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DAVID CHARLES MCCLASKEY M.D.
NPI 1083977227
Family Medicine - Sports Medicine in San Diego, CA

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
4650 PALM AVE, SAN DIEGO, CA 92154(619) 528-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2021, Oct 17, 2016 (2 updates tracked since 2016).

About David Charles Mcclaskey M.d. NPPES

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

DAVID CHARLES MCCLASKEY M.D. (NPI 1083977227) is an individual sports medicine provider in San Diego, California, licensed in California (A127805) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2012).

NPPES Registry Identity

NPI1083977227
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDAVID CHARLES MCCLASKEYCredential: M.D.
Location Address4650 PALM AVESan Diego, CA 92154-8404
Mailing Address4650 Palm AveSan Diego, CA 92154-8404 · (619) 528-5000
Phone(619) 528-5000
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2012
Enumeration DateJune 22, 2012
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
✔ NPI 1083977227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A127805
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
4650 PALM AVE, San Diego, CA 92154
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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

David Charles Mcclaskey M.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 ID5597071027
PECOS Enrollment IDI20150828002266
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

2

Medicare enrollment records show David Mcclaskey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
14 mi
Nephrology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 526 clinicians in this Medicare group
NPI 1003934803 (888) 926-8273
Southern California Permanente Medical Group
14 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

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 92154 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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.

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.

SAMANTHA DAVIS RAMOS PHARM.D.
Pharmacist
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5301
JOSEPH TAMAYO PHARM.D.
Pharmacist
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5301
DR. MIGUEL ANGEL PENA-RUIZ M.D.
Internal Medicine
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5013
KRISTA RICH
Physical Therapist
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 528-5000
JANIE PAK M.D., M.P.H.
Obstetrics & Gynecology
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (858) 266-5000
HYUN BAE CHUN MD
Family Medicine
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (833) 574-2273
DR. HENRY CHAN PHARM.D.
Pharmacist
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5301
MELISSA DE LA MORA MORELOS M.D.
Pediatrics
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 528-5000

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 David Mcclaskey's NPI number?

The NPI number for David Mcclaskey is 1083977227. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is David Mcclaskey located?

David Mcclaskey practices at 4650 Palm Ave, San Diego, CA 92154. The listed phone number is (619) 528-5000.

What is David Mcclaskey's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is David Mcclaskey enrolled in Medicare?

Yes. David Mcclaskey 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 David Mcclaskey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Mcclaskey reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and Southern California Permanente Medical Group (San Diego, CA). 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 David Mcclaskey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Mcclaskey was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.