MICHAEL LEONCE PEZOLD M.D. NPI 1720377856

NPI Information

  • NPI: 1720377856
  • Provider Name: MICHAEL LEONCE PEZOLD, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1162 MONTGOMERY DR STE 300
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 890-4250

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NPI Details

Michael Leonce Pezold, M.D. is a vascular surgery surgery in Santa Rosa, CA with 15 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Michael Leonce Pezold, M.D. NPI is 1720377856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:2011

The provider's business location address is:

1162 MONTGOMERY DR STE 300
SANTA ROSA, CA
ZIP 95405-802
Phone: (707) 890-4250
Fax: (707) 476-2240

The NPI 1720377856 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Balloon dilation of artery of leg (HCPCS:37224)
  • Revision of hemodialysis graft (HCPCS:36832)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Relocation of major upper arm vein with connection to arm artery for hemodialysis (HCPCS:36818)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 3/29/2011 and was last updated on 8/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training Program276415NEW YORKNo
22086S0129XSurgeryVascular SurgeryA168740CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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