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COURTNEY JANE WUSTHOFF MD
NPI 1215092382
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Sacramento, CA

Active since December 27, 2006PECOS Enrolled
4860 Y STREET, SUITE 3700, NEUROLOGY, SACRAMENTO, CA 95817(916) 734-6280 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2024, Jul 6, 2023, Nov 13, 2019 (3 updates tracked since 2019).

About Courtney Jane Wusthoff Md NPPES

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

COURTNEY JANE WUSTHOFF MD (NPI 1215092382) is an individual neurology with special qualifications in child neurology provider in Sacramento, California, licensed in California (A92656) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215092382
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameCOURTNEY JANE WUSTHOFFCredential: MD
Location Address4860 Y STREET, SUITE 3700, NEUROLOGYSacramento, CA 95817
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Phone(916) 734-6280
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1215092382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in CA · A92656
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License A92656 (CA)
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License A92656 (CA)
4860 Y STREET, SUITE 3700, Sacramento, CA 95817
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Jane Wusthoff Md 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

2

Medicare enrollment records show Courtney Wusthoff 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 Univ Of Ca
Same address
Maternal & Fetal Medicine
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1013906973 (916) 734-6930
Regents Of The University Of Ca
Same address
Family Medicine
4860 Y ST, STE 200
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The University Of California
  • 918 clinicians in this Medicare group
NPI 1992930986 (916) 734-1986

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 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Courtney Wusthoff's NPI number?

The NPI number for Courtney Wusthoff is 1215092382. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Courtney Wusthoff located?

Courtney Wusthoff practices at 4860 Y Street, Suite 3700 Neurology, Sacramento, CA 95817. The listed phone number is (916) 734-6280.

What is Courtney Wusthoff's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Courtney Wusthoff enrolled in Medicare?

Yes. Courtney Wusthoff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Courtney Wusthoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Wusthoff reassigns Medicare benefits to 2 organizations: Regents Of The Univ Of Ca (Sacramento, CA) and Regents Of The University Of Ca (Sacramento, 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 Courtney Wusthoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Wusthoff accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Ambetter from Superior HealthPlan list Courtney Wusthoff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Wusthoff was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.