PRESTON LAVINGHOUSEZ M.D.
NPI 1104073550
Pediatrics in Palo Alto, CA

Q: What is Preston Lavinghousez's NPI number?

The NPI number for Preston Lavinghousez is 1104073550. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Q: What is Preston Lavinghousez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 27, 2008PECOS Enrolled

795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 853-2992 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Preston Lavinghousez M.d. NPPES

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

PRESTON LAVINGHOUSEZ M.D. (NPI 1104073550) is an individual pediatrics provider in Palo Alto, California, licensed in California (A102897) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1104073550

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NamePRESTON LAVINGHOUSEZCredential: M.D.

Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 853-2992

Phone(650) 853-2992

Sole ProprietorNo

Enumeration DateAugust 27, 2008

Last NPPES UpdateJune 2, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1104073550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A102897

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License P3189 (TX)

795 EL CAMINO REAL, Palo Alto, CA 94301

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Secondary Practice Location 1

Location 14900 Mueller BlvdAustin, TX 78723-3079 · Phone (512) 324-0000 ext. 86313 · Fax (512) 324-0721

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Preston Lavinghousez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Sutter Bay Medical Foundation

Same address

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

Dell Children's Medical Group

1,480 mi

Pediatrics

1000 HESTERS CROSSING RD
Round Rock, TX 78681

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Dell Childrens Medical Group
576 clinicians in this Medicare group

NPI 1790103869 (512) 628-1800

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 94301 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

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.

DR. SHIRA BETH LIPTON M.D.

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