Active NPI
Roger Pitzen, M.D.
- Family Medicine Physician
- Sebastopol, CA
National Provider Identifier
1396742524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00G370340
- Practice address
- 555 Petaluma Ave
#A
Sebastopol, CA 95472-4224 - Phone
- (707) 823-3210
- Fax
- (707) 823-1710
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00G370340 | CA | Primary |
Addresses
Primary practice location
555 Petaluma Ave
#A
Sebastopol, CA 95472-4224
Mailing address
555 Petaluma Ave
#A
Sebastopol, CA 95472-4224
Phone (707) 823-3210
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100611000460 | CA | Practitioner - Family Practice | 4284764622 | Practice locations: Sebastopol, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Francisco School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
555 Petaluma Ave
Suite a
Sebastopol, CA 95472-4225
Phone (707) 823-3210
Hospital & facility affiliations
- Sutter Care at Home
- Silverline Staff Home Health
- Providence Santa Rosa Memorial Hospital
- Healdsburg Hospital
- Sutter Santa Rosa Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 35 |
| Removal of skin lesions | 222 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00G370340 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter West Bay Medical Foundation | Family Medicine | Past | Accepting new patients |
| Sutter Bay Medical Foundation | Past | Accepting new patients |
Interoperability endpoints
- rpitzen209003@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Sutter Pacific Medical Foundation
- Family Medicine Physician
- San Francisco, CA
- NPI 1104852789
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Healdsburg Hospital
- Critical Access Hospital
- Healdsburg, CA
- NPI 1861009672
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
dba Sutter Care at Home
- Home Health Agency
- Santa Rosa, CA
- NPI 1205865870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1396742524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 PETALUMA AVE",
"address_2": "#A",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724224",
"telephone_number": "707-823-3210",
"fax_number": "707-823-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 PETALUMA AVE",
"address_2": "#A",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724224",
"telephone_number": "707-823-3210",
"fax_number": "707-823-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITZEN",
"first_name": "ROGER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "00G370340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.