD
• Prabha Venugopal, MD
• Jessica Marie Vera
• Devin Kishore Verma, AMFT
• Rachel Veroni Wooff
• Destiny Verrette
• Hadley Veselak, NP
• Vesper Healthcare, Inc. (Buena Vista Hospice)

• Orthopaedic Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.