Active NPI 1396966495 Individual Practitioner Male Practitioner

Dr. Michael T Coccia , MD

Surgery • Laguna Beach, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Coccia, MD is a certified Surgery practicing in Laguna Beach, CA. With approximately 42 years of clinical experience since graduating from Ohio State University College Of Medicine in 1984, Dr. Coccia delivers high-quality medical care to the local community at 31862 COAST HWY #201.

Dr. Coccia is affiliated with Surgical Group Of South Laguna A Medical Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

31862 Coast Hwy #201

Laguna Beach, CA 926516769

Telephone 9494994565

Associated Practice Facility / Clinic

🏢 Surgical Group Of South Laguna A Medical Corporation Facility NPI 1467550178

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Laguna Beach, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +11.3 yrs vs City Avg

City Avg: 30.7 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Laguna Beach, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Coccia (42 Years) 42 Yrs

Laguna Beach Specialty Average (30.7 Years) 30.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	34	$115.11	$86.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	45	$209.00	$145.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$317.00	$188.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	29	$281.00	$202.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$550.00	$187.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$212.00	$142.48
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$1336.08	$470.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$208.00	$126.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	29	$112.00	$84.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	41	$209.00	$141.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$317.00	$182.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	28	$281.00	$197.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$550.00	$185.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$208.00	$123.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$212.00	$139.13
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1404.06	$619.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	32	$112.00	$76.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	51	$209.00	$142.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$317.00	$184.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	26	$281.00	$200.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$208.00	$125.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$550.00	$212.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$212.00	$145.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	61	$209.00	$145.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	30	$112.00	$77.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	23	$281.00	$196.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$317.00	$186.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$208.00	$125.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$479.42	$216.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	19	$212.00	$146.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1283.20	$347.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	62	$209.00	$121.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	26	$112.00	$79.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$317.00	$182.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	24	$281.00	$163.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$208.00	$120.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$212.00	$150.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$308.00	$221.25
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1336.11	$482.81
49505 Repair of groin hernia (5 years or older)	11	11	$1008.00	$582.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	68	$209.00	$119.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	19	$112.00	$77.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$317.00	$179.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$208.00	$116.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	25	$212.00	$146.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$281.00	$160.06
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$1345.83	$493.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	73	$209.00	$118.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	32	$112.00	$77.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$208.00	$118.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	29	$212.00	$145.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$317.00	$178.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	13	$281.00	$158.58
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1426.71	$664.01
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$140.00	$80.52
49505 Repair of groin hernia (5 years or older)	11	11	$1008.00	$558.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	76	$209.00	$113.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	28	$112.00	$74.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$208.00	$115.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	23	$212.00	$141.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$317.00	$173.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	16	$281.00	$153.09
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$140.00	$78.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$308.00	$210.04
49505 Repair of groin hernia (5 years or older)	12	12	$1008.00	$523.04

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G059754

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Surgical Group Of South Laguna A Medical Corporation

31862 Pacific Coast Hwy, Laguna Beach, CA 926516771

Phone: 9494994565

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Steven Chang , MD

Surgery

NPI 1205048436

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 31862 COAST HWY #201, LAGUNA BEACH, CA 926516769 (Tel: 9494994565)

📍

Updated Business Mailing Address July 08, 2007

Registered at 31862 COAST HWY, LAGUNA BEACH, CA 926516769 (Tel: 9494994565)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL COCCIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #G059754 in CA)

🟢

Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396966495

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

31862 Coast Hwy

Laguna Beach, CA 926516769

Phone: 9494994565

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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