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DR. JOHN THORNTON LUNDGREN M.D.
NPI 1033447305
Psychiatry & Neurology - Psychiatry in Beverly Hills, CA

Active since November 25, 2009Opted out of Medicare · through Apr 20, 2028
9777 WILSHIRE BLVD., SUITE 905, BEVERLY HILLS, CA 90212(310) 273-7495(310) 273-0714 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Thornton Lundgren M.d. NPPES

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

DR. JOHN THORNTON LUNDGREN M.D. (NPI 1033447305) is an individual psychiatry provider in Beverly Hills, California, licensed in California (A23459) and active in the NPI registry since November 2009. He has opted out of Medicare through April 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033447305
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN THORNTON LUNDGRENCredential: M.D.
Location Address9777 WILSHIRE BLVD., SUITE 905Beverly Hills, CA 90212
Mailing Address9777 Wilshire Blvd., Suite 905Beverly Hills, CA 90212 · (310) 273-7495 · Fax (310) 273-0714
Phone(310) 273-7495
Fax(310) 273-0714
Sole ProprietorYes
Enumeration DateNovember 25, 2009
✔ NPI 1033447305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A23459
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
9777 WILSHIRE BLVD., Beverly Hills, CA 90212
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Thornton Lundgren M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 20, 2016 through April 20, 2028.

Opt-Out Effective DateApril 20, 2016
Opt-Out In Effect ThroughApril 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90212 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

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 John Lundgren's NPI number?

The NPI number for John Lundgren is 1033447305. It was assigned to this individual provider in the NPPES registry on November 25, 2009.

Where is John Lundgren located?

John Lundgren practices at 9777 Wilshire Blvd. Suite 905, Beverly Hills, CA 90212. The listed phone number is (310) 273-7495.

What is John Lundgren's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Lundgren enrolled in Medicare?

No. John Lundgren has opted out of Medicare through April 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Lundgren was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.