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DR. NEYSAN PUCKS MD
NPI 1073142659
Internal Medicine in San Diego, CA

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123(858) 939-5241(503) 413-6892 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 4, 2026, Jun 22, 2023, Apr 6, 2020 (3 updates tracked since 2020).

About Dr. Neysan Pucks Md NPPES

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

DR. NEYSAN PUCKS MD (NPI 1073142659) is an individual internal medicine provider in San Diego, California, licensed in California (A203912) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073142659
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NEYSAN PUCKSCredential: MD
Location Address2929 HEALTH CENTER DRSan Diego, CA 92123-2762
Mailing Address2929 Health Center DrSan Diego, CA 92123-2762 · (858) 939-5241
Phone(858) 939-5241
Fax(503) 413-6892
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 6, 2020
Last NPPES UpdateApril 4, 20263 updates tracked since enumeration
NPPES CertifiedApril 4, 2026
✔ NPI 1073142659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A203912✔ Licensed in OR · MD215330
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2929 HEALTH CENTER DR, San Diego, CA 92123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neysan Pucks 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 ID5395168348
PECOS Enrollment IDI20230620000845, I20260414001774
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Neysan Pucks reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sharp Rees-Stealy Medical Group, Inc
3.2 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666
Legacy Clinics LLC
912 mi
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1730472192 (503) 826-0206
Legacy Emanuel Hospital & Health Center
926 mi
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000
Legacy Good Samaritan Hospital And Medical Center
927 mi
General Acute Care Hospital
1015 NW 22ND AVE
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 387 clinicians in this Medicare group
NPI 1780608216 (503) 413-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

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.

SYDNEY BERG HARTLEY
Nurse Practitioner (Family)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
San Diego County (858) 499-2600
DR. DONALD R NEWMAN M.D.
Internal Medicine (Hematology)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
San Diego County (858) 499-5523
DR. DARREN BOND KELLER M.D.
Internal Medicine (Gastroenterology)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
San Diego County (858) 939-6531
BILLIE JO V. BROCKINGTON PA-C
Physician Assistant
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
San Diego County (858) 939-6503
DR. GARY C O'HARA M.D.
Obstetrics & Gynecology
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
San Diego County (858) 499-2702
DR. SUSAN KIT-SUM CHU M.D.
Internal Medicine (Gastroenterology)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
San Diego County (858) 939-6531
DR. YUHANG SUN
Orthopaedic Surgery (Sports Medicine)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
San Diego County (858) 939-6503
NYREE VANMAARSEVEEN CNM, WHNP
Advanced Practice Midwife
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
San Diego County (858) 499-2600

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 Neysan Pucks's NPI number?

The NPI number for Neysan Pucks is 1073142659. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Neysan Pucks located?

Neysan Pucks practices at 2929 Health Center Dr, San Diego, CA 92123. The listed phone number is (858) 939-5241.

What is Neysan Pucks's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neysan Pucks enrolled in Medicare?

Yes. Neysan Pucks 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.

Which organizations bill Medicare for Neysan Pucks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neysan Pucks reassigns Medicare benefits to 4 organizations: Sharp Rees-Stealy Medical Group, Inc (San Diego, CA), Legacy Clinics LLC (Sandy, OR), Legacy Emanuel Hospital & Health Center (Portland, OR) and Legacy Good Samaritan Hospital And Medical Center (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neysan Pucks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Neysan Pucks affiliated with any hospitals?

According to CMS data, Neysan Pucks is affiliated with Legacy Emanuel Medical Center and Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Neysan Pucks was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.