DR. MARK JOHN GHILARDUCCI (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1922063700
Sports Medicine (Orthopaedic Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,024 ORTHOPEDIC SURGERY in CA
Provider Addresses for DR. MARK JOHN GHILARDUCCI (M.D.)
3525 Loma Vista Rd Ste A
Ventura, CA 930033165
Phone: (805) 641-6415
Fax: (805) 641-6424
Type: Location
1203 FLYNN RD UNIT 160
CAMARILLO, CA 930126203
Phone: (805) 804-4168
Fax: (805) 830-1177
Type: Mailing
2221, Wankel Way, Oxnard, Ventura County, California, 93030, United States
OXNARD, CA 930300192
Phone: (805) 988-9366
Fax: (805) 483-3747
Type: Location
Ralston Street, Winchester Homes, Ventura, Ventura County, California, 93009, United States
VENTURA, CA 930037844
Phone: (805) 804-4168
Fax: (805) 830-1177
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $756.
Total Amount is formed as General ($756) + Research ($0) + Ownership ($0) = $756.
Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Miach Orthopaedics, Inc. ($367).
Total Amount
$756
General + Research + Ownership
Payments
8
Total payment records
General Amount
$756
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-29
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050112001173 | I | Orthopedic Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7328 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg | 9,072 | 16 | $0 |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 720 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 310 | 231 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 270 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 228 | 161 | $0 |
Insurance plans in this area (ZIP 93003)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Sports Medicine, Orthopedic Surgery | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA |
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