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PHILLIP ANDREW THOMAS PRUSACK MD
NPI 1073043378
Family Medicine in Ventura, CA

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
300 HILLMONT AVE, VENTURA, CA 93003(805) 652-6556(805) 652-3252 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2020, Jun 19, 2017 (2 updates tracked since 2017).

About Phillip Andrew Thomas Prusack Md NPPES

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

PHILLIP ANDREW THOMAS PRUSACK MD (NPI 1073043378) is an individual family medicine provider in Ventura, California, licensed in California (A158786) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Citrus Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2017).

NPPES Registry Identity

NPI1073043378
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILLIP ANDREW THOMAS PRUSACKCredential: MD
Location Address300 HILLMONT AVEVentura, CA 93003-1651
Mailing Address800 S Victoria Ave, L4615, Vchca - Physician ServicesVentura, CA 93009-0003 · (805) 677-5181 · Fax (805) 677-5304
Phone(805) 652-6556
Fax(805) 652-3252
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1073043378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A158786
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
300 HILLMONT AVE, Ventura, CA 93003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource.Insurance ›

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

Phillip Andrew Thomas Prusack Md 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 ID2860822053
PECOS Enrollment IDI20240306000838
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 3

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.
425 services403 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.
218 services209 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.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Citrus Hospital

Acute Care Hospitals · Inverness, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100023
Location502 W Highland BlvdInverness, FL 34452 · Citrus County
Emergency services Birthing friendly

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100249
Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

DANIEL FREITAS
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-6161
LINDSAY ANN LOFT FNP
Nurse Practitioner (Family)
300 HILLMONT AVE, BLDG 340, STE 401
VENTURA, CA 93003
Ventura County (805) 641-0141
DENNIS J WATSON
Counselor (Mental Health)
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 562-5907
NATHAN BRODIE
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-6161
MARY E. RASMUSSEN REG.NURSE
Registered Nurse
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-3200
KAYLEE MICHELLE JONES HANTKE
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-6000
ISABELLA GENEVA CHEN M.D.
Internal Medicine (Hematology & Oncology)
300 HILLMONT AVE, BLDG 340, STE 501
VENTURA, CA 93003
Ventura County (805) 652-6218
DR. LINDA J. LEE MD
Pathology (Anatomic Pathology & Clinical Pathology)
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (213) 867-7814

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 Phillip Prusack's NPI number?

The NPI number for Phillip Prusack is 1073043378. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Phillip Prusack located?

Phillip Prusack practices at 300 Hillmont Ave, Ventura, CA 93003. The listed phone number is (805) 652-6556.

What is Phillip Prusack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phillip Prusack enrolled in Medicare?

Yes. Phillip Prusack 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.

What insurance does Phillip Prusack accept?

Health plans from AvMed and CareSource list Phillip Prusack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Phillip Prusack affiliated with any hospitals?

According to CMS data, Phillip Prusack is affiliated with Hca Florida Citrus Hospital and Tampa General Hospital Crystal River.

When was this NPI record last updated?

The NPPES record for Phillip Prusack was last updated on October 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.