DR. SALLY S AGERSBORG M.D., PH.D.
NPI 1053505743
Pathology - Hematology in Irvine, CA

Q: What is Sally Agersborg's NPI number?

The NPI number for Sally Agersborg is 1053505743. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Q: What is Sally Agersborg's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Agersborg was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 05, 2007PECOS EnrolledAccepts Medicare Assignment

175 TECHNOLOGY DR, IRVINE, CA 92618(949) 540-9421 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2024, May 25, 2022 (2 updates tracked since 2022).

On this page

About Dr. Sally S Agersborg M.d., Ph.d. NPPES

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

DR. SALLY S AGERSBORG M.D., PH.D. (NPI 1053505743) is an individual hematology provider in Irvine, California, licensed in California (A82499) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aliso Viejo, and is a graduate of University Of Virginia School Of Medicine (2001).

NPPES Registry Identity

NPI1053505743

Entity TypeIndividualFemale

Primary Taxonomy207ZH0000X

Provider Legal NameDR. SALLY S AGERSBORGCredential: M.D., PH.D.

Location Address175 TECHNOLOGY DRIrvine, CA 92618-2478

Mailing AddressPo Box 947365Atlanta, GA 30394-7365

Phone(949) 540-9421

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2001

Enumeration DateSeptember 5, 2007

Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1053505743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · HematologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZH0000X

Licenses✔ Licensed in CA · A82499✔ Licensed in SC · 35178✔ Licensed in NJ · 25MA09454000✔ Licensed in NY · 263526✔ Licensed in NE · 36038✔ Licensed in WA · MD61433822✔ Licensed in FL · ME103427✔ Licensed in TX · N1972✔ Licensed in PA · MD432959✔ Licensed in MD · D0066759

Definition

A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.

175 TECHNOLOGY DR, Irvine, CA 92618

Open in Google Maps ↗

Secondary Practice Location 1

Location 131 ColumbiaAliso Viejo, CA 92656-1460 · Phone (949) 445-7300

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

Dr. Sally S Agersborg M.d., Ph.d. 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 ID1254375975

PECOS Enrollment IDI20240217000581, I20240708002456

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 92618 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

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 Agersborg's NPI number?

The NPI number for Sally Agersborg is 1053505743. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Where is Sally Agersborg located?

Sally Agersborg practices at 175 Technology Dr, Irvine, CA 92618. The listed phone number is (949) 540-9421.

What is Sally Agersborg's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.

Is Sally Agersborg enrolled in Medicare?

Yes. Sally Agersborg 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 Agersborg was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.