MARANDA PAHLKOTTER MD
NPI 1073909636
Surgery - Surgical Oncology in Stockton, CA

Q: What is Maranda Pahlkotter's NPI number?

The NPI number for Maranda Pahlkotter is 1073909636. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Q: What is Maranda Pahlkotter's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment

1901 N CALIFORNIA ST, STOCKTON, CA 95204(209) 946-6800(209) 946-6805 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Maranda Pahlkotter Md NPPES

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

MARANDA PAHLKOTTER MD (NPI 1073909636) is an individual surgical oncology provider in Stockton, California, licensed in California (A200351) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1073909636

Entity TypeIndividualFemale

Primary Taxonomy2086X0206X

Provider Legal NameMARANDA PAHLKOTTERCredential: MD

Location Address1901 N CALIFORNIA STStockton, CA 95204-6005

Mailing Address3400 Data Dr, Attention: Credentialing And Payer Enrollment DeptRancho Cordova, CA 95670

Phone(209) 946-6800

Fax(209) 946-6805

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2015

Enumeration DateApril 10, 2015

Last NPPES UpdateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1073909636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in CA · A200351

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

1901 N CALIFORNIA ST, Stockton, CA 95204

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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

Maranda Pahlkotter 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 ID6406177500

PECOS Enrollment IDI20250116002472

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 Reassignment

Medicare enrollment records show Maranda Pahlkotter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dignity Health Medical Foundation

Same address

Multi-Specialty

1901 N CALIFORNIA ST
Stockton, CA 95204

Reassigned Medicare billing, California enrollment
1,191 clinicians in this Medicare group

NPI 1518190958 (209) 948-0579

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GAURAVJIT SINGH MD

Radiology (Radiation Oncology)