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SALLY E. DECASTRO-TILSEN P.A.
NPI 1023282019
Physician Assistant in Newport Beach, CA

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment
400 NEWPORT CENTER DR STE 701, NEWPORT BEACH, CA 92660(949) 759-8001(949) 760-3671 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally E. Decastro-tilsen P.a. NPPES

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

SALLY E. DECASTRO-TILSEN P.A. (NPI 1023282019) is an individual physician assistant in Newport Beach, California, licensed in California (PA 10296) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1023282019
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSALLY E. DECASTRO-TILSENCredential: P.A.
Location Address400 NEWPORT CENTER DR STE 701Newport Beach, CA 92660-7608
Mailing Address1101 White Sails WayCorona Del Mar, CA 92625-1524 · (949) 378-8641 · Fax (949) 760-3671
Phone(949) 759-8001
Fax(949) 760-3671
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateApril 22, 2008
✔ NPI 1023282019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA 10296
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA 10296 (CA)
400 NEWPORT CENTER DR STE 701, Newport Beach, CA 92660
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Other Names 1

Other Name (5)Sally Tilsen P.a.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sally E. Decastro-tilsen P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416137476
PECOS Enrollment IDI20110208000485
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
36,845 services60 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
184 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
146 services114 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

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

DANIELLE GOODMAN DDS
Dentist (Pediatric Dentistry)
400 NEWPORT CENTER DR STE 701
NEWPORT BEACH, CA 92660
Orange County (949) 644-0611

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 Sally Decastro-tilsen's NPI number?

The NPI number for Sally Decastro-tilsen is 1023282019. It was assigned to this individual provider in the NPPES registry on April 22, 2008. The provider is also known as Sally Tilsen P.A..

Where is Sally Decastro-tilsen located?

Sally Decastro-tilsen practices at 400 Newport Center Dr Ste 701, Newport Beach, CA 92660. The listed phone number is (949) 759-8001.

What is Sally Decastro-tilsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sally Decastro-tilsen enrolled in Medicare?

Yes. Sally Decastro-tilsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sally Decastro-tilsen was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.