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DR. KELLEY LYNN HAGERICH M.D., MPH
NPI 1013109792
Internal Medicine in San Diego, CA

Active since August 15, 2007PECOS Enrolled
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE, SAN DIEGO, CA 92161(858) 552-8585 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelley Lynn Hagerich M.d., Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLEY LYNN HAGERICH M.D., MPH (NPI 1013109792) is an individual internal medicine provider in San Diego, California, licensed in California (A113020) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013109792
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELLEY LYNN HAGERICHCredential: M.D., MPH
Location AddressVA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVESan Diego, CA 92161-0001
Mailing AddressVa San Diego Healthcare System, 3350 La Jolla Village DriveSan Diego, CA 92161-0001 · (858) 552-8585
Phone(858) 552-8585
Sole ProprietorNo
Enumeration DateAugust 15, 2007
Last NPPES UpdateAugust 29, 2012
✔ NPI 1013109792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A113020
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
VA SAN DIEGO HEALTHCARE SYSTEM, San Diego, CA 92161
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelley Lynn Hagerich M.d., Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN SCOTT TRIM PH.D.
Psychologist (Clinical)
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE (116B)
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
MR. DANIEL VINCENT KNOERL CRNA
Nurse Anesthetist, Certified Registered
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DR.
SAN DIEGO, CA 92161
San Diego County (858) 642-3300
LYNN MA
Optometrist
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
LISA LIN M.D.
Physical Medicine & Rehabilitation
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE (117)
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
MARY ALICE LACY MSN,FNP
Nurse Practitioner (Family)
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE, MC-118
SAN DIEGO, CA 92161
San Diego County (858) 642-1085
JAMES LEWIS BARRETT CRNA
Nurse Anesthetist, Certified Registered
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DR.
SAN DIEGO, CA 92161
San Diego County (858) 642-3300
MR. JEFFREY L. JOHNSON CRNA
Nurse Anesthetist, Certified Registered
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DR.
SAN DIEGO, CA 92161
San Diego County (858) 642-3300
DR. JOHN JOSEPH MALONE DPM
Podiatrist
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRVIE (112D)
SAN DIEGO, CA 92161
San Diego County (858) 552-8585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Hagerich's NPI number?

The NPI number for Kelley Hagerich is 1013109792. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Kelley Hagerich located?

Kelley Hagerich practices at VA San Diego Healthcare System 3350 La Jolla Village Drive, San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Kelley Hagerich's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelley Hagerich enrolled in Medicare?

Yes. Kelley Hagerich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Hagerich was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.