2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1235390071 M.D.
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RICHARD CEGELSKI, M.D.

Emergency Medical Services (Emergency Medicine) Physician in VENTURA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
47
Medicare Part D claims · 38 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
MIPS score
87.188/100
▲ 4 pts above national avg 83.1 · [object Object]
What the federal data reveals: RICHARD CEGELSKI, M.D. is a Emergency Medical Services (Emergency Medicine) Physician ([object Object]) practicing in VENTURA, California with a Medicare Part D prescribing footprint of 47 claims across 38 beneficiaries . Their CMS MIPS Final Score of 87.188/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RICHARD CEGELSKI, M.D. reported a CMS MIPS final score of 87.188 out of 100, above the 83.1 national average, and filed 47 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RICHARD CEGELSKI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RICHARD CEGELSKI, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/24/2008

NPI 1235390071

Primary specialty

Emergency Medical Services (Emergency Medicine) Physician

Niche

3,616 US NPIs in this specialty

Medicare Part D claims

47 88% vs specialty avg

2023 prescription claims

Specialty avg: 394

MIPS final score

87.188/100 4.088000000000008% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among California providers

California providers

Emergency Medical Services (Emergency Medicine) Physician share within California

1. Emergency Medical Services (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medical Services (Emergency Medicine) Physician share within California

Medicare quality performance — MIPS

RICHARD CEGELSKI, M.D.'s 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
87.188/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 87.188/100 vs national avg 83.1

0%100%National avg83%87.2%
MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 87.188/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

RICHARD CEGELSKI, M.D. is a Emergency Medical Services (Emergency Medicine) Physician provider practicing in VENTURA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1235390071. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RICHARD CEGELSKI, M.D. appears in the CMS NPPES registry as a Emergency Medical Services (Emergency Medicine) Physician provider holding M.D. credentials at 300 HILLMONT AVE, VENTURA, CA, 93003, with a listed phone of (805) 652-6165. NPI 1235390071 was issued on 06/24/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CEGELSKI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 47 prescription claims written by this provider, covering 38 Medicare beneficiaries and totaling roughly $728 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.188/100 for the 2023 performance year (Quality 84.0953, Cost 56.5312), compared with the national average of 83.1.

Emergency Medical Services (Emergency Medicine) Physician is a narrow specialty nationwide, with 3,616 enrolled providers across 55 states and an average of 394 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

300 HILLMONT AVE
VENTURA, CA 93003

Provider Details

NPI 1235390071
Specialty Emergency Medical Services (Emergency Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 06/24/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

87.188
Final Score
Avg: 83.1
84.0953
Quality
56.5312
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RICHARD CEGELSKI, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

COUNTY OF VENTURA
VENTURA, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to RICHARD CEGELSKI, M.D.. To verify RICHARD CEGELSKI, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

47
Total Claims
$728
Total Drug Cost
38
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
47
Total Day Supply
657
Generic Drug Cost
$579

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.33

Emergency Medical Services (Emergency Medicine) Physician Overview

How RICHARD CEGELSKI, M.D. fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.

3,616
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider

RICHARD CEGELSKI, M.D.'s 47 claims are below the specialty average of 394.

Nearby Emergency Medical Services (Emergency Medicine) Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as CEGELSKI.

Compare Emergency Medical Services (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD CEGELSKI, M.D.'s specialty?
RICHARD CEGELSKI, M.D. specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in VENTURA, California. Credentials: M.D..
How much does RICHARD CEGELSKI, M.D. prescribe under Medicare Part D?
In 2023, RICHARD CEGELSKI, M.D. wrote 47 Medicare Part D claims totaling $728 in drug costs for 38 beneficiaries.
What is RICHARD CEGELSKI, M.D.'s Medicare quality score?
RICHARD CEGELSKI, M.D. has a CMS MIPS Final Score of 87.188/100 (Quality: 84.0953, Cost: 56.5312). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICHARD CEGELSKI, M.D. located?
RICHARD CEGELSKI, M.D. is located at 300 HILLMONT AVE, VENTURA, CA, 93003. Phone: (805) 652-6165.
What is RICHARD CEGELSKI, M.D.'s NPI number?
RICHARD CEGELSKI, M.D.'s National Provider Identifier (NPI) is 1235390071, issued on 06/24/2008.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US?
There are 3,616 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 394 Medicare Part D claims per year.
Does RICHARD CEGELSKI, M.D. accept Medicare?
RICHARD CEGELSKI, M.D. appears in CMS Medicare data with 47 Part D claims and 38 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD CEGELSKI, M.D.'s credentials?
RICHARD CEGELSKI, M.D.'s NPI is 1235390071 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology