Individual provider Active NPI

Marie Dusch, MD

  • Surgery of the Hand (Surgery) Physician
  • Santa Maria, CA
National Provider Identifier
1659753911
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
A144633 Issued in CA
Practice address
2342 Professional Pkwy Ste 200
Santa Maria, CA 93455-1690
Phone
(805) 349-9545
Fax
(805) 349-8025
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A144633 CA
Surgery of the Hand (Surgery) Physician 2086S0105X A144633 CA Primary

Addresses

Primary practice location

2342 Professional Pkwy Ste 200
Santa Maria, CA 93455-1690

Mailing address

2342 Professional Pkwy Ste 200
Santa Maria, CA 93455-1690
Phone (805) 349-9545

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310002797 CA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 3274817630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of California, San Francisco School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians
Central Coast Orthopedic Medical GroupGroup PAC ID 8426945916, 19 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

2342 Professional Pkwy
Suite 200
Santa Maria, CA 93455-1690
Phone (805) 349-9545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A144633CAMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Orthopedic Medical Group Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

921 Oak Park Blvd
Ste 204
Pismo Beach, CA 93449
Phone (805) 473-4949

2342 Professional Pkwy
Ste 200
Santa Maria, CA 93455
Phone (805) 349-9545

862 Meinecke Ave
Ste 100
Sn Luis Obisp, CA 93405
Phone (805) 541-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mdusch@centralcoastortho.emadirect.md
  • Direct secure messaging: mdusch@ccomg1991.srs-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1659753911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY STE 200",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551690",
            "telephone_number": "805-349-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY STE 200",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551690",
            "telephone_number": "805-349-9545",
            "fax_number": "805-349-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSCH",
        "first_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A144633",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A144633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.