Nicholas Kusnezov, MD in San Diego, CA - Medicare Orthopedic Surgery

Nicholas Kusnezov, MD is a medicare enrolled "Orthopaedic Surgery" physician in San Diego, California. He went to University Of California, Geffen School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Ortho 1 Medical Group, Emergency And Acute Care Medical Corporation, Yuma Regional Medical Center and his current practice location is 5643 Copley Dr Ste 300, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 455-9942.

Nicholas Kusnezov is licensed to practice in California (license number A155908) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396185161.

Contact Information

	Nicholas Kusnezov, MD
	5643 Copley Dr Ste 300, San Diego, CA 92111-7903
	(858) 455-9942
	(858) 455-6473

Map and Direction

Physician's Profile

Full Name	Nicholas Kusnezov
Gender	Male
Speciality	Orthopedic Surgery
Experience	12 Years
Location	5643 Copley Dr Ste 300, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas Kusnezov attended and graduated from University Of California, Geffen School Of Medicine in 2013

NPI Data:

NPI Number: 1396185161
Provider Enumeration Date: 06/26/2013
Last Update Date: 05/02/2025

Medicare PECOS Information:

PECOS PAC ID: 3476803248
Enrollment ID: I20200121002289

Medical Identifiers

Medical identifiers for Nicholas Kusnezov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396185161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	036147531 (Illinois)	Secondary
207X00000X	Orthopaedic Surgery	51891 (Kentucky)	Secondary
207X00000X	Orthopaedic Surgery	58084 (Arizona)	Secondary
207X00000X	Orthopaedic Surgery	A155908 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Scripps Memorial Hospital - Encinitas	Encinitas, CA	Hospital
Yuma Regional Medical Center	Yuma, AZ	Hospital
Sharp Chula Vista Medical Center	Chula vista, CA	Hospital
Sharp Coronado Hospital And Hlthcr Ctr	Coronado, CA	Hospital
Tri-city Medical Center	Oceanside, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ortho 1 Medical Group	0042619876	12
Emergency And Acute Care Medical Corporation	9537108279	394
Yuma Regional Medical Center	2062314826	359

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Kusnezov allows following entities to bill medicare on his behalf.

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Entity Name	Dhp Of Twin Cities Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295082857 PECOS PAC ID: 0840449385 Enrollment ID: O20120927000352

Entity Name	Ortho 1 Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609471929 PECOS PAC ID: 0042619876 Enrollment ID: O20210528000105

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Kusnezov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicholas Kusnezov, MD 5643 Copley Dr Ste 300, San Diego, CA 92111-7903 Ph: (858) 455-9942	Nicholas Kusnezov, MD 5643 Copley Dr Ste 300, San Diego, CA 92111-7903 Ph: (858) 455-9942

Reviews and Comments

Orthopaedic Surgery Doctors in San Diego, CA

Michelle Marie Gosselin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Drive, Dept Of Orthopedics, San Diego, CA 92134 Phone: 203-640-5521
Dr. Steven Alexander Burekhovich, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3030 Childrens Way, San Diego, CA 92123 Phone: 858-966-6789
Eric William Edmonds, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789
Steven Tradonsky, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5643 Copley Dr Ste 300, San Diego, CA 92111 Phone: 858-455-9942 Fax: 858-455-6473
Dr. Richard D Perlman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8008 Frost St, Suite 403, San Diego, CA 92123 Phone: 858-715-9200 Fax: 858-715-9202
Peter Owen Newton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789
Oke Adrian Anakwenze, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 Convoy St Ste 201, San Diego, CA 92111 Phone: 858-300-2260 Fax: 858-300-2260

Nicholas Kusnezov, MD - Medicare Orthopedic Surgery in San Diego, CA