DR. ERIC EINSTEIN MD
NPI 1154683787
Emergency Medicine in La Mesa, CA

Active since June 11, 2012PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
5555 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 740-4405 Get Directions Write a Review

NPPES record last updated: October 30, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Eric Einstein Md NPPES

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

DR. ERIC EINSTEIN MD (NPI 1154683787) is an individual emergency medicine provider in La Mesa, California, licensed in California (A134524) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154683787
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ERIC EINSTEINCredential: MD
Location Address5555 GROSSMONT CENTER DRLa Mesa, CA 91942-3019
Mailing Address5555 Grossmont Center DrLa Mesa, CA 91942-3019 · (313) 916-2600
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 11, 2012
Last NPPES UpdateOctober 30, 2017
✔ NPI 1154683787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · A134524✔ Licensed in MI · 4301100639
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5555 GROSSMONT CENTER DR, La Mesa, CA 91942

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. Eric Einstein 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 ID4183856925
PECOS Enrollment IDI20150929002638
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

5

Medicare enrollment records show Eric Einstein reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
875 EL CAJON BLVD
El Cajon, CA 92020
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
Emergency Medicine
6655 ALVARADO RD
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 62 clinicians in this Medicare group
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
Emergency Medicine
800 S MAIN ST
Corona, CA 92882
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
Emergency Medicine
5000 HOPYARD RD, SUITE 100
Pleasanton, CA 94588
  • Reassigned Medicare billing, California enrollment
  • 202 clinicians in this Medicare group

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 8

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.

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
23 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
18 services17 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
17 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services16 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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.

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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

Registered Nurse
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Nurse Practitioner (Psychiatric/Mental Health)
5555 GROSSMONT CENTER DR, 5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Registered Nurse (Emergency)
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Internal Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Physician Assistant
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Pharmacist
5555 GROSSMONT CENTER DR
LA MESA, CA 91942

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 Eric Einstein's NPI number?

The NPI number for Eric Einstein is 1154683787. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Eric Einstein located?

Eric Einstein practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 740-4405.

What is Eric Einstein's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Eric Einstein enrolled in Medicare?

Yes. Eric Einstein 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 Eric Einstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Einstein reassigns Medicare benefits to 5 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (El Cajon, CA), Alvarado Emergency Medical Associates, Inc. (San Diego, CA), Sharp Rees-Stealy Medical Group, Inc (San Diego, CA), Corona Regional Emergency Medical Associates Inc (Corona, CA) and Team Physicians Of Northern California Medical Group Inc (Pleasanton, 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 Eric Einstein'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 Eric Einstein was last updated on October 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.