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SUSAN K. MUNDEN M.D.
NPI 1053426486
Emergency Medicine in Laguna Beach, CA

Active since August 19, 2006PECOS Enrolled
94.62/100
CMS Quality Rating
31872 COAST HWY, LAGUNA BEACH, CA 92651(949) 499-1311 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan K. Munden M.d. NPPES

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

SUSAN K. MUNDEN M.D. (NPI 1053426486) is an individual emergency medicine provider in Laguna Beach, California, licensed in California (A55912) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053426486
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSUSAN K. MUNDENCredential: M.D.
Location Address31872 COAST HWYLaguna Beach, CA 92651-6773
Mailing Address2100 Powell St, Suite 900Emeryville, CA 94608-1826 · (510) 350-2600 · Fax (510) 879-9100
Phone(949) 499-1311
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 7, 2009
✔ NPI 1053426486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A55912
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
31872 COAST HWY, Laguna Beach, CA 92651
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Other Identifiers 3

Medicaid00A559120CA
Medicare PINWA55912DCA
Medicare UPING66788CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan K. Munden M.d. 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
284 services277 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services68 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
42 services41 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92651 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

DENISE L SEKINS C.F.N.P
Nurse Practitioner
31872 COAST HWY
LAGUNA BEACH, CA 92651
Orange County (949) 499-1311
DR. CHRISTOPHER TOSOONIAN VANLEY M.D.
Pathology (Dermatopathology)
31872 COAST HWY, SOUTH COAST MEDICAL CENTER, PATHOLOGY DEPT
LAGUNA BEACH, CA 92651
Orange County (949) 499-7181
DR. ALEXANDER HAO FAN M.D.
Psychiatry & Neurology (Psychiatry)
31872 COAST HWY
LAGUNA BEACH, CA 92651
Orange County (949) 499-1311
MISSION HOSPITAL REGIONAL MEDICAL CENTER
Psychiatric Unit
31872 COAST HWY
LAGUNA BEACH, CA 92651
Orange County (949) 364-1400
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC.
Emergency Medicine
31872 COAST HWY
LAGUNA BEACH, CA 92651
Orange County (844) 474-4019
NANCY SUMIRE BOERNER M.D.
Internal Medicine
31872 COAST HWY
LAGUNA BEACH, CA 92651
Orange County (949) 499-7645
DHARINI M PATEL MD INC
Anesthesiology
31872 COAST HWY
LAGUNA BEACH, CA 92651
Orange County (949) 499-1311
DR. ANDREW TAYLOR ADAMS MD
Emergency Medicine
31872 COAST HWY
LAGUNA BEACH, CA 92651
Orange County (949) 499-1311

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 Susan Munden's NPI number?

The NPI number for Susan Munden is 1053426486. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Susan Munden located?

Susan Munden practices at 31872 Coast Hwy, Laguna Beach, CA 92651. The listed phone number is (949) 499-1311.

What is Susan Munden's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Susan Munden enrolled in Medicare?

Yes. Susan Munden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Munden was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.